Urological complications following abdominoperineal excision of the rectum for carcinoma.
A retrospective study was made of 122 patients who had an abdominoperineal excision (APE) of the rectum for carcinoma at Concord Hospital between 1971 and 1979. Fifty-two percent of patients suffered one or more significant urological complications. These included urinary tract infection (32%), operative trauma to the urinary tract (8.5%) and temporary or permanent bladder dysfunction in 35% of patients. Acute urinary retention, when temporary, was managed by simple measures. Chronic retention, incontinence and some episodes of acute retention were due to a neurogenic bladder. These patients were difficult to treat. It is recommended that urodynamic studies be used to assess these patients who develop a neurogenic bladder before any treatment is instituted. This is relevant especially in those patients in whom a transurethral resection of either the bladder neck or prostate is contemplated.
D000005:Abdomen; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D001745:Urinary Bladder Diseases / Q000209:etiology*; D014551:Urinary Tract / Q000293:injuries*; D014552:Urinary Tract Infections / Q000209:etiology*