Impact of radical hysterectomy for cervical cancer on urodynamic findings

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.

Sleep quality of women with gynecological and breast cancer

“…Cancer patients identify waking up several times during the night as the most common type of insomnia (2,7) . radiotherapy (10) . Pain during the night can provoke nocturnal awakening, although difficulties to catch sleep again may be related to how the individual deals with this event (2) .…”

Bladder function after radical hysterectomy for cervical cancer

“…During the initial phase, bladder function is reported to be severely affected with a significant reduction of bladder compliance and a significant reduction of MUCP at 3–6 months postoperatively . The residual volume tends to increase at 2 and 6 weeks after surgery.…”

Retracted: A randomized controlled trial of mindfulness‐based stress reduction for insomnia secondary to cervical cancer: Effects on sleep

“…Approximately 130 000 cases of cervical cancer are diagnosed every year in China, and its incidence rate ranks second among all gynecologic tumors. 1,2 Therapies for patients with stage I and II cervical cancer involve surgery that is integrated with chemotherapy/radiotherapy. 3 Considering radiotherapy-induced and hysterectomy-induced urodynamic modifications (decreased storage, bladder emptying ability, and urinary incontinence), 4 cervical cancer patients are more likely to have poor sleep quality.…”