Voiding dysfunction after non-genitourinary radical pelvic surgery Journal Article

Authors: Jarvis, T. R.; Xie, D.; Chi, D. S.; Temple, L. K.; Boland, P. J.; Sandhu, J. S.
Article Title: Voiding dysfunction after non-genitourinary radical pelvic surgery
Abstract: Voiding dysfunction after radical non-genitourinary pelvic surgery is a common but poorly understood entity. It is thought to be multifactorial, likely related to the type of surgery, degree of injury to nerves, degree of injury to urinary tract and vasculature, and (neo)adjuvant therapy. Management is focused on ensuring that the bladder is an adequate storage reservoir with ability to empty volitionally. We review voiding dysfunction caused by radical gynecological, rectal, and sacral surgeries. Voiding dysfunction, although common after radical gynecological, rectal, and sacral surgeries, has been declining due to the recognition of the nerves involved in voiding function and the techniques designed to preserve them. The most common types of voiding dysfunction after radical pelvic surgery are impaired detrusor contractility, detrusor overactivity, reduced bladder compliance, and stress urinary incontinence. Urodynamics testing and upper tract imaging studies are the diagnostic mainstays. Various treatments are available and reviewed in this manuscript. Non-genitourinary radical pelvic surgery often results in voiding dysfunction ranging from urinary retention to urinary incontinence. Treatment is guided by two main principles-ensuring that the bladder is an adequate storage reservoir and preserving the ability to empty volitionally. This can be accomplished by pharmacologic means, intermittent catheterization, and multiple anti-incontinence procedures. © 2014 Springer Science+Business Media New York.
Keywords: hysterectomy; pelvic neoplasms; urinary incontinence; pelvic exenteration; urination disorders
Journal Title: Current Bladder Dysfunction Reports
Volume: 9
Issue: 3
ISSN: 1931-7212
Publisher: Springer  
Date Published: 2014-08-09
Start Page: 234
End Page: 241
Language: English
DOI: 10.1007/s11884-014-0253-8
PROVIDER: scopus
Notes: Export Date: 2 September 2014 -- Source: Scopus
Citation Impact
MSK Authors
  1. Jaspreet Sandhu
    126 Sandhu
  2. Patrick J Boland
    154 Boland
  3. Dennis S Chi
    627 Chi
  4. Larissa Temple
    192 Temple
  5. Donghua Xie
    3 Xie
  6. Thomas Ross Jarvis
    3 Jarvis