Association of pelvic floor function with postoperative urinary incontinence in cervical cancer patients after the radical hysterectomy

Abstract

Aims: To assess the pelvic floor function in cervical cancer patients after radical hysterectomy and its relationship with urinary incontinence (UI). Methods: Cervical cancer patients who underwent radical hysterectomy were recruited from 18 hospitals in China from January 2012 to March 2015. Pelvic floor examinations were conducted by measuring the pelvic floor muscle strength, fatigue of pelvic floor muscle fatigue, dynamic pressure of vaginal, nerve injury, A3 feedback, muscle potential, static tension, and dynamic tension. Postoperative urinary incontinence (UI) was identified using the International Consultation on Incontinence Questionnaire. Multivariable logistic regression analysis was used to assess the association of pelvic floor function examination results with postoperative UI.

Comparison of long-term bowel symptoms after laparoscopic radical hysterectomy versus abdominal radical hysterectomy in patients with cervical cancer

“…Patients with early-stage CC can survive for many years after surgery and adjuvant therapy, but their pelvic floor function may be impaired after treatment [ 13 , 14 ]. Bowel and bladder dysfunction after a radical hysterectomy for CC may be associated with intraoperative injuries, which may destroy most pelvic autonomic nerves[ 15 ] and disrupt the reflex arc of the spinal cord controlling rectal emptying, leading to clinical symptoms [ 16 ].…”

Long-Term Effect of Early Post-operative Transcutaneous Electrical Stimulation on Voiding Function After Radical Hysterectomy: A Multicenter, Randomized, Controlled Trial

“…In this study, UDS was performed post-operatively to evaluate lower urinary tract dysfunction, this method being the gold standard to investigate that particular pathology, while the free flow study was essential in the evaluation of voiding patterns and the characteristics of the emptying phase ( 23 ), represented by the Qmax, average flow rate, voiding time, and the time to Qmax. The basic electrophysiological indicators of pelvic floor muscle, which mainly comprise strength, duration, and fatigue of the muscle contraction, were used as an evaluated index for pelvic floor dysfunction ( 24 ).…”