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

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

doi:10.1016/j.ygyno.2005.12.014

Cited by 79 publications

(58 citation statements)

References 34 publications

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“…We agreed with Possover et al [20] that preservation of the pelvic splanchnic nerve is far more important than preservation of the HN during NSRH, to maintain normal bladder function. The NSRH proposed by Possover spared the PSN but not the HN, and significantly reduced early bladder dysfunction compared to the standard RH [4,22].…”

Section: Discussionmentioning

confidence: 96%

Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy

Jia

Xiao

et al. 2014

Surg Radiol Anat

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Section: Discussionmentioning

confidence: 96%

Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy

Jia

Xiao

et al. 2014

Surg Radiol Anat

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“…For surgical treatment of early cervical cancer, the scope of surgical resection and the pelvic lymph node count are the key to assess whether TRLH plus the pelvic lymph node dissection is effective and adequate [17,18] . In this study, pathological examination showed that the scope of resection for the uterine cardinal ligaments, the sacroiliac ligaments and the vaginal wall reached the standard of laparotomy, and the resection scope for the uterine adjacent tissue was even broader than that in the laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Total laparoscopic radical hysterectomy for treatment of uterine malignant tumors: Analysis of short-term therapeutic efficacy

Shen

Wang

2010

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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To investigate the efficacy and the clinical value of total laparoscopic radical hysterectomy (TLRH) for the treatment of uterine malignancies, we performed a retrospective review of 87 patients with cervical cancer and 23 patients with endometrial carcinoma who underwent TLRH at Union hospital between June 2008 and September 2009. Data collected included operative time, estimated blood loss, lymph node count, time for the recovery of normal temperature and time to resumption of normal bladder function, intraoperative and postoperative complications. The procedure was completed laparoscopically in 108 patients. Two patients were converted to laparotomy due to common iliac vein injury. The mean overall operative time was 200.6+/-38.6 min; the mean operative blood loss was 280.5+/-128.3 mL; he mean number of pelvic lymph nodes that were resected wa26. 0+/-5.8. The time for recovery of normal temperature and the normal bladder function after the operation was 5.8+/-2.9 d and 15.2+/-4.3 d. There were 2 (1.8%) common iliac vein injuries during the operation and 10 (9.1%) bladder retentions post operation. It was concluded that TLRH is feasible, minimally invasive and provides promise for the treatment of uterine malignancies.

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“…Comparing type II versus type III NSRH and type III RH, they observed a prompt recovery of bladder voiding (ability to void spontaneously and post-void residual <100 ml) in type II and type III nervesparing surgery, differently from standard type III, where a signifi cantly higher number of women (11/20-55 %) were discharged with self-catheterization (none and 7/59 7 %, respectively, in the other two types of RH) [ 23 ].…”

Section: Urinary Dysfunctionsmentioning

confidence: 95%

Preserving Sexual Function and Continence during Radical Hysterectomy

Landoni

Zanagnolo

Soligo

2016

Functional Urologic Surgery in Neurogenic and Oncologic Diseases

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IntroductionCervical cancer is, after breast cancer, the second highest worldwide female malignancy. The incidence has been increasing gradually over recent years, with younger patients resulting affected. Thus, it is becoming one of the most deadly cancer globally [ 1 -4 ].The age-adjusted incidence rate rises rapidly in the third decade of life to approximately 20 cases per 100,000 and then increases slowly to 30 through the ninth decade. Although cervical cytology may potentially reduce the mortality rate of cervical cancer by 80 %, this procedure has only been fully implemented in few countries because of its costs and logistical problems resulting from the high incidence of cervical cancer precursors [ 5 ].Various types of radical surgery (RS), such as radical hysterectomy, radical trachelectomy, and radical parametrectomy, have shown 5-year survival rates ranging between 75 and 90 % [ 1 , 5 , 6 ], remaining the standard treatment for patients with early-stage cervical cancer [ 7 -9 ]. However, RS is known to cause urinary dysfunctions, such as bladder hypotonia, urinary incontinence, and abnormal sensation, in 12-85 % of patients [ 10 -12 ]. Furthermore, bowel dysfunctions, such as constipation, have been reported in 5-10 % of patients after RS [ 13 , 14 ].Considerable sexual dysfunctions, including decrease in sexual interest, orgasm, and vaginal dryness, may also be reported after RS. The sexual activity impairment thus results in substantial distress [ 15 ]. Urinary, anorectal, and sexual dysfunctions are known to be caused, during RS, by the disruption of sympathetic and parasympathetic

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

Cited by 79 publications

References 34 publications

Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy

Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy

Total laparoscopic radical hysterectomy for treatment of uterine malignant tumors: Analysis of short-term therapeutic efficacy

Preserving Sexual Function and Continence during Radical Hysterectomy

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