|
KMID : 1240020110150030166
|
|
International Neurourology Journal
2011 Volume.15 No. 3 p.166 ~ p.171
|
|
|
Voiding Dysfunction after Total Mesorectal Excision in Rectal Cancer
|
|
Kim Jae-Heon
Noh Tae-Il
Oh Mi-Mi
Park Jae-Young
Lee Jeong-Gu
Bae Jae-Hyun
Um Jun-Won
Min Byung-Wook
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Urination, Postoperative complications, Rectal neoplasms, Rectal surgery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|
|