title: [Multi-institute survey on actual conditions of urologic management for severe bladder dysfunction after hysterectomy].
abstract: We conducted a multi-institute survey on the conditions related to urologic management of severe voiding dysfunction after hysterectomy for uterine cancer with or without postoperative irradiation. Our first study population was a group of adult female patients currently managed by urologists, using clean intermittent catheterization (CIC). Of the 287 patients in this group, 99 (34%) had suffered from uterine cancer. Of these patients, 94 underwent hysterectomy for this disease; 44 and 30 were treated with or without postoperative radiation, respectively, while postoperative irradiation status was unknown for 20. Median follow-up after surgery was 21 (0.2-52) years and median interval from operation to the introduction of CIC was 4.0 (0-49) years. CIC tended to be introduced later for patients with postoperative radiation than those without it. Seventy-four patients, who required invasive urologic interventions other than CIC for voiding dysfunction after hysterectomy, are the second study population. Most of these (82%) had received postoperative irradiation. Continuous Foley catheter placement was the most frequent procedure. Long-term follow-up and urologic management for voiding dysfunction is required for patients undergoing hysterectomy.
authors.affiliation: Department of Urology, Kyoto University Graduate School of Medicine.
authors.forename: Koji
authors.initials: K
authors.lastname: Yoshimura
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kamoto
authors.forename: Takuya
authors.initials: T
authors.lastname: Okada
authors.forename: Mutsushi
authors.initials: M
authors.lastname: Kawakita
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ikeda
authors.forename: Tadashi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kanamaru
authors.forename: Kimihiko
authors.initials: K
authors.lastname: Masui
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okuno
authors.forename: Teruyoshi
authors.initials: T
authors.lastname: Aoyama
authors.forename: Akito
authors.initials: A
authors.lastname: Terai
authors.forename: Shin
authors.initials: S
authors.lastname: Higashi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Nishio
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ishitoya
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Okumura
authors.forename: Masakazu
authors.initials: M
authors.lastname: Nakajima
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Shichiri
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Ueda
authors.forename: Hiroya
authors.initials: H
authors.lastname: Oka
authors.forename: Shigeki
authors.initials: S
authors.lastname: Fukuzawa
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Okamura
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Nonomura
authors.forename: Kosuke
authors.initials: K
authors.lastname: Okasho
authors.forename: Yoji
authors.initials: Y
authors.lastname: Taki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Onishi
authors.forename: Seiji
authors.initials: S
authors.lastname: Moroi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Nishimura
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Ito
authors.forename: Asaki
authors.initials: A
authors.lastname: Soeda
authors.forename: Miharu
authors.initials: M
authors.lastname: Sasaki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Ito
authors.forename: Keiji
authors.initials: K
authors.lastname: Ogura
authors.forename: Osamu
authors.initials: O
authors.lastname: Ogawa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011183:Postoperative Complications; D014546:Urinary Catheterization / Q000379:methods*; D014555:Urination Disorders / Q000209:etiology / Q000628:therapy*; D014594:Uterine Neoplasms / Q000532:radiotherapy / Q000601:surgery