Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
Int Neurourol J. 2011 Sep;15(3):166-171. English. Original Article.
Kim JH , Noh TI , Oh MM , Park JY , Lee JG , Um JW , Min BW , Bae JH .
Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Department of Urology, Korea University College of Medicine, Seoul, Korea. urobae@genetherapy.or.kr
Department of Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Abstract

PURPOSE: The aim of this study was to assess the voiding dysfunction after rectal cancer surgery with total mesorectal excision (TME). METHODS: This was part of a prospective study done in the rectal cancer patients who underwent surgery with TME between November 2006 and June 2008. Consecutive uroflowmetry, post-voided residual volume, and a voiding questionnaire were performed at preoperatively and postoperatively. RESULTS: A total of 50 patients were recruited in this study, including 28 male and 22 female. In the comparison of the preoperative data with the postoperative 3-month data, a significant decrease in mean maximal flow rate, voided volume, and post-voided residual volume were found. In the comparison with the postoperative 6-month data, however only the maximal flow rate was decreased with statistical significance (P=0.02). In the comparison between surgical methods, abdominoperineal resection patients showed delayed recovery of maximal flow rate, voided volume, and post-voided residual volume. There was no significant difference in uroflowmetry parameters with advances in rectal cancer stage. CONCLUSIONS: Voiding dysfunction is common after rectal cancer surgery but can be recovered in 6 months after surgery or earlier. Abdominoperineal resection was shown to be an unfavorable factor for postoperative voiding. Larger prospective study is needed to determine the long-term effect of rectal cancer surgery in relation to male and female baseline voiding condition.

Copyright © 2019. Korean Association of Medical Journal Editors.