FUNCTIONAL DISTURBANCES OF THE LOWER URINARY-TRACT FOLLOWING RADICAL SURGERY FOR CERVICAL-CANCER

  • 1 January 1981
    • journal article
    • research article
    • Vol. 41  (2) , 145-150
Abstract
From 1972 to 1977, 141 patients at the university department of gynecology and obstetrics in Innsbruck [Austria] had radical abdominal hysterectomies according to Latzko because of carcinoma of the cervix uteri stage I-IIa. A total of 111 (78.8%) patients without recurrence of carcinoma were investigated in the period of 2-36 mo. after operation in a modern urodynamic testing unit to state functional troubles of the lower urinary tract. The sensibility of the bladder, the incidence of urinary incontinence, residual urine determinations and the frequency of infections of the lower urinary tract after radical hysterectomies were judged. A typical type of trouble after radical abdominal hysterectomies was indicated, which partly depends on lesions of the autonomous nervous system of the lower urinary tract. A total of 89.5% of all these patients within the 1st yr after operation could not feel any desire to void although the bladder was full. Longer than 1 yr after operation the same symptom was found in 45.5%; recovery in part seems to be possible. Unnoticed urinary loss, residual urine and infections of the lower urinary tract (24.7%) were found in higher incidence compared with a control group. Advice for prevention and therapy of functional troubles of the lower urinary tract after radical abdominal hysterectomy was proposed.

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