Korean J Urol.  1994 Feb;35(2):156-164.

Voiding Dysfunction after Rectal Cancer Surgery: Analysis by Symptom Score and Residual Urine Volume

• Lee SE
• Oh SJ
• Lee MS
• Seo JM
• Park JG
• Choi KJ
• Kim JP

Abstract

From the period of April 1991 to March 1992, 71 patients who underwent radical surgery for rectal cancer were interviewed before and after the operation on their voiding symptoms as subjective parameters and these results were analyzed with objective urodynamic results. Compared with the preoperative voiding symptom score, significant improvement was observed in total voiding symptoms(obstructive plus irritative symptoms) in postoperative sixth month(p< 0.05). Obstructive symptoms in the tenth postoperative day changed little over the next six months, but irritative symptoms deteriorated initially with steady improvement over the ensuing six months (p<0.05) Therefore the improvement in total symptom score proved to be largely influenced by irritative symptom score. Global voiding ysfunction obtained by simple questionaire was not correlated with urodynamic parameters(p > 0.05), but residual urine volume was well correlated with overall denervation urodynamic parameters (p < 0.05). In conclusion, postoperative voiding dysfunction was initially deteriorated but was improving over the next six months and better than preoperative status which was explained by removal of irritating tumor focus. The measurement of residual urine volume would be the simple and reasonable method as a substitute for urodynamic study during postoperative voiding dysfunction period.

Keyword

Rectal cancer; Miles operation; Voiding symptom; Voiding symptom; Neurogenic bladder

MeSH Terms

Denervation
Humans
Rectal Neoplasms*
Urinary Bladder, Neurogenic
Urodynamics