Voiding Dysfunction after Total Mesorectal Excision in Rectal Cancer
| Title: | Voiding Dysfunction after Total Mesorectal Excision in Rectal Cancer |
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| Authors: | Jae Heon Kim, Tae Il Noh, Mi Mi Oh, Jae Young Park, Jeong Gu Lee, Jun Won Um, Byung Wook Min, Jae Hyun Bae |
| Source: | International Neurourology Journal, Vol 15, Iss 3, Pp 166-171 (2011) |
| Publisher Information: | Korean Continence Society, 2011. |
| Publication Year: | 2011 |
| Collection: | LCC:Diseases of the genitourinary system. Urology |
| Subject Terms: | Urination, Postoperative complications, Rectal neoplasms, Rectal surgery, Diseases of the genitourinary system. Urology, RC870-923 |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2093-4777 2093-6931 |
| Relation: | http://www.einj.org/upload/pdf/inj-15-166.pdf; https://doaj.org/toc/2093-4777; https://doaj.org/toc/2093-6931 |
| DOI: | 10.5213/inj.2011.15.3.166 |
| Access URL: | https://doaj.org/article/60ea9945e52745fcbcabf83d401eed81 |
| Accession Number: | edsdoj.60ea9945e52745fcbcabf83d401eed81 |
| Database: | Directory of Open Access Journals |
| ISSN: | 20934777 20936931 |
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| DOI: | 10.5213/inj.2011.15.3.166 |
| Published in: | International Neurourology Journal |
| Language: | English |