Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation
Abstract Background To evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy. Methods A total of 91 women with stage IA2–IB2 cervical cancer, who were treated with radical hysterectomy and lymphadenectomy from January 20...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | World Journal of Surgical Oncology |
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| Online Access: | http://link.springer.com/article/10.1186/s12957-019-1689-2 |
| _version_ | 1819278503682506752 |
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| author | Huan Li Can-Kun Zhou Jing Song Wei-Ying Zhang Su-Mei Wang Yi-Ling Gu Kang Wang Zhe Ma Yan Hu Ai-Min Xiao Jian-Liu Wang Rui-Fang Wu |
| author_facet | Huan Li Can-Kun Zhou Jing Song Wei-Ying Zhang Su-Mei Wang Yi-Ling Gu Kang Wang Zhe Ma Yan Hu Ai-Min Xiao Jian-Liu Wang Rui-Fang Wu |
| author_sort | Huan Li |
| collection | DOAJ |
| description | Abstract Background To evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy. Methods A total of 91 women with stage IA2–IB2 cervical cancer, who were treated with radical hysterectomy and lymphadenectomy from January 2009 to December 2012, were enrolled into this study and were randomly divided into two groups: trail group (48 cases) and control group (43 cases). Traditional bladder function training and low-frequency electrical stimulation were conducted in the trail group, while patients in the control group were only treated by traditional bladder training. The general condition, rate of urinary retention, and muscle strength grades of pelvic floor muscle in the perioperative period were compared between these two groups. Results The incidence of postoperative urinary retention in the electrical stimulation group was 10.41%, significantly lower than that in the control group (44.18%), and the difference was statistically significant (P < 0.01). The duration of postoperative fever and use of antibiotics were almost the same between these two groups. Eleven days after surgery, the difference in grades of the pelvic floor muscle between these two groups was not statistically significant. However, 14 days after the operation, grades of the pelvic floor muscle were significantly higher in the trail group than in the control group, and the difference was statistically significant (P < 0.01). In addition, although there was no significant difference between the two groups with different parameters (P = 0.782), the incidence of urinary retention was lower in the endorphins analgesia program group than in the neuromuscular repair program group (9.09% < 11.54%). Conclusion Low-frequency electrical stimulation is more effective than conventional intervention in preventing urinary retention after radical hysterectomy. It also intensifies the recovery of pelvic muscle strength. |
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| format | Article |
| id | doaj.art-cfacb27bc1b649679cf4c4459813f2c8 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-24T00:13:03Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-cfacb27bc1b649679cf4c4459813f2c82022-12-21T17:24:51ZengBMCWorld Journal of Surgical Oncology1477-78192019-08-011711710.1186/s12957-019-1689-2Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operationHuan Li0Can-Kun Zhou1Jing Song2Wei-Ying Zhang3Su-Mei Wang4Yi-Ling Gu5Kang Wang6Zhe Ma7Yan Hu8Ai-Min Xiao9Jian-Liu Wang10Rui-Fang Wu11Shenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalDepartment of Gynecology, Southern Medical University Affiliated Maternal & Child Health Hospital of FoshanShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalDepartment of Obstetrics and Gynecology, Peking University People’s HospitalShenzhen Early Diagnosis of Gynecological Major Disease Laboratory, Department of Gynecology, Peking University Shenzhen HospitalAbstract Background To evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy. Methods A total of 91 women with stage IA2–IB2 cervical cancer, who were treated with radical hysterectomy and lymphadenectomy from January 2009 to December 2012, were enrolled into this study and were randomly divided into two groups: trail group (48 cases) and control group (43 cases). Traditional bladder function training and low-frequency electrical stimulation were conducted in the trail group, while patients in the control group were only treated by traditional bladder training. The general condition, rate of urinary retention, and muscle strength grades of pelvic floor muscle in the perioperative period were compared between these two groups. Results The incidence of postoperative urinary retention in the electrical stimulation group was 10.41%, significantly lower than that in the control group (44.18%), and the difference was statistically significant (P < 0.01). The duration of postoperative fever and use of antibiotics were almost the same between these two groups. Eleven days after surgery, the difference in grades of the pelvic floor muscle between these two groups was not statistically significant. However, 14 days after the operation, grades of the pelvic floor muscle were significantly higher in the trail group than in the control group, and the difference was statistically significant (P < 0.01). In addition, although there was no significant difference between the two groups with different parameters (P = 0.782), the incidence of urinary retention was lower in the endorphins analgesia program group than in the neuromuscular repair program group (9.09% < 11.54%). Conclusion Low-frequency electrical stimulation is more effective than conventional intervention in preventing urinary retention after radical hysterectomy. It also intensifies the recovery of pelvic muscle strength.http://link.springer.com/article/10.1186/s12957-019-1689-2Cervical cancerUrinary retentionLow-frequency electrical stimulationBladder trainingPelvic muscle strength |
| spellingShingle | Huan Li Can-Kun Zhou Jing Song Wei-Ying Zhang Su-Mei Wang Yi-Ling Gu Kang Wang Zhe Ma Yan Hu Ai-Min Xiao Jian-Liu Wang Rui-Fang Wu Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation World Journal of Surgical Oncology Cervical cancer Urinary retention Low-frequency electrical stimulation Bladder training Pelvic muscle strength |
| title | Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| title_full | Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| title_fullStr | Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| title_full_unstemmed | Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| title_short | Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| title_sort | curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation |
| topic | Cervical cancer Urinary retention Low-frequency electrical stimulation Bladder training Pelvic muscle strength |
| url | http://link.springer.com/article/10.1186/s12957-019-1689-2 |
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