Long-term effects on bladder function following radical hysterectomy with and without postoperative radiation

Lawrence C. Bandy, Daniel L. Clarke-Pearson, John T. Soper, David G. Mutch, Julie MacMillan, William T. Creasman

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

Sixty-one patients with Stage IB cervical carcinoma treated initially by Type III radical hysterectomy underwent water cystometry 6 or more months after surgery. Adjunctive pelvic radiation in 10 patients was associated with significantly more contracted (P < 0.001) and unstable (P < 0.01) bladders than surgery alone. The necessity for bladder drainage 30 or more days after surgery alone in 17 patients was associated with significantly worse (P < 0.05) long-term post-void residual and total bladder capacity as well as volume for first urge to void compared to 34 patients treted only with surgery who required short-term drainage. Management of bladder drainage following radical hysterectomy is discussed.

Original languageEnglish
Pages (from-to)160-168
Number of pages9
JournalGynecologic oncology
Volume26
Issue number2
DOIs
StatePublished - Feb 1987

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