Detrusor hypertonicity as a late complication of a Wertheim hysterectomy.
An extended radical Wertheim hysterectomy is commonly used in the primary treatment of carcinoma of the cervix. Postoperative voiding dysfunction, characterized by a hypotonic or atonic detrusor, commonly occurs. It is not generally appreciated that hypertonic bladder dysfunction can also occur as a late postoperative complication. We describe 3 patients with postoperative detrusor hypertonia resulting in radiographic changes of the upper urinary tract. The etiology, diagnosis and management of detrusor hypertonia following a Wertheim hysterectomy are discussed.
D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011312:Pressure; D013997:Time Factors; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000503:physiopathology; D014555:Urination Disorders / Q000209:etiology; D014567:Urography; D002583:Uterine Cervical Neoplasms / Q000601:surgery