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Urological Problems Following Treatment of Carcinoma of the Cervix
Author(s) -
JONES C. R.,
WOODHOUSE C. R. J.,
HENDRY W. F.
Publication year - 1984
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1984.tb06128.x
Subject(s) - medicine , malignancy , surgery , cervix , fistula , urinary fistula , carcinoma , disease , malignant disease , urinary system , general surgery , cancer
Summary— One thousand one hundred and sixty‐one cases of carcinoma of the cervix presenting over a 20‐year period to 1982 were considered: 326 (28%) of these women developed urological problems, of whom 82 (7%) had major complications. Fistula formation occurred in 46 cases (4%), and was associated with active malignant disease in 33. Significant progressive ureteric obstruction occurred in 15 patients, 11 of whom had active malignancy. Overall, 35 (43%) of 82 patients with major urological problems had no evidence of active disease. Urinary diversion by ileal conduit proved to be a relatively simple and effective way of dealing with the serious problems, especially for patients with fistula formation and progressive ureteric obstruction, 67% and 73% of whom, respectively, underwent this procedure. More complex reconstructive surgery proved successful in a small number of selected patients, in whom there was no evidence of active tumour. Attempts to compromise with less definitive or over‐ambitious procedures resulted in further complications and prolonged hospitalisation.