Risk factors for developing voiding dysfunction after abdominoperineal resection for adenocarcinoma of the rectum.
Voiding dysfunction is a common sequel of abdominoperineal resection of the rectum. Twenty patients symptomatic after abdominoperineal resection, 14 with a preoperative normal urodynamic study and six with evidence of obstruction, were studied postoperatively. The importance of the following factors is analyzed: sex, stage, grade, size, distance of the tumor from the anal verge, metastatic lymph-node involvement, and extent of lymphadenectomy. Male gender, tumors situated between 4 and 8 cm from the anal verge, and lymphadenectomy that includes more than ten nodes may be considered risk factors for neurologic damage and postoperative voiding dysfunction.
Burgos
F J
FJ
Department of Urology, Ramon y Cajal Hospital, Madrid, Spain.
Romero
J
J
Fernandez
E
E
Perales
L
L
Tallada
M
M
D000230:Adenocarcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012004:Rectal Neoplasms / Q000601:surgery*; D012021:Reflex, Abnormal / Q000209:etiology; D012307:Risk Factors; D012737:Sex Factors; D001750:Urinary Bladder, Neurogenic / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology*; D014563:Urodynamics