[Multi-institute survey on actual conditions of urologic management for severe bladder dysfunction after hysterectomy].
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.
Yoshimura
Koji
K
Department of Urology, Kyoto University Graduate School of Medicine.
Kamoto
Toshiyuki
T
Okada
Takuya
T
Kawakita
Mutsushi
M
Ikeda
Hiroki
H
Hayashi
Tadashi
T
Yamamoto
Masakazu
M
Kanamaru
Hiroshi
H
Masui
Kimihiko
K
Okuno
Hiroshi
H
Aoyama
Teruyoshi
T
Terai
Akito
A
Higashi
Shin
S
Nishio
Yasunori
Y
Ishitoya
Satoshi
S
Okumura
Kazuhiro
K
Nakajima
Masakazu
M
Shichiri
Yasumasa
Y
Ueda
Tomohiro
T
Oka
Hiroya
H
Fukuzawa
Shigeki
S
Okamura
Yasuhisa
Y
Nonomura
Mitsuo
M
Okasho
Kosuke
K
Taki
Yoji
Y
Onishi
Hiroyuki
H
Moroi
Seiji
S
Nishimura
Kazuo
K
Ito
Noriyuki
N
Soeda
Asaki
A
Sasaki
Miharu
M
Ito
Masaaki
M
Ogura
Keiji
K
Ogawa
Osamu
O
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