Voiding Dysfunction after Total Mesorectal Excision in Rectal Cancer.
- Author:
Jae Heon KIM
1
;
Tae Il NOH
;
Mi Mi OH
;
Jae Young PARK
;
Jeong Gu LEE
;
Jun Won UM
;
Byung Wook MIN
;
Jae Hyun BAE
Author Information
1. Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
- Publication Type:Original Article
- Keywords:
Urination;
Postoperative complications;
Rectal neoplasms;
Rectal surgery
- MeSH:
Female;
Humans;
Male;
Postoperative Complications;
Prospective Studies;
Rectal Neoplasms;
Residual Volume;
Urination
- From:International Neurourology Journal
2011;15(3):166-171
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to assess the voiding dysfunction after rectal cancer surgery with total mesorectal excision (TME). METHODS: This was part of a prospective study done in the rectal cancer patients who underwent surgery with TME between November 2006 and June 2008. Consecutive uroflowmetry, post-voided residual volume, and a voiding questionnaire were performed at preoperatively and postoperatively. RESULTS: A total of 50 patients were recruited in this study, including 28 male and 22 female. In the comparison of the preoperative data with the postoperative 3-month data, a significant decrease in mean maximal flow rate, voided volume, and post-voided residual volume were found. In the comparison with the postoperative 6-month data, however only the maximal flow rate was decreased with statistical significance (P=0.02). In the comparison between surgical methods, abdominoperineal resection patients showed delayed recovery of maximal flow rate, voided volume, and post-voided residual volume. There was no significant difference in uroflowmetry parameters with advances in rectal cancer stage. CONCLUSIONS: Voiding dysfunction is common after rectal cancer surgery but can be recovered in 6 months after surgery or earlier. Abdominoperineal resection was shown to be an unfavorable factor for postoperative voiding. Larger prospective study is needed to determine the long-term effect of rectal cancer surgery in relation to male and female baseline voiding condition.
