A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan
Objective: Surgical therapy for cervical carcinoma carries a significant risk of functional impairment to the bladder. This study evaluates the feasibility and complications of nerve-sparing radical hysterectomy (NRH) in Taiwan. Methods: Between March 2010 and March 2011, consecutive patients diagno...
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| Format: | Article |
| Language: | English |
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Elsevier
2012-03-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455912000125 |
| _version_ | 1828735769018105856 |
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| author | Chih-Jen Tseng Huang-Pin Shen Yu-Hsiang Lin Chung-Yuan Lee Will Wei-Cheng Chiu |
| author_facet | Chih-Jen Tseng Huang-Pin Shen Yu-Hsiang Lin Chung-Yuan Lee Will Wei-Cheng Chiu |
| author_sort | Chih-Jen Tseng |
| collection | DOAJ |
| description | Objective: Surgical therapy for cervical carcinoma carries a significant risk of functional impairment to the bladder. This study evaluates the feasibility and complications of nerve-sparing radical hysterectomy (NRH) in Taiwan.
Methods: Between March 2010 and March 2011, consecutive patients diagnosed with early stage cervical cancer (FIGO stage Ia2 to Ib1) and tumor size < 3 cm were recruited prospectively to undergo NRH or conventional radical hysterectomy (RH). Patients with histories of urinary stress incontinence or bladder dysfunction disease were excluded. A modified Tokyo nerve-sparing radical hysterectomy was performed.
Results: A total of 30 patients were enrolled. Among these, 18 patients underwent NRH with successful bilaterally nerve-sparing procedures in 15 cases (83%), unilaterally nerve-sparing procedures in 2 cases (11%), and a failure in 1 case (6%). The indwelling catheter was removed on postoperative day 6. The mean±SD duration from operation to spontaneous voiding was 6.8±1.5 days for women who underwent NRH; the corresponding duration for women who underwent RH or failed NRH was 20.6±3 days. None of the patients who underwent NRH required intermittent catheterization. All 12 patients who underwent RH needed self-catheterization after discharge. There was a significant reduction in the incidence of postoperative self-catheterization (p<0.01) and bladder dysfunction (p<0.006). Average satisfaction score analyzed by the Likert-scale questionnaire was 4.5 for the NRH group and 1.9 for RH group (p<0.0001).
Conclusions: We concluded that the new technique of NRH can reduce postoperative bladder dysfunctions. |
| first_indexed | 2024-04-12T23:13:13Z |
| format | Article |
| id | doaj.art-c379a2f14f9541b2b2b853e975fc3726 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-12T23:13:13Z |
| publishDate | 2012-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-c379a2f14f9541b2b2b853e975fc37262022-12-22T03:12:45ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592012-03-01511555910.1016/j.tjog.2012.01.011A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in TaiwanChih-Jen Tseng0Huang-Pin Shen1Yu-Hsiang Lin2Chung-Yuan Lee3Will Wei-Cheng Chiu4Department of Obstetrics and Gynecology, Chung Shang Medical University Hospital, TaiwanDepartment of Obstetrics and Gynecology, Chung Shang Medical University Hospital, TaiwanDepartment of Obstetrics and Gynecology, Chung Shang Medical University Hospital, TaiwanDepartment of Obstetrics and Gynecology, Chia-Yi Christian Hospital, TaiwanDepartment of Obstetrics and Gynecology, Tai-Yi Maternal and Child Hospital, TaiwanObjective: Surgical therapy for cervical carcinoma carries a significant risk of functional impairment to the bladder. This study evaluates the feasibility and complications of nerve-sparing radical hysterectomy (NRH) in Taiwan. Methods: Between March 2010 and March 2011, consecutive patients diagnosed with early stage cervical cancer (FIGO stage Ia2 to Ib1) and tumor size < 3 cm were recruited prospectively to undergo NRH or conventional radical hysterectomy (RH). Patients with histories of urinary stress incontinence or bladder dysfunction disease were excluded. A modified Tokyo nerve-sparing radical hysterectomy was performed. Results: A total of 30 patients were enrolled. Among these, 18 patients underwent NRH with successful bilaterally nerve-sparing procedures in 15 cases (83%), unilaterally nerve-sparing procedures in 2 cases (11%), and a failure in 1 case (6%). The indwelling catheter was removed on postoperative day 6. The mean±SD duration from operation to spontaneous voiding was 6.8±1.5 days for women who underwent NRH; the corresponding duration for women who underwent RH or failed NRH was 20.6±3 days. None of the patients who underwent NRH required intermittent catheterization. All 12 patients who underwent RH needed self-catheterization after discharge. There was a significant reduction in the incidence of postoperative self-catheterization (p<0.01) and bladder dysfunction (p<0.006). Average satisfaction score analyzed by the Likert-scale questionnaire was 4.5 for the NRH group and 1.9 for RH group (p<0.0001). Conclusions: We concluded that the new technique of NRH can reduce postoperative bladder dysfunctions.http://www.sciencedirect.com/science/article/pii/S1028455912000125nerve-sparing radical hysterectomycervical carcinomabladder functionTaiwan |
| spellingShingle | Chih-Jen Tseng Huang-Pin Shen Yu-Hsiang Lin Chung-Yuan Lee Will Wei-Cheng Chiu A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan Taiwanese Journal of Obstetrics & Gynecology nerve-sparing radical hysterectomy cervical carcinoma bladder function Taiwan |
| title | A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan |
| title_full | A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan |
| title_fullStr | A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan |
| title_full_unstemmed | A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan |
| title_short | A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan |
| title_sort | prospective study of nerve sparing radical hysterectomy for uterine cervical carcinoma in taiwan |
| topic | nerve-sparing radical hysterectomy cervical carcinoma bladder function Taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S1028455912000125 |
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