[Disorders of bladder emptying following abdominal radical operation of cervix cancer].
Radical abdominal hysterectomy causes functional disorders of the lower urinary tract. We prospectively evaluated urinary dysfunction in 72 women before 2 weeks, 6 months and 1 year after surgery. The results were compared to those of 10 women who underwent simple abdominal hysterectomy. After radical abdominal hysterectomy 63% of our patients had impaired or absent bladder sensibility at 6 months. Bladder compliance was abnormal in 79% patients at 14 days and in 60% after 6 months and 1 year. Preoperative urethral stress profiles were performed in 58 patients. 69% of the stress profiles showed continence, 31% stress incontinence. 11 initially continent women (22%) developed stress incontinence. We attribute post-operative stress incontinence to surgical trauma, edema, haematoma, scartissue that restricts mobility of the bladder neck.
Ralph
G
G
Universitäts-Frauenklinik, Graz.
Lichtenegger
W
W
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D014549:Urinary Incontinence / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000209:etiology; D014563:Urodynamics; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
Blasenentleerungsstörungen nach der abdominalen Radikaloperation des Zervixkrebses.