Document Detail

Ultrasound urodynamic study of urinary tract dysfunction after radical hysterectomy and pelvic lymphadenectomy in women with cervical carcinoma.
MedLine Citation:
PMID:  20882885     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To investigate the functional changes of the lower urinary tract after radical hysterectomy and pelvic lymphadenectomy node dissection using ultrasound urodynamics. METHODS: Fifty-one women with cervical carcinoma underwent pre- and postoperative B-mode ultrasound imaging urodynamics. RESULTS: Twenty-six women needed abdominal straining to void after radical surgery, and the urinary stream was intermittent. The maximum flow rate, average flow rate, and voiding volume significantly decreased, but the post-void residual volume significantly increased. Bladder sensory function deteriorated and maximum detrusor pressure decreased. The functional length decreased, but the maximum urethral pressure and urethral closure pressure did not change. Ultrasound measurement showed no significant changes regarding the depth of the bladder wall or the position of the bladder neck. CONCLUSIONS: Lower urinary tract dysfunction after radical hysterectomy is characteristic. Measurement of ultrasound urodynamics may be used as a preliminary screening method to detect voiding dysfunction following surgery.
A Le; Z Wang; R Yuan; T Xiao; R Zhuo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of gynaecological oncology     Volume:  31     ISSN:  0392-2936     ISO Abbreviation:  Eur. J. Gynaecol. Oncol.     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-01     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8100357     Medline TA:  Eur J Gynaecol Oncol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  418-24     Citation Subset:  IM    
Affiliated Nanshan Hospital, Guangdong Medical College, Shenzhen, China.
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MeSH Terms
Hysterectomy / adverse effects*
Lymph Node Excision / adverse effects*
Middle Aged
Postoperative Complications / ultrasonography
Urinary Incontinence / etiology,  ultrasonography
Urologic Diseases / etiology,  ultrasonography*
Uterine Cervical Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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