Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy

Background: Although effective as a primary treatment for early-stage cervical cancer, radical hysterectomy is associated with significant long-term morbidities, most commonly, voiding dysfunction. Objective: To examine prevalence and characteristics of voiding dysfunction following radical hysterec...

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Main Authors: Kittipat Charoenkwan, Savitree Pranpanas
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/60924
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-609242018-09-10T04:09:06Z Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy Kittipat Charoenkwan Savitree Pranpanas Biochemistry, Genetics and Molecular Biology Medicine Background: Although effective as a primary treatment for early-stage cervical cancer, radical hysterectomy is associated with significant long-term morbidities, most commonly, voiding dysfunction. Objective: To examine prevalence and characteristics of voiding dysfunction following radical hysterectomy for early-stage cervical cancer. Methods: One hundred-eighty seven patients with FIGO stage IA2-IIA cervical cancer who underwent class II-III radical hysterectomy with systematic pelvic lymphadenectomy between January 1, 2002 and June 31, 2005 were interviewed with questionnaire on voiding function. Medical records were also reviewed for operative and pathologic data. Results: The prevalence of symptomaticbladder dysfunction was 25.1%. There was no statistically significant association between rates of bladder dysfunction and all examined clinical/operative factors. The most common pattern of bladder dysfunction were incomplete emptying in 25 (13.4%) and urgency and nocturia in 21 (11.2%) each. Conclusion: Voiding dysfunction is a common and clinically significant longterm complication following radical hysterectomy. The pattern of dysfunction reflects combined surgical disruption of both parasympathetic and sympathetic innervations of the pelvis. 2018-09-10T04:01:22Z 2018-09-10T04:01:22Z 2007-01-01 Journal 2476762X 15137368 2-s2.0-44449172138 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=44449172138&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/60924
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Kittipat Charoenkwan
Savitree Pranpanas
Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
description Background: Although effective as a primary treatment for early-stage cervical cancer, radical hysterectomy is associated with significant long-term morbidities, most commonly, voiding dysfunction. Objective: To examine prevalence and characteristics of voiding dysfunction following radical hysterectomy for early-stage cervical cancer. Methods: One hundred-eighty seven patients with FIGO stage IA2-IIA cervical cancer who underwent class II-III radical hysterectomy with systematic pelvic lymphadenectomy between January 1, 2002 and June 31, 2005 were interviewed with questionnaire on voiding function. Medical records were also reviewed for operative and pathologic data. Results: The prevalence of symptomaticbladder dysfunction was 25.1%. There was no statistically significant association between rates of bladder dysfunction and all examined clinical/operative factors. The most common pattern of bladder dysfunction were incomplete emptying in 25 (13.4%) and urgency and nocturia in 21 (11.2%) each. Conclusion: Voiding dysfunction is a common and clinically significant longterm complication following radical hysterectomy. The pattern of dysfunction reflects combined surgical disruption of both parasympathetic and sympathetic innervations of the pelvis.
format Journal
author Kittipat Charoenkwan
Savitree Pranpanas
author_facet Kittipat Charoenkwan
Savitree Pranpanas
author_sort Kittipat Charoenkwan
title Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
title_short Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
title_full Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
title_fullStr Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
title_full_unstemmed Prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
title_sort prevalence and characteristics of late postoperative voiding dysfunction in early-stage cervical cancer patients treated with radical hysterectomy
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=44449172138&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/60924
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