Urological Problems Following Treatment of Carcinoma of the Cervix

Jones, Caroline; Woodhouse, Christopher; Hendry, W. F.

doi:10.1111/j.1464-410x.1984.tb06128.x

Cited by 20 publications

(4 citation statements)

References 9 publications

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“…Unfortunately, treatment of severe late complications often involve multiple surgical repairs such as augmentation cystoplasty with disappointing results [8]. Jones et al reported the prevalence of severe bladder complications in women treated with radiation therapy as the primary treatment for cervical cancer as 7.1% (81/1161) and with fistula formation 4.0% (46/1161) the most common major bladder complication [18]. …”

Section: Discussionmentioning

confidence: 99%

Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer

et al. 2008

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The primary objective of our study is to describe urinary symptoms in women treated for endometrial cancer. We performed a cross-sectional survey of women who had undergone surgical treatment for endometrial cancer. Three validated questionnaires were utilized: the Sandvik Severity Index, the Urinary Distress Inventory-6 (UDI-6), and Incontinence Impact Questionaire-7 (IIQ-7). Our study included 70 women treated for endometrial cancer; 35.7% (25/70) of women reported adjuvant radiation therapy after surgical staging. Urinary incontinence was reported in over 80% of women. Mean UDI-6 and IIQ-7 scores for women treated with adjuvant radiation therapy were higher compared to women with no adjuvant radiation therapy [47 (±26.8) vs. 35.6(±21.7; p=0.05)] and [24.4(±28.5) vs. 8.1 (±16.4; p=0.004)], respectively. Treatment with adjuvant radiation therapy was associated with more severe incontinence symptoms and impact on quality of life. KeywordsAdjuvant radiation therapy; Endometrial cancer; Quality of life; Urinary incontinence Correspondence to: E. A. Erekson, EErekson@wihri.org.

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Section: Discussionmentioning

confidence: 99%

Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer

et al. 2008

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“…The commonest symptoms were urgency and urge incontinence, experienced by 45%, and frequency in 33%. A retrospective case record study (Jones et al, 1984) found 21% of women had minor urological problems following treatment of cervical carcinoma.…”

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confidence: 99%

Urodynamic Findings following Radiotherapy for Cervical Carcinoma

Parkin

Davis

Symonds

1988

British Journal of Urology

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Forty patients were assessed urodynamically 5 to 11 years after radiotherapy for cervical carcinoma and compared with 27 patients prior to treatment. The mean volume of first bladder sensation after radiotherapy was significantly lower than the mean volume before treatment, as was the mean maximum cystometric capacity. The mean filling detrusor pressure was higher after radiotherapy than before treatment. Unstable detrusor contractions were found only in the 12 symptomatic patients. There was a significant reduction in maximal urethral closure pressure and functional profile length in the post-radiotherapy group. Detrusor instability was a common finding following radiotherapy. The reduction in bladder capacity alone was not sufficient to account for the symptoms of frequency, urgency and urge incontinence.

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“…Gynecological cancers are common causes for vesicovaginal fistulae and have been reported to occur in 4-6% of patients after previous therapies but may reach up to 50% at advanced stages of the disease [11][12][13] . Repair of such fistulations is randomly successful and indicated in few cases only [14] .…”

Section: Discussionmentioning

confidence: 99%

Transvesical Suprapubic Externalization of Ureteral Stents - Introduction of a Surgical Innovation at the Development Stage

Gerullis

Schwartmann²,

Ecke³

et al. 2017

Urol Int

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Background and Objectives: In this study, we describe our first experiences with the new method of transvesical suprapubic externalization of ureteral stents. This method is assessed in patients with incurable ureteral obstruction and concomitant bladder dysfunction, and is classified according to the Idea, Development, Exploration, Assessment, Long-Term Study (IDEAL) recommendations. Patients and Methods: From 2009 to 2015, transvesical suprapubic externalization of ureteral stents was applied in 14 (8 males, 6 females) patients with incurable ureteral obstruction of malignant (n = 9, 64%) or benign (n = 5; 36%) etiology. All the patients had concomitant bladder pathologies that impaired quality of life (QoL). Classification according to IDEAL followed the respective recommendations. Results: Only minor complications, except 1 major complication not directly related to the procedure, were observed. QoL improvement was reported in all patients. The duration for this surgery was 45 (17-86) min; however, it varied between genders (female 37 min, male 51 min). The mean follow-up period was 26.6 months ranging from 12 to 73 months. Transvesical suprapubic externalization of ureteral stents resulted in a stable renal function and the elimination of urinary leakage via a compromised bladder in all patients. Conclusions: Transvesical externalization of ureteral stents is a feasible method for urinary diversion, which seems to improve patients' QoL in appropriate indications. The method can be classified as IDEAL stage 2a.

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Urological Problems Following Treatment of Carcinoma of the Cervix

Cited by 20 publications

References 9 publications

Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer

Urinary symptoms and impact on quality of life in women after treatment for endometrial cancer

Urodynamic Findings following Radiotherapy for Cervical Carcinoma

Transvesical Suprapubic Externalization of Ureteral Stents - Introduction of a Surgical Innovation at the Development Stage

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