Type II versus Type III Nerve-sparing Radical hysterectomy: Comparison of lower urinary tract dysfunctions

Francesco Raspagliesi, Antonino Ditto, Rosanna Fontanelli, Flavia Zanaboni, Eugenio Solima, Gianbattista Spatti, Francesco Hanozet, Francesca Vecchione, Gabriella Rossi, Shigeki Kusamura

Research output: Contribution to journalArticle

Abstract

Objectives: According to our previous experience, Type III Nerve-sparing Radical hysterectomy (NSRH) for cervical cancer presented an acceptable urologic morbidity, without compromising radicality. The aim of this study was to compare Type NSRH with other types of RH in terms of incidence of early bladder dysfunctions and perioperative complications. Methods: One hundred and ten patients with cervical cancer were submitted to Type II RH (group 1), Type III NSRH (group 2) and Type III RH (group 3). We assessed the postoperative early bladder function and complications. The follow-up period was 3 months. Results: Group 1 had a significantly shorter duration of the surgery, minor mean blood loss and shorter mean length of postoperative stay when compared to groups 2 and 3. No intraoperative complications were reported in either of the groups. The groups did not differ significantly in terms of GIII/IV morbidity (group 1 = 10%, group 2 = 10% and group 3 = 15%, χ2, P value: 0.65). Not even they differed in terms of urologic GI-IV morbidity (group 1 = 13%, group 2 = 15% and group 3 = 10%, χ2, P value = 0.88). Groups 1 and 2 presented a prompt recover of bladder function, significantly different from that of group 3. There was a significant difference between the groups regarding the number of patients discharged with self-catheterism (group 1 = 0; group 2 and group 3 = 11; χ2, P value ≪ 0.05). Conclusions: The Type III NSRH seems to be comparable to Type II RH and superior to Type III RH in terms of early bladder dysfunctions.

Original languageEnglish
Pages (from-to)256-262
Number of pages7
JournalGynecologic Oncology
Volume102
Issue number2
DOIs
Publication statusPublished - Aug 2006

Keywords

  • Early bladder function
  • Nerve-sparing technique
  • Neuroanatomy
  • Radical hysterectomy
  • Type II
  • Type III

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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    Raspagliesi, F., Ditto, A., Fontanelli, R., Zanaboni, F., Solima, E., Spatti, G., Hanozet, F., Vecchione, F., Rossi, G., & Kusamura, S. (2006). Type II versus Type III Nerve-sparing Radical hysterectomy: Comparison of lower urinary tract dysfunctions. Gynecologic Oncology, 102(2), 256-262. https://doi.org/10.1016/j.ygyno.2005.12.014