Skip to main content

Advertisement

SpringerLink
Log in

Impact of radical hysterectomy for cervical cancer on urodynamic findings

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

To elucidate the impact of radical hysterectomy upon the urodynamic findings of patients with cervical cancer, 20 patients with cervical cancer at stage IB to IIA who underwent radical hysterectomy were recruited. Each patient underwent a 20-min pad test and urodynamic study prior to and 3 months after radical hysterectomy. ANOVA, Bonferroni test and paired t -test were utilized for analysis. The mean age of the 20 patients was 50.2±8.7 years with a mean parity of 3.5±1.5. Four (20%) of the 20 cases revealed normal urodynamic findings preoperatively, and the urodynamic findings became abnormal after surgery. Comparing the urodynamic parameters of both bladder voiding and storage functions pre- and post-surgery, we found significant impairments postoperatively in all 20 cases. Our data demonstrate that abnormal urodynamic findings may pre-exist for some patients with cervical cancer prior to surgical treatment. These findings may worsen, and/or additional abnormal states may arise subsequent to radical hysterectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

GSI:

Genuine stress incontinence

MUCP:

Maximal urethral closure pressure

MUP:

Maximal urethral pressure

References

  1. Forney JP (1980) The effect of radical hysterectomy on bladder physiology. Am J Obstet Gynecol 138:373–382

    Google Scholar 

  2. Kadar N, Salbia N, Nelson JH (1983) The frequency, causes and prevention of severe urinary dysfunction after radical hysterectomy. Brit J Obstet Gynaec 90:858–863

    CAS  PubMed  Google Scholar 

  3. Vervesst HAM, Barents JW, Haspels AA, Debruyne FMJ (1989) Radical hysterectomy and the function of the lower urinary tract. Acta Obstet Gynecol Scand 68:331–340

    PubMed  Google Scholar 

  4. Stolz W, Walliener D, Brandner P, Grischke E, Bastert G (1989) Detrusor and compliance changes of the bladder after radical hysterectomy. Eur J Gynecol Oncol 10:378–383

    CAS  Google Scholar 

  5. Hamada K, Kihana T, Takada Y, Inoue Y, Matsuura S, Kataoka M, et al (1992) Urodynamic study on urinary disturbance after therapy of uterine cancer. Acta Obstet Gynecol Jpn 44:440–446

    CAS  Google Scholar 

  6. Iio S, Yoshioka S, Nishio S, Yokohama M, Iwata H, Takeuchi M (1993) Urodynamic evaluation for bladder dysfunction after radical hysterectomy. Jpn J Urol 84:535–540

    CAS  Google Scholar 

  7. Lin HH, Sheu BC, Lo MC, Huang SC (1998) Abnormal urodynamic findings after radical hysterectomy or pelvic irradiation for cervical cancer. Int J Gynecol Obstet 63:169–174

    Google Scholar 

  8. Westby M, Asmussen M (1985) Anatomical and functional changes in the lower urinary tract after radical hysterectomy with lymph node dissection as studied by dynamic urethrocystography and simultaneous urethrocystometry. Gynecol Oncol 21:261–276

    Article  CAS  PubMed  Google Scholar 

  9. Farquharson DIM, Shingleton HM, Soong SJ, Sanford SP, Levy DS, Hatch KD, et al (1987) The adverse effects of cervical cancer treatment on bladder function. Gynecol Oncol 27:15–23

    Article  CAS  PubMed  Google Scholar 

  10. Scotti RJ, Bergman A, Bhatia NN, Ostergard DR (1986) Urodynamic changes in urethrovesical function after radical hysterectomy. Obstet Gynecol 68:111–120

    CAS  PubMed  Google Scholar 

  11. Lin HH, Yu HJ, Sheu BC, Huang SC (2001) Importance of urodynamic study before radical hysterectomy for cervical cancer. Gynecol Oncol 81:270–272

    Article  CAS  PubMed  Google Scholar 

  12. Snad PK, Ostergard DR (1995) Pad testing. In: Sand PK, Ostergard DR, editors. Urodynamics and the evaluation of female incontinence: a practical guide. Springer-Verlag, London, pp 20–23

    Google Scholar 

  13. Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, Sterling AM, et al (2002) Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodynam 21:261–274

    Article  Google Scholar 

  14. Lose G, Grifiths D, Hosker G, Kulseng-Hanssen S, Perucchini D, Schafer W, et al (2002) Standardisation of urethral pressure measurement: report from the standardization sub-committee of the International Continence Society. Neurourol Urodynam 21:258–260

    Article  Google Scholar 

  15. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al (2002) The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Neurourol Urodynam 21:167–178

    Article  Google Scholar 

  16. Blaivas JG, Appell RA, Fantl JA, Leach G, McGuire EJ, Resnick NM, et al (1997) Definition and classification of urinary incontinence: recommendations of the urodynamic society. Neurourol Urodynam 16:149–151

    Article  CAS  Google Scholar 

  17. Lin HH, Cheng WF, Chan KWA, Chang DY, Chen CK, Huang SC (1996) Risk factors for recurrence in patients with stage IB, IIA and IIB cervical carcinoma after radical hysterectomy and postoperative pelvic irradiation. Obstet Gynecol 88:274–279

    Article  CAS  PubMed  Google Scholar 

  18. Chen GD, Lin TL, Hu SW, Chen YC, Lin LY (2003) Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourol Urodynam 22:109–117

    Article  Google Scholar 

  19. Seski JC, Diokno AC (1997) Bladder dysfunction after radical abdominal hysterectomy. Am J Obstet Gynecol 128:643–651

    Google Scholar 

  20. Sasaki H, Yoshida T, Noda K, Yachiku S, Minami K, Kaneko S (1982) Urethral pressure profiles following radical hysterectomy. Obstet Gynecol 59:101–104

    CAS  PubMed  Google Scholar 

  21. Oguchi K, Kuwabara M, Sakuragi N, Ohkouchi T, Yamamoto R, Fujino T, et al (1999) Urodynamic study for bladder dysfunction following radical hysterectomy. Acta Obst Gynaec Jpn 51:325–334

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei 100, Taiwan

    Bor-Ching Sheu & Ho-Hsiung Lin

  2. Department of Obstetrics and Gynecology, Chung-Shan Medical University, Taichung, Taiwan

    Long-Yau Lin & Jian-Hong Wu

  3. School of Nursing, Hung-Kuang Institute of Technology, Taichung, Taiwan

    Chiong-Wu Yang

Authors
  1. Long-Yau Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jian-Hong Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chiong-Wu Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bor-Ching Sheu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ho-Hsiung Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ho-Hsiung Lin.

Additional information

Editorial Comment: This paper is interesting because of the attempt at getting longitudinal urodynamic data on patients undergoing radical hysterectomy. All diagnosis and data are based on urodynamic findings. The patients serve as their own controls and only 20% were normal before surgery. Urodynamic data are useless in the absence of clinical correlation, and only provide a photographic and not cinematic view of bladder function. I believe it to be critical to include such information to evaluate the value of the information presented if it were to add to our knowledge of bladder dysfunction following radical hysterectomy. Further studies with control groups with no surgery and with regular hysterectomy would add worthwhile information regarding the true impact of radical hysterectomy for cervical cancer on the lower urinary tract function.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lin, LY., Wu, JH., Yang, CW. et al. Impact of radical hysterectomy for cervical cancer on urodynamic findings. Int Urogynecol J 15, 418–421 (2004). https://doi.org/10.1007/s00192-004-1187-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-004-1187-z

Keywords

Search

Navigation