Korean J Urol.  1990 Oct;31(5):741-746.

The Urologic Complications following Radical Hysterectomy with Pelvic Lymph node Dissection

Affiliations
  • 1Department of Urology, Fatima Hospital, Taegu, Korea.

Abstract

Radical hysterectomy with pelvic lymph node dissection (RHPLD) was considered as primary management of cervical cancer (stage I and IIa). RHPLD provides for resection of paracervical and paravaginal tissues at the lateral pelvic walls, transaction of the uterosacral ligament, ligation of uterine vessels and excision of pelvic lymph node from the surrounding vessels. The urinary tract disturbance was the most frequent and significant postoperative complication. Among 82 patients who had undergone radical hysterectomy with pelvic lymph node dissection for cervical cancer from July 1983 to December 1989, 43 patients who were treated for urologic complications, were reviewed retrospectively. The age distribution was even from 4th to 6th decades. The common urologic complications were neurogenic bladder dysfunction 28 (34.2%). Ureteral injury 15 (18.3% ), UTI 12 (14.6% ), stress incontinence 5 (6.1%). Each urologic complication and its management are discussed.

Keyword

Radical hysterectomy; Pelvic lymph node dissection; Neurogenic bladder dysfuntion; Ureteral injury
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