Urological complications after radical hysterectomy with or without radiotherapy for cervical cancer

Ralph, G.; Tamussino, Karl; Lichtenegger, W.

doi:10.1007/bf02389576

Cited by 32 publications

(17 citation statements)

References 14 publications

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“…Fistula formation did not occur in our series. Ralph et al [6] reported a fistula formation rate following surgery of 4.6%, all occurred in patients with stage IIb disease. Bladder dysfunction was seen in 12.2% of the patients, being the most frequent postoperative complication in our series which was within the range of 10 to over 50% reported previously [4,7,8].…”

Section: Discussionmentioning

confidence: 99%

Complications of Radical Hysterectomy: Clinical Experience of 115 Early Stage Cervical Cancers

Zorlu¹,

Aydoğdu²,

Ergün³

et al. 1998

Gynecol Obstet Invest

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We evaluated the clinical experience of 115 women with early stage cervical cancer who had been operated in our Gynecologic Oncology Clinic. Of these, 85 were in stage I, and 30 in stage II. Intraoperative complications occurred in 16 patients including 3 cases concerning bladder, 1 ureter, 1 aorta, 5 v.cava inferior, 1 internal iliac a., 3 internal iliac v., 1 obturator nerve and 1 recto-vaginal septum hematoma formation. Postoperative complications were observed in 38 patients. These were 14 bladder dysfunctions, 10 lymphocyst formations, 6 urinary infections, 12 wound infections, 3 pelvic infections, 2 eviscerations and 1 incisional hernia. However, no death occurred due to intraoperative or postoperative complications. Pelvic lymph node metastases were observed in 32 patients of whom 17 had only unilateral involvement, most often in the obturator region. Para-aortic lymph node metastases were diagnosed in 4 patients, all of whom were in stage II.

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Section: Discussionmentioning

confidence: 99%

Complications of Radical Hysterectomy: Clinical Experience of 115 Early Stage Cervical Cancers

Zorlu¹,

Aydoğdu²,

Ergün³

et al. 1998

Gynecol Obstet Invest

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“…Ralph et al (29) reported an adverse effect of postoperative RT on lower urinary function. Whereas bladder neck and urethral functions were similar in all groups, bladder compliance was significantly reduced after RH plus RT compared to that after RH alone (28).…”

Section: Urinary Tract Dysfunction After Radical Hysterectomymentioning

confidence: 99%

Nerve-Sparing radical hysterectomy - An old Japanese concept

Bacalbaşa¹,

Lintoiu²

2016

JTMR

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Conventional radical hysterectomy, the main part of the standard surgical treatment in cervical cancer, causes damage to the pelvic autonomic nerves, thus leading to urinary, anorectal and sexual dysfunctions. Many researches have focused on surgical approaches that protect the pelvic nerves in order to decrease postoperative related morbidity. Nervesparing radical hysterectomy is a safe technique that improves the quality of life of patients who undergo cervical cancer surgery without compromising oncologic outcomes.

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“…Significant incontinence occurs in approximately 1:4 women following abdominal radical hysterectomy [20,21] .…”

Section: (Iii) Urinary Tract Morbiditymentioning

confidence: 99%

Laparoscopic assisted radical vaginal hysterectomy for cervical carcinoma: Morbidity and long-term follow-up

Mehra

Weekes²,

VanTrappen

et al. 2010

European Journal of Surgical Oncology (EJSO)

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. M A N U S C R I P T A C C E P T E D ARTICLE IN PRESS M A N U S C R I P T A C C E P T E D ARTICLE IN PRESS2 ABSTRACT Objectives: To study the feasibility, morbidity and outcome of cervical cancer patients treated with laparoscopic assisted radical vaginal hysterectomy (LARVH). Methods:The study group included 53 women with cervical cancer (stage Ib). They included women undergoing LARVH at the joint cancer-centres between 1994 -2002.Data was collected on operating-time, nodal-yield, hospital-stay, complications recurrence rate and survival rate. The group was followed up until 2006. RESULTS:Of 53 women who were selected for LARVH, in 2 women LARVH was abandoned when nodes were positive at frozen section. The median age was 42 years while the operating-time was 210min with a nodal yield of 23 and a hospital-stay of 5 days. Final histology revealed 10 women with lympho-vascular invasion, 1 nodal metastases and invasion of parametrium / vagina in 2 women. 7 received adjuvant radiotherapy. 3 had chemo-radiation. Complications included voiding-difficulty (6), urinary tract infection (5), pyrexia (4), haemorrhage (2), pain (1), port-site haematoma (1) and nerve injury (1). Late complications included lymphoedema (4), urinary incontinence (4), voiding-problems (2), lymphocyst (1), venous-thrombosis (1) and rectocele (1). The median follow-up was 41 months. 4 women had recurrence, of which 3 women died. The five year survival was 89%. CONCLUSIONS:Vaginal radical hysterectomy with laparoscopic pelvic lymphadenectomy is feasible and safe with regards to mortality and has low morbidity.

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Urological complications after radical hysterectomy with or without radiotherapy for cervical cancer

Cited by 32 publications

References 14 publications

Complications of Radical Hysterectomy: Clinical Experience of 115 Early Stage Cervical Cancers

Complications of Radical Hysterectomy: Clinical Experience of 115 Early Stage Cervical Cancers

Nerve-Sparing radical hysterectomy - An old Japanese concept

Laparoscopic assisted radical vaginal hysterectomy for cervical carcinoma: Morbidity and long-term follow-up

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