Predicting factors for resumption of spontaneous voiding following nerve-sparing radical hysterectomy

Journal of Gynecologic Oncology
Chalaithorn Nantasupha, K Charoenkwan

Abstract

To determine factors affecting voiding recovery on the day of Foley catheter removal (postoperative day 7, POD7) after nerve-sparing radical hysterectomy (NSRH) for early-stage cervical cancer. Early-stage cervical cancer patients, who underwent type C1 radical hysterectomy between January 2006 and June 2016 were included. Clinical and pathological data were reviewed. Association between inability to attain adequate voiding function on POD7 and potential predicting factors were evaluated in univariate and multivariate analysis. Of 755 patients, 383 (50.7%) resumed adequate voiding function on POD7 while 372 (49.3%) did not. Tumor size was larger in patients whose voiding function was inadequate (2.5 vs. 2.0 cm, p=0.001). Lengths of resected parametria and adjacent vagina were more extensive in patients with inadequate voiding function (p<0.001). In univariate analysis, factors significantly associated with inability to attain adequate voiding function included tumor size >4 cm (p<0.001), primary surgeon (p<0.001), postoperative urinary tract infection (p<0.01), grossly visible tumor (p<0.01), and not having prior conization (p<0.01). In multivariate analysis, tumor size >4 cm, postoperative urinary tract infection, and primary ...Continue Reading

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Citations

Aug 25, 2019·International Urogynecology Journal·Marta NovackovaRoman Chmel
Aug 12, 2020·Journal of Surgical Oncology·Mariana F MengattoRicardo Dos Reis
Oct 3, 2019·Journal of Gynecologic Oncology·Kittipat Charoenkwan, Jatupol Srisomboon
Sep 24, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Runchida SuvannasarnKittipat Charoenkwan

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Methods Mentioned

BETA
hysterectomy
surgical resection

Software Mentioned

Stata

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