Multi-institute survey on actual conditions of urologic management for severe bladder dysfunction after hysterectomy

Multi-institute survey on actual conditions of urologic management for severe bladder dysfunction after hysterectomy

We conducted a multi-institute survey on the conditions related to urologic management of severe voiding dysfunction after hysterectomy for uterine cancer with or without postoperative irradiation. Our first study population was a group of adult female patients currently managed by urologists, using...

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Détails bibliographiques
Publié dans:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 54(2008), 6 vom: 07. Juni, Seite 401-5
Auteur principal: Yoshimura, Koji (Auteur)
Autres auteurs: Kamoto, Toshiyuki, Okada, Takuya, Kawakita, Mutsushi, Ikeda, Hiroki, Hayashi, Tadashi, Yamamoto, Masakazu, Kanamaru, Hiroshi, Masui, Kimihiko, Okuno, Hiroshi, Aoyama, Teruyoshi, Terai, Akito, Higashi, Shin, Nishio, Yasunori, Ishitoya, Satoshi, Okumura, Kazuhiro, Nakajima, Masakazu, Shichiri, Yasumasa, Ueda, Tomohiro, Oka, Hiroya, Fukuzawa, Shigeki, Okamura, Yasuhisa, Nonomura, Mitsuo, Okasho, Kosuke, Taki, Yoji, Onishi, Hiroyuki, Moroi, Seiji, Nishimura, Kazuo, Ito, Noriyuki, Soeda, Asaki, Sasaki, Miharu, Ito, Masaaki, Ogura, Keiji, Ogawa, Osamu
Format: Article
Langue:Japanese
Publié: 2008
Accès à la collection:Hinyokika kiyo. Acta urologica Japonica
Sujets:English Abstract Journal Article Multicenter Study
Description
Résumé:We conducted a multi-institute survey on the conditions related to urologic management of severe voiding dysfunction after hysterectomy for uterine cancer with or without postoperative irradiation. Our first study population was a group of adult female patients currently managed by urologists, using clean intermittent catheterization (CIC). Of the 287 patients in this group, 99 (34%) had suffered from uterine cancer. Of these patients, 94 underwent hysterectomy for this disease; 44 and 30 were treated with or without postoperative radiation, respectively, while postoperative irradiation status was unknown for 20. Median follow-up after surgery was 21 (0.2-52) years and median interval from operation to the introduction of CIC was 4.0 (0-49) years. CIC tended to be introduced later for patients with postoperative radiation than those without it. Seventy-four patients, who required invasive urologic interventions other than CIC for voiding dysfunction after hysterectomy, are the second study population. Most of these (82%) had received postoperative irradiation. Continuous Foley catheter placement was the most frequent procedure. Long-term follow-up and urologic management for voiding dysfunction is required for patients undergoing hysterectomy
Description:Date Completed 03.09.2008
Date Revised 18.07.2008
published: Print
Citation Status MEDLINE
ISSN:0018-1994