title: Effect of laparoscopic nerve-sparing radical hysterectomy on bladder function, intestinal function recovery and quality of sexual life in patients with cervical carcinoma.
abstract: OBJECTIVE
  To investigate bladder and intestinal function recovery and quality of sexual life after laparoscopic nerve-sparing radical hysterectomy (LNRH) for treatment of early invasive cervical carcinoma.
  
  
  METHODS
  Subjects included patients who underwent radical hysterectomy by laparotomy who were randomly assigned to 2 groups: 30 patients who underwent LNRH and 35 classical laparoscopic radical hysterectomy (LRH). We assessed the patients general clinical information, surgical characteristics, pathological findings, and adjuvant therapies. A urodynamic study was used to assess bladder function. Intestinal function recovery and quality of sexual life were evaluated by questionnaire.
  
  
  RESULTS
  No significant differences were found in age, surgery characteristics, pathological findings, adjuvant therapies, and main adverse effects between the 2 groups. The mean duration of the postoperative catheterization (DPC) in group LNRH was shorter than that in group LRH (P < 0.001). The maximum flow rate, maximum cystometric capacity , maximum detrusor pressure and urinary complications in group LNRH were better than those in group LRH. The quality of sexual life evaluated according to the female sexual function index (FSFI) was better in group LNRH than in those who underwent LRH. The intestinal function of patients in group LNRH also recovered better compared with patients in group LRH.
authors.affiliation: Gynecology Department, Qingdao Municipal Hospital, Qingdao, Shandong, China E-mail : zhangmy568@sohu.com.
authors.forename: Long
authors.initials: L
authors.lastname: Chen
authors.forename: Wei-Na
authors.initials: WN
authors.lastname: Zhang
authors.forename: Sheng-Miao
authors.initials: SM
authors.lastname: Zhang
authors.forename: Zhi-Hao
authors.initials: ZH
authors.lastname: Yang
authors.forename: Ping
authors.initials: P
authors.lastname: Zhang
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007415:Intestinal Obstruction / Q000517:prevention & control*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D059351:Organ Sparing Treatments; D059348:Peripheral Nerve Injuries / Q000517:prevention & control*; D011183:Postoperative Complications; D011379:Prognosis; D011446:Prospective Studies; D020127:Recovery of Function; D012735:Sexual Dysfunction, Physiological / Q000517:prevention & control*; D001745:Urinary Bladder Diseases / Q000517:prevention & control*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*