PMID: 9535599Apr 16, 1998Paper

Persistent vesicourethral dysfunction following radical surgery for rectal carcinoma: urodynamic features and potential abatement with modified sphincterotomy (radical transurethral resection of the prostate)

International Journal of Urology : Official Journal of the Japanese Urological Association
T MitsuiT Koyanagi

Abstract

Vesicourethral function returns after radical rectal surgery during the first year but rarely progresses after 1 year. We examined the urodynamics of patients whose voiding dysfunction remained after 1 year, and treated several with a modified sphincterotomy procedure similar to radical transurethral resection of the prostate. We analyzed the urodynamic features of vesicourethral dysfunction in 16 male patients with persistent voiding dysfunction for more than 1 year following radical surgery for rectal carcinoma. Seven patients elected to undergo radical transurethral resection of prostate (radical TUR-P) for the relief of their persistent voiding dysfunction. The mean bladder volume at the first desire to void was 210 mL, the mean maximal bladder capacity was 343 mL, and the mean vesical compliance (Cves) was 27.1 mL/cm H2O. All patients demonstrated either vesical denervation supersensitivity (Vds) or uninhibited contraction. The mean maximal urethral closure pressure was 43.9 cm H2O, and urethral denervation supersensitivity was found in 77.8% (7/9), and sphincter dyssynergia in 66.7% (6/9) of patients. After radical TUR-P, 5 patients became free from the use of self-catheterization, 1 patient had a reduced residual urine r...Continue Reading

References

Nov 1, 1990·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·T Koyanagi, K Nonomura
Dec 1, 1987·The Journal of Urology·M J SpeakmanJ A Gosling
Feb 1, 1982·The Journal of Urology·J M BarryM A Farnsworth
Mar 1, 1994·International Journal of Urology : Official Journal of the Japanese Urological Association·Y ShinnoH Morita
Apr 16, 1998·International Journal of Urology : Official Journal of the Japanese Urological Association·T MitsuiT Koyanagi

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Citations

Sep 21, 2006·Neurourology and Urodynamics·Chiharu YamaguchiTakamichi Hattori
Apr 16, 1998·International Journal of Urology : Official Journal of the Japanese Urological Association·T MitsuiT Koyanagi

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