Detrusor and compliance changes of the bladder after radical hysterectomy.
Disturbances of bladder function after radical hysterectomy are caused by the damage done to the pelvic nerves. Reduced radicality in cases of carcinoma cannot be discussed. In a prospective urodynamic study we checked bladder changes in patients with radical hysterectomy and compared them to those with incontinence operations. Shortly after operation compliance and detrusor function are severely reduced. After 6 months compliance is normalized, detrusor is still reduced, yet residual urine normal. The patient has learned to use abdominal pressure, thus providing a functional normality.
Stolz
W
W
Department of Gynecology and Obstetrics, University of Heidelberg, FRG.
Wallwiener
D
D
Brandner
P
P
Grischke
E
E
Bastert
G
G
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D011446:Prospective Studies; D001743:Urinary Bladder / Q000503:physiopathology*; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics