Vesical dysfunctions after radical hysterectomy for cervical cancer: a critical review

Zullo, Marzio Angelo; Manci, Natalina; Angioli, Roberto; Muzii, Ludovico; Panici, Pierluigi Benedetti

doi:10.1016/s1040-8428(03)00125-2

Cited by 194 publications

(121 citation statements)

References 36 publications

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“…8 Only 20 patients (26%) reported urinary 22 (29) 18 (24) 16 (21) 2 (2) 18 (24) USI: urodynamic stress incontinence; MI: mixed incontinence; DO: detrusor overactivity; AD: acontractile detrusor. symptoms at follow-up, and comparison of preoperative and postoperative VAS scores regarding the severity of UI revealed no significant differences.…”

Section: Discussionmentioning

confidence: 99%

“…These disturbances were associated with the partial interruption of the autonomic fibers innervating the bladder during the resection of the anterior, lateral, and posterior parametrium and the vaginal cuff. 8 Clinical studies have suggested that changes in bladder function after radical pelvic surgery are transient, although such changes are observed in 70 -85% of patients. 3 If postoperative bladder care is adequate, then the vesical function is restored within 8 -12 months.…”

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confidence: 99%

“…3 Clinically significant long-term bladder dysfunction occurs in Ϸ 30 -75% of patients. 2,3,8 However, analysis of published results reveals a certain amount of bias resulting from the use of different surgical procedures, variable evaluation timing, different bladder function evaluation methods, the scarcity of population-based data, and the use of postoperative radiotherapy.…”

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confidence: 99%

“…2,3 Thus, it has been proposed that reduced radicality may decrease the rate of bladder dysfunctions. 8 A retrospective evaluation of bladder dysfunction rates after type 2 radical hysterectomy was carried out at our institution. Changes in bladder function after type 2 radical hysterectomy were observed in 9% of patients (unpublished data).…”

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Long‐term bladder function in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy and type 3–4 radical hysterectomy

Benedetti‐Panici

Zullo

Plotti

et al. 2004

Cancer

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109

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BACKGROUNDThe objective of the current study was to evaluate the incidence of long‐term bladder dysfunction after type 3–4 radical hysterectomy in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy (NACT).METHODSA case–control study was conducted to evaluate the occurrence of long‐term bladder dysfunction in 76 patients with International Federation of Gynecology and Obstetrics Stage IB–IIA (> 4 cm), Stage IIB, and Stage III cervical carcinoma who underwent type 3–4 radical hysterectomy after NACT. Preoperative assessment included acquisition of a standardized urogynecologic history, evaluation of severity of urinary incontinence symptoms, maintenance of a 3‐day voiding diary, pelvic examination, urogynecologic physical examination, urodynamic assessment, and estimation of hydronephrosis. Follow‐up was carried out at least 12 months after surgery.RESULTSUrinary symptoms (sensory loss, difficult micturition, severe urinary incontinence) were reported by 20 patients (26%). Eighteen patients (24%) had a normal urodynamic profile, 16 patients (21%) had detrusor overactivity, 22 patients (29%) had urodynamic stress incontinence, 2 patients (2%) had aconctractile detrusor, and 18 patients (24%) had mixed urinary incontinence. The length of vagina removed was significantly greater among patients who had detrusor overactivity and mixed urinary incontinence compared with patients who had a normal diagnosis.CONCLUSIONSThe observed rate of bladder dysfunction was higher than the corresponding rate reported in the literature (76%). Three main disturbances were found: detrusor overactivity (21%), mixed urinary incontinence (24%), and de novo stress incontinence (21%). Detrusor overactivity was related to a prevalence of hypertonic bladder. Among patients who underwent type 4 radical hysterectomy, the extent of caudal resection of rectovaginal ligaments and vaginal tissue was found to be more strongly associated with bladder dysfunction than was the extent of lateral parametrial resection. Despite the fact that 76% of patients had abnormal urodynamic parameters, most patients were satisfied with their voiding condition. Cancer 2004. © 2004 American Cancer Society.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Long‐term bladder function in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy and type 3–4 radical hysterectomy

Benedetti‐Panici

Zullo

Plotti

et al. 2004

Cancer

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109

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“…Urinary retention is the most common complication following radical surgery for cancer of the uterus [2] and appears to be voiding dysfunction, with the incidence of 8% to 80% [3]. Impaired bladder sensation, and residual urine were significantly more common among the patients who had more radical surgery (resection parametrial tissue more than 2cm), as were reduced flow rates and abnormal bladder compliance [4].…”

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confidence: 99%

Retention of Urine after radical Hysterectomy for Cervical Cancer

Rana

史惠蓉

Mehata³

2014

J. Manmohan Memorial Inst. Health. Sci.

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A total of 90 patients with cervical cancer, who underwent radical hysterectomy were included in this study. 25 patients, i.e. 27.8% were menopausal and 11 patients, i.e. 12.2% had blood loss more than 500ml. The patients with retention of urine after radical hysterectomy were compared in relation with loss of blood volume intra-operatively, parity, and menopause; as the possible causes of retention of urine. The overall frequency of retention of urine among the patients who underwent radical hysterectomy for the cervical cancer was 42.2%. The statistical analysis showed that the relation of urine after radical hysterectomy for cervical cancer with loss of blood volume, parity and menopause was found to be non-significant.

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Postoperative interventions for preventing bladder dysfunction after radical hysterectomy in women with early-stage cervical cancer

Aue-aungkul

Kietpeerakool

Galaal

et al. 2017

Cochrane Database of Systematic Reviews

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Vesical dysfunctions after radical hysterectomy for cervical cancer: a critical review

Cited by 194 publications

References 36 publications

Long‐term bladder function in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy and type 3–4 radical hysterectomy

Long‐term bladder function in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy and type 3–4 radical hysterectomy

Retention of Urine after radical Hysterectomy for Cervical Cancer

Postoperative interventions for preventing bladder dysfunction after radical hysterectomy in women with early-stage cervical cancer

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