Voiding Dysfunction after Total Mesorectal Excision in Rectal Cancer / 대한배뇨장애요실금학회지
International Neurourology Journal
; : 166-171, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-190396
Responsible library:
WPRO
ABSTRACT
PURPOSE:
The aim of this study was to assess the voiding dysfunction after rectal cancer surgery with total mesorectal excision (TME).METHODS:
This was part of a prospective study done in the rectal cancer patients who underwent surgery with TME between November 2006 and June 2008. Consecutive uroflowmetry, post-voided residual volume, and a voiding questionnaire were performed at preoperatively and postoperatively.RESULTS:
A total of 50 patients were recruited in this study, including 28 male and 22 female. In the comparison of the preoperative data with the postoperative 3-month data, a significant decrease in mean maximal flow rate, voided volume, and post-voided residual volume were found. In the comparison with the postoperative 6-month data, however only the maximal flow rate was decreased with statistical significance (P=0.02). In the comparison between surgical methods, abdominoperineal resection patients showed delayed recovery of maximal flow rate, voided volume, and post-voided residual volume. There was no significant difference in uroflowmetry parameters with advances in rectal cancer stage.CONCLUSIONS:
Voiding dysfunction is common after rectal cancer surgery but can be recovered in 6 months after surgery or earlier. Abdominoperineal resection was shown to be an unfavorable factor for postoperative voiding. Larger prospective study is needed to determine the long-term effect of rectal cancer surgery in relation to male and female baseline voiding condition.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Rectal Neoplasms
/
Urination
/
Residual Volume
/
Prospective Studies
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
International Neurourology Journal
Year:
2011
Document type:
Article