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KMID : 0358419760190030157
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 3 p.157 ~ p.163
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Bladder Dysfunction and cystometric Evaluation following radical hysterectomy of the cervical cancer
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정병래/Chung BL
서우갑/송승규/김승조/Suh UG/Sing SK/Kim SJ
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Abstract
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1. Average duration of catheter drainage which was returned to clinically normal bladder function was 20.4 days. The longest duration of catheter drainage was 169 days , the shortest was 12 days. 2. Pre-operative bladder capacity was average 556+-85ml, and preoperative bladder pressure was average 23 cm H2O and postoperative was 33 cm H2O, both bladder capacity and pressure values indicate that a hypertonic dysfunction occurs following radical pelvic surgery for the cervial cancer. 3. The 3 cases of hypotonic bladder dysfunction resulted from an accidental episode of urinary retension and overdistention. 4. It was not possible to predict duration of bladder dysfunction by evaluating the initial cytometric findings but there was a tendency for those patients demonstrating the greatest initial alteration to necessitate catheter drainage for the longest period of time. 5. The catheter will not be removed until cystometric examination of the bladder capacity demonstrates greater than 250 ml and/or bladder pressure less than 28cm H2O and the patients can void spontaneously, resulting in a residual urine volume less than 70 ml.
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