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Lower Urinary Tract Dysfunction as Persistent Complication of Radical Hysterectomy
Author(s) -
Sekido Noritoshi,
Kawai Koji,
Akaza Hideyuki
Publication year - 1997
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1997.tb00183.x
Subject(s) - medicine , cystometry , radical hysterectomy , urinary system , hysterectomy , urology , lower urinary tract symptoms , complication , surgery , urinary incontinence , urinary bladder , cervical cancer , cancer , prostate
Background This study was performed to evaluate late effects on the lower urinary tract after radical hysterectomy. Methods We studied 9 women treated with radical hysterectomy for cervical cancer. All patients underwent surgery more than 10 years ago (range, 14 to 36 years). Six patients had urologic complications associated with lower urinary tract dysfunction. The remaining 3 were referred for urinary tract abnormalities detected by radiologic examinations. Lower urinary tract function was evaluated with thorough history taking, laboratory examinations, intravenous urography, and conventional urodynamic studies. Results Obstructive voiding symptoms and/or urinary incontinence were observed in 7 patients. Uroflowmetry, which was assessable in 7 patients, revealed intermittent flow and a significant amount of residual urine in all patients. Cystometry revealed impaired bladder sensation, detrusor areflexia, straining on voiding, and probable impaired relaxation of the sphincter in all assessable patients. In addition, decreased bladder compliance was observed in 5 patients. Conclusion All of the examined patients had severe and complicated urinary tract dysfunctions, even at more than 10 years after surgery. Careful follow‐up may be mandatory for patients after radical hysterectomy, because compensating factors tend to mask their urologic symptoms.