PMID: 9535598Apr 16, 1998Paper

Vesicourethral dysfunction following radical surgery for rectal carcinoma: change in voiding pattern on sequential urodynamic studies and impact of nerve-sparing surgery

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

Abstract

Urodynamic studies were performed to clarify vesicourethral dysfunction and recovery after rectal surgery for cancer. At 1, and 6 to 1 2 months after rectal surgery interviews and urodynamic studies (UDS) were performed on 51 consecutive patients, all without a prior history of voiding disorder (40 males and 11 females; median age, 60 years). Patients were divided into 2 groups, either with (preserved group, n = 17) or without (nonpreserved group, n = 34) preservation of the bilateral pelvic plexus during surgery. Comparisons of voiding status and urodynamic parameters were made between the 2 groups. By 1 and 6 months after the operation normal voiding was achieved in 71% (12/17) and 100% (13/13) of patients in the preserved group, and 6% (2/34) and 30% of patients (9/30) in the nonpreserved group, respectively (P < 0.001). Attainment of normal voiding in the nonpreserved group was preceded by the recovery of bladder sensation, while UDS demonstrated increases in vesical compliance and the disappearance of vesical denervation supersensitivity. A nerve-sparing procedure during radical surgery for rectal carcinoma preserved vesicourethral function. The urodynamic parameters relevant to postoperative recovery of voiding function w...Continue Reading

Citations

Jan 4, 2006·Surgical Oncology Clinics of North America·Seung-Yong JeongJose G Guillem
Mar 5, 2009·Neurourology and Urodynamics·Sung-Yong ChoSeung-June Oh
Sep 1, 2010·Lower Urinary Tract Symptoms·Won Hee Park
Mar 23, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C CölT Kucukpinar
Apr 6, 2001·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·N MatsuokaS Fujita
Feb 15, 2000·The British Journal of Surgery·A NesbakkenL M Eri
Sep 21, 2006·Neurourology and Urodynamics·Chiharu YamaguchiTakamichi Hattori
Apr 15, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Kaname AmedaMasao Hosokawa
May 24, 2006·World Journal of Gastroenterology : WJG·Glen-C BalchJose-G Guillem

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