Urinary and anal dysfunction after laparoscopic versus laparotomic radical hysterectomy

Rosa M. Laterza, Stefano Salvatore, Fabio Ghezzi, Maurizio Serati, Wolfgang Umek, Heinz Koelbl

Research output: Contribution to journalArticle

Abstract

Objective The aim of this study was to compare urinary and anal dysfunction after laparoscopic (LRH) and abdominal (ARH) radical hysterectomy for cervical cancer. Study design Consecutive patients who underwent radical hysterectomy for treatment of cervical cancer were enrolled in this study and divided into two groups, according to the surgical approach. Urinary and anal symptoms were evaluated before and 6 months after surgery. Results Fifty-four women were considered: 27 LRH and 27 ARH. Urinary incontinence was significantly more frequent both after LRH (37% vs 86.9%, p = 0.0004) and after ARH (33.3% vs 100%, p <0.0001); urge incontinence (3.7% vs 29.6%, p = 0.02) and increased bladder sensation (0 vs 22.2%, p = 0.02) were significantly more common postoperatively in patients undergone ARH. In both groups more patients complain about increase of straining during voiding (LRH: 0 vs 34.7%, p = 0.009; ARH: 3.7% vs 29.6% p = 0.02) after surgery. Postoperative constipation by obstructed defecation was more frequent after ARH (Wexner score: 0 vs 2, p = 0.03) but not after LRH. Conclusion From our results, laparoscopic approach for radical hysterectomy seems to reduce the postoperative occurrence of urge incontinence, increased bladder sensation and constipation by obstructed defecation, in comparison with abdominal radical surgery.

Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume194
DOIs
Publication statusPublished - Nov 1 2015

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Keywords

  • Abdominal radical hysterectomy
  • Anal dysfunction
  • Laparoscopic radical hysterectomy
  • Urinary dysfunction

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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