The Impacts of Radical Gynecologic Surgery and Radiotherapy on Lower Urinary Tract of Patients with Cervix andUterine Cancer

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Gurer H. G., Yıldız Eren C., Gursoy O. O., Yalçın Ö. T.

Eurasian Journal of Medicine and Investigation, cilt.5, sa.2, ss.240-245, 2021 (TRDizin)

Özet

Objectives: To analyze lower urinary system complications after hysterectomy and radiotherapy in patients with cervix and uterine cancer. Methods: Our prospective study included urogynecologic symptoms assessment and urodynamic findings of 70 cases before and after surgery, radiotherapy or combined treatment. Results: After the treatment of uterine and cervix cancer either by surgery or radiotherapy, the complains of frequency, nocturia, dysuria and urgency were not found to be statistically significant differences (p>0.05). However the capacity and the compliance of the bladder were found to be decreased significantly after radiotherapy and combined therapy (p<0.05). The number of patients with stress incontinence after surgery and combined treatment and the number of patients with mixed incontinence after combined treatment were not found to be statistically significant differences (p>0.05). However the number of patients with detrusor overactivity after radiotherapy and combined therapy increased significantly when compared those treatments by radical surgery (p<0.05). Conclusion: Lower urinary tract dysfunction could occur after the surgical or radiotherapy treatment of gynecologic cancers and the patients should be informed for those adverse effects. Keywords: Urodynamic study, radical hysterectomy, pelvic irradiation, urologic morbidityObjectives: To analyze lower urinary system complications after hysterectomy and radiotherapy in patients with cervix and uterine cancer. Methods: Our prospective study included urogynecologic symptoms assessment and urodynamic findings of 70 cases before and after surgery, radiotherapy or combined treatment. Results: After the treatment of uterine and cervix cancer either by surgery or radiotherapy, the complains of frequency, nocturia, dysuria and urgency were not found to be statistically significant differences (p>0.05). However the capacity and the compliance of the bladder were found to be decreased significantly after radiotherapy and combined therapy (p<0.05). The number of patients with stress incontinence after surgery and combined treatment and the number of patients with mixed incontinence after combined treatment were not found to be statistically significant differences (p>0.05). However the number of patients with detrusor overactivity after radiotherapy and combined therapy increased significantly when compared those treatments by radical surgery (p<0.05). Conclusion: Lower urinary tract dysfunction could occur after the surgical or radiotherapy treatment of gynecologic cancers and the patients should be informed for those adverse effects. Keywords: Urodynamic study, radical hysterectomy, pelvic irradiation, urologic morbidity