Voiding Dysfunction after total mesorectal excision in rectal cancer
- Authors
- Kim, J.H.; Noh, T.I.; Oh, M.M.; Park, J.Y.; Lee, J.G.; Um, J.W.; Min, B.W.; Bae, J.H.
- Issue Date
- 2011
- Keywords
- Postoperative complications; Rectal neoplasms; Rectal surgery; Urination
- Citation
- International Neurourology Journal, v.15, no.3, pp.166 - 171
- Indexed
- SCOPUS
KCI
- Journal Title
- International Neurourology Journal
- Volume
- 15
- Number
- 3
- Start Page
- 166
- End Page
- 171
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/114679
- DOI
- 10.5213/inj.2011.15.3.166
- ISSN
- 2093-4777
- 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. © 2011 Korean Continence Society.
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