PMID- 30380342
OWN - NLM
STAT- MEDLINE
DCOM- 20201013
LR  - 20201013
IS  - 1521-0553 (Electronic)
IS  - 0894-1939 (Linking)
VI  - 33
IP  - 4
DP  - 2020 Apr
TI  - Effect of Laparoscopic Nerve-Sparing Radical Hysterectomy on Bladder Function 
      Recovery.
PG  - 381-386
LID - 10.1080/08941939.2018.1502377 [doi]
AB  - Background: Radical hysterectomy could result in dysfunctions of pelvic organs 
      and a decline in quality of life. Method: 298 patients who had underwent 
      laparoscopic radical hysterectomy were retrospectively analyzed in this study, of 
      which 216 patients had underwent laparoscopic nerve-sparing radical hysterectomy 
      (LNSRH) and 82 had underwent classical laparoscopic radical hysterectomy (LRH). 
      The mean duration of the postoperative catheterization, a questionnaire and an 
      urodynamic examination were used to assess the bladder functions. Results: The 
      mean duration of the postoperative catheterization in the LNSRH group was shorter 
      than that in the LRH group (13 days versus 18 days, p < 0.01). The incidences of 
      tension urinary incontinence, postoperative voiding time and dysuria symptoms in 
      the LNSRH group, but not in the LRH group, had recovered to preoperative levels 
      in the following 6 months. The frequency of nocturnal urination had recovered to 
      preoperative level at 12 months post-operation in the LNSRH group. The maximum 
      flow rate (MFR), average flow rate (AFR), first voiding sense (FVS), maximum 
      voiding sense (MVS) and maximum detrusor pressure (MDP) in the LNSRH group were 
      better than those in the LRH group (p < 0.05), and patients in the LRH group 
      suffered much more frequently from tension urinary incontinence, prolonged 
      urination time, dysuria and urinary endless compared with those in the LNSRH 
      group (p < 0.05). Conclusion: LNSRH can effectively retain the bladder function, 
      but we should pay attention to the invasion of peripheral nerves.
FAU - Liu, Qing
AU  - Liu Q
AD  - Department of Gynaecological Oncology, Ren Ji Hospital, School of Medicine, 
      Shanghai JiaoTong University, Shanghai, People's Republic of China.
FAU - Li, Peiquan
AU  - Li P
AD  - Department of Gynaecological Oncology, Ren Ji Hospital, School of Medicine, 
      Shanghai JiaoTong University, Shanghai, People's Republic of China.
FAU - Sun, Yuxin
AU  - Sun Y
AD  - Department of Gynaecological Oncology, Ren Ji Hospital, School of Medicine, 
      Shanghai JiaoTong University, Shanghai, People's Republic of China.
FAU - Zhang, Shu
AU  - Zhang S
AD  - Department of Gynecology and Obstetrics, Ren Ji Hospital, School of Medicine, 
      Shanghai JiaoTong University, Shanghai, People's Republic of China.
FAU - Liu, Kaijiang
AU  - Liu K
AUID- ORCID: 0000-0002-1816-3372
AD  - Department of Gynaecological Oncology, Ren Ji Hospital, School of Medicine, 
      Shanghai JiaoTong University, Shanghai, People's Republic of China.
LA  - eng
PT  - Journal Article
DEP - 20181031
PL  - United States
TA  - J Invest Surg
JT  - Journal of investigative surgery : the official journal of the Academy of 
      Surgical Research
JID - 8809255
SB  - IM
CIN - J Invest Surg. 2020 Apr;33(4):387-388. PMID: 30388913
MH  - Female
MH  - Humans
MH  - Hysterectomy/adverse effects/*methods
MH  - Laparoscopy/adverse effects/*methods
MH  - Neoplasm Invasiveness/prevention & control
MH  - Organ Sparing Treatments/adverse effects/*methods
MH  - Peripheral Nerves/pathology/*physiology/surgery
MH  - Quality of Life
MH  - Recovery of Function/physiology
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Urinary Bladder/innervation/*physiology
MH  - Urodynamics
MH  - Uterine Cervical Neoplasms/pathology/*surgery
OTO - NOTNLM
OT  - LNSRH
OT  - bladder function
OT  - peripheral nerves
OT  - radical hysterectomy
EDAT- 2018/11/01 06:00
MHDA- 2020/10/21 06:00
CRDT- 2018/11/01 06:00
PHST- 2018/11/01 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
PHST- 2018/11/01 06:00 [entrez]
AID - 10.1080/08941939.2018.1502377 [doi]
PST - ppublish
SO  - J Invest Surg. 2020 Apr;33(4):381-386. doi: 10.1080/08941939.2018.1502377. Epub 
      2018 Oct 31.