[Careful dissection of the pelvic plexus helps alleviate urinary retention following radical hysterectomy].
Radical hysterectomy remains to be the treatment of choice for carcinoma of the uterine cervix. As pelvic nerve plexuses are distributed in the operative field, damage to the plexuses is likely to occur, which is responsible for the post-operative atonia of the urinary bladder and urinary retention. To reduce the incidence of this postoperative complication, the composition and distribution of the pelvic nerve plexuses in relation to the utero-sacral ligament and cardinal ligament of the uterus and paravaginal tissues were carefully dissected on 11 adult female cadavers. Based on the anatomic study, due precautions were made to avoid damage to the pelvic nerve plexuses during pelvic dissection for radical hysterectomy. As a result, the duration of postoperative urinary retention was significantly reduced while the 5- and 10-year survival rates remained unchanged.
Wu
Y X
YX
Department of Gynecology and Obstetrics, First Affiliated Hospital of Henan Medical University, Zheng Zhou.
Qiu
S
S
Meng
J
J
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007001:Hypogastric Plexus / Q000293:injuries / Q000601:surgery*; D007044:Hysterectomy / Q000009:adverse effects; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D016055:Urinary Retention / Q000517:prevention & control*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*