J Korean Acad Nurs.  2016 Jun;46(3):400-408. 10.4040/jkan.2016.46.3.400.

Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy

• Chun N
• Noh GO
• Song HJ
• Kim SH

• KMID: 2413346
• DOI: http://doi.org/10.4040/jkan.2016.46.3.400

Abstract

PURPOSE
This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.
METHODS
One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.
RESULTS
Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.
CONCLUSION
Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.

Keyword

Hysterectomy; Uterine cervical neoplasms; Neurogenic urinary bladder

MeSH Terms

Adult
Aged
Case-Control Studies
Female
Humans
Hysterectomy
Middle Aged
Odds Ratio
Postoperative Complications
*Stress, Psychological
Surveys and Questionnaires
Urinary Incontinence/*etiology
Urination
Uterine Cervical Neoplasms/physiopathology/*surgery

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