Long-term assessment of bladder and bowel dysfunction after radical hysterectomy. Gynecol Oncol 2009 Jul;114(1):75-9
Date
05/05/2009Pubmed ID
19410279DOI
10.1016/j.ygyno.2009.03.036Scopus ID
2-s2.0-67349168687 (requires institutional sign-in at Scopus site) 47 CitationsAbstract
OBJECTIVE: To determine the long-term effects of radical hysterectomy on bladder and bowel function.
METHODS: Subjects included women who underwent radical hysterectomy for early stage cervical cancer between 1993 and 2003. Two contemporary controls who underwent extrafascial abdominal hysterectomy for benign disease were identified for each subject. Identified subjects and controls were surveyed. The Urogenital Distress Inventory (UDI) was used to assess symptoms of incontinence, and the Incontinence Impact Questionnaire (IIQ) was used to examine the impact of incontinence on quality of life. The Manchester Health Questionnaire and Fecal Incontinence Quality of Life Scale (FIQL) were used to assess anorectal symptoms.
RESULTS: Surveys were returned by 66 of 209 (32%) subjects and 152 of 428 (36%) controls. Overall, 50% of subjects and 42% of controls reported mild incontinence symptoms; 34% of subjects and 35% of controls reported moderate-severe symptoms (p=0.72). Incontinence was associated with moderate-severe impairment in 18% of subjects and 14% of controls (p=0.74). Fecal incontinence symptoms were uncommon, not differing between subjects and controls.
CONCLUSION: Urinary incontinence is relatively common after radical hysterectomy, but severe anorectal dysfunction is uncommon. Radical hysterectomy does not appear to be associated with more long-term bladder or anorectal dysfunction than simple hysterectomy.
Author List
Brooks RA, Wright JD, Powell MA, Rader JS, Gao F, Mutch DG, Wall LLAuthor
Janet Sue Rader MD Chair, Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultEmotions
Female
Humans
Hysterectomy
Intestinal Diseases
Life Style
Middle Aged
Neoplasm Staging
Retrospective Studies
Treatment Outcome
Urinary Bladder Diseases
Urinary Incontinence
Uterine Cervical Neoplasms