Voiding Dysfunction after total mesorectal excision in rectal cancer

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)166-171
Number of pages6
JournalInternational Neurourology Journal
Volume15
Issue number3
DOIs
Publication statusPublished - 2011 Sep 1

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Rectal Neoplasms
Residual Volume
Prospective Studies

Keywords

  • Postoperative complications
  • Rectal neoplasms
  • Rectal surgery
  • Urination

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology
  • Neurology

Cite this

Voiding Dysfunction after total mesorectal excision in rectal cancer. / Kim, Jae Heon; Noh, Tae Il; Oh, Mi-Mi; Park, Jae Young; Lee, Jeong Gu; Um, Jun Won; Min, Byung Wook; Bae, Jae Hyun.

In: International Neurourology Journal, Vol. 15, No. 3, 01.09.2011, p. 166-171.

Research output: Contribution to journalArticle

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