Update on urodynamic bladder dysfunctions after radical hysterectomy for cervical cancer

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• 作者：Francesco  ; Plotti^a ;   ; ^{F.Plotti@unicampus.it} ; Roberto  ; Angioli^a ; Marzio Angelo  ; Zullo^a ; Milena  ; Sansone^b ; Tiziana  ; Altavilla^b ; Elena  ; Antonelli^b ; Roberto  ; Montera^a ; Patrizio  ; Damiani^a ; Pierluigi  ; Benedetti Panici^b[Author vitae]
• 关键词：Bladder dysfunction ; Radical hysterectomy ; Stress urinary incontinence ; Mixed urinary incontinence ; Urodynamic assessment
• 刊名：Critical Reviews in Oncology/Hematology
• 出版年：2011
• 出版时间：November 2011
• 年：2011
• 卷：80
• 期：2
• 页码：323-329
• 全文大小：183 K

文摘

Introduction

Bladder dysfunctions are a common sequela after radical hysterectomy (RH, former type III sec Piver) ranging from 8 to 80 % . This discrepancy, probably, reflects the different bladder function evaluation methods utilized in literature.

Material and methods

We searched English-language medical reports published from 1952 to 2010, on MEDLINE. Inclusion criteria were: (1) studies of urological dysfunctions in patients with cervical cancer, treated with type III sec Piver (C2 sec Querleu) radical hysterectomy; (2) use of urodynamic measurement.

Results

The overall incidence of urodynamic bladder dysfunctions is 72 % . Follow-up >12 months studies report a high incidence of overactive detrusor low compliance (34 % ). Eight out of 19 studies show a decrease of the maximal urethral closure pressure (MUCP).

Discussion and conclusions

Follow-up timing seems to be the major factor influencing the wide range of incidence of bladder dysfunction. Urodynamic data could help physicians to formulate appropriate evaluation and treatment for patients having urge incontinence (UI) after RH.