Premium
Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy
Author(s) -
Wang Shiyan,
Wang Runzhi,
Wen Hongwu,
Gao Yug,
Lv Qiubo,
Li Hongyu,
Wang Sumei,
Wang Yanlong,
Liu Qing,
Han Jinsong,
Wang Haibo,
Li Yi,
Wang Qing,
Cao Tingting,
Wang Sha,
Sun Huaxin,
Wang Zhiqi,
Sun Xiuli,
Wang Jianliu
Publication year - 2021
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24587
Subject(s) - medicine , pelvic floor muscle , pelvic floor , radical hysterectomy , cervical cancer , urinary incontinence , odds ratio , confidence interval , hysterectomy , urology , laparotomy , surgery , cancer
Abstract Aims To assess the pelvic floor function in cervical cancer patients after radical hysterectomy and its relationship with urinary incontinence (UI). Methods Cervical cancer patients who underwent radical hysterectomy were recruited from 18 hospitals in China from January 2012 to March 2015. Pelvic floor examinations were conducted by measuring the pelvic floor muscle strength, fatigue of pelvic floor muscle fatigue, dynamic pressure of vaginal, nerve injury, A3 feedback, muscle potential, static tension, and dynamic tension. Postoperative urinary incontinence (UI) was identified using the International Consultation on Incontinence Questionnaire. Multivariable logistic regression analysis was used to assess the association of pelvic floor function examination results with postoperative UI. Results Totally 169 patients were included in this study. The prevalence of UI was 39.6% (67/169). The proportion of abnormal fatigue of Type I muscle (64% vs. 36%, p = .04) and abnormal A3 feedback (53.9% vs. 46.1%, p = .03) were higher among patients with postoperative UI compared to those without UI. In the multivariable analysis, abnormal fatigue of Type I muscle (odds ratio [OR] = 3.73, 95% confidence interval [CI]: 1.42–9.84), abnormal A3 feedback (OR = 2.40, 95% CI: 1.04–5.51), and length of resected vagina > 3 cm (OR = 3.44, 95% CI: 1.27–9.31) were associated with postoperative UI. Compared to laparoscopy, laparotomy was less likely to cause postoperative UI (OR = 0.12, 95% CI:0.04–0.33). Conclusions The abnormal function of the pelvic floor muscle is related to postoperative UI. Early assessment among these patients is needed to prevent the development of pelvic floor disorder postoperatively.