Recently urodynamic and quality of life assessment in the non-menopausal women with cervical cancer after radical hysterectomy.


Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
10 Jun 2023
Historique:
received: 17 01 2023
accepted: 18 05 2023
medline: 12 6 2023
pubmed: 10 6 2023
entrez: 10 6 2023
Statut: epublish

Résumé

The aim of this study was to evaluate the pre- and postoperative changes in the recently urodynamic and quality of life (QoL) in nonmenopausal women diagnosed with cervical cancer and treated with radical hysterectomy (RH). Twenty-eight nonmenopausal women (28-49 years) with cervical carcinoma (FIGO stage Ia2-IIa) underwent a radical hysterectomy. Urodynamic studies were performed 1 week before (U0) and 3-6 months (U1) after surgery. A self-administered condition-specific QoL questionnaire (PFDI-20, PFIQ-7) was applied at U0 and U1. Data from the urodynamics analysis performed at U1 showed that the average first sensation volume (119.39 ± 12.28 ml vs 150.43 ± 31.45 ml, P < 0.001), the residual urine volume (6.39 ± 10.44 ml vs. 42.32 ± 33.72 ml, P < 0.001), and the time of urination (46.10 ± 16.65 s vs. 74.31 ± 23.94 s, P < 0.001) were increased, while the bladder volume at a strong desire to void (448.89 ± 86.62 ml vs. 322.82 ± 50.89 ml, P < 0.001), the bladder compliance (82.63 ± 58.06 ml/cmH Radical hysterectomy results in urodynamic changes, and 3-6 months postoperation may be an important period for changes in bladder dysfunction after RH. Urodynamic and QoL analyses may provide methods for assessing symptoms.

Identifiants

pubmed: 37300713
doi: 10.1007/s00520-023-07823-2
pii: 10.1007/s00520-023-07823-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

389

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Maneschi F (2014) Urodynamic study of bladder function following nerve sparing radical hysterectomy. J Gynecol Oncol 25(3):159–161. https://doi.org/10.3802/jgo.2014.25.3.159
doi: 10.3802/jgo.2014.25.3.159 pubmed: 25045424 pmcid: 4102728
Zullo M, Manci N, Angioli R et al (2003) Vesical dysfunctions after radical hysterectomy for cervical cancer: a critical review. Crit Rev Oncol Hematol 48(3):287–293. https://doi.org/10.1016/s1040-8428(03)00125-2
doi: 10.1016/s1040-8428(03)00125-2 pubmed: 14693341
Pieterse QD, Kenter GG, Maas CP et al (2013) Self-reported sexual, bowel and bladder function in cervical cancer patients following different treatment modalities: longitudinal prospective cohort study. Int J Gynecol Cancer 23(9):1717–1725. https://doi.org/10.1097/IGC.0b013e3182a80a65
doi: 10.1097/IGC.0b013e3182a80a65 pubmed: 24172106
Rosier P, Schaefer W, Lose G et al (2017) International continence society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn 36:1243–1260. https://doi.org/10.1002/nau.23124
doi: 10.1002/nau.23124 pubmed: 27917521
Marcus J (2018) Drake, Fundamentals of urodynamic practice, based on International Continence Society good urodynamic practices recommendations. Neurourol Urodyn 37:S50–S60. https://doi.org/10.1002/nau.23773
doi: 10.1002/nau.23773
Barber MD, Walters MD, Bump RC (2005) Short forms of two condition specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193(1):103–113. https://doi.org/10.1016/j.ajog.2004.12.025
doi: 10.1016/j.ajog.2004.12.025 pubmed: 16021067
Wit EMK, Horenblas S (2014) Urological complications after treatment of cervical cancer. Nat Rev Urol 11(2):110–117. https://doi.org/10.1038/nrurol.2013.323
doi: 10.1038/nrurol.2013.323 pubmed: 24473416
Laterza RM, Sievert KD, De Ridder D et al (2015) Bladder function after radical hysterectomy for cervical cancer. Neurourol Urodyn 34(4):309–315. https://doi.org/10.1002/nau.22570
doi: 10.1002/nau.22570 pubmed: 24519734
Chuang TY, Yu KJ, Penn IW et al (2015) Neurourological changes before and after radical hysterectomy in patients with cervical cancer. Acta Obstet Gynecol Scand 82(10):954–959. https://doi.org/10.1034/j.1600-0412.2003.00177.x
doi: 10.1034/j.1600-0412.2003.00177.x
Siddique SA, Gutman RE, Ybarra MAS et al (2006) Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve. Int Urogynecol J 17(6):642–645. https://doi.org/10.1007/s00192-006-0088-8
doi: 10.1007/s00192-006-0088-8
Kanao H, Andou M (2011) Various types of nerve-sparing laparoscopic radical hysterectomies and their effects to bladder functions. J Minim Invasive Gynecol 18(6):S24–S25. https://doi.org/10.1016/j.jmig.2011.08.091
doi: 10.1016/j.jmig.2011.08.091
Hiroyuki K, Kazuko F, Keiko E et al (2014) Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function. J Gynecol Oncol 25(3):198–205. https://doi.org/10.3802/jgo.2014.25.3.198
doi: 10.3802/jgo.2014.25.3.198
Axelsen SM, Gammelgaard L, Petersen LK (2007) Ultrasound and MRI before and after radical hysterectomy: does the operation affect the pelvic floor muscles. Eur J Gynaecol Oncol 28(3):201–206
pubmed: 17624087
Jiang W, Liang M, Han D et al (2018) A modification of laparoscopic type C1 hysterectomy to reduce postoperative bladder dysfunction: a retrospective study. J Invest Surg 32(3):272–280. https://doi.org/10.1080/08941939.2017.1412542
doi: 10.1080/08941939.2017.1412542 pubmed: 29303389
Zhang Y, Shi T, Sheng Y et al (2017) An improved nerve-sparing radical hysterectomy technique for cervical cancer using the paravesico-vaginal space as a new surgical landmark. Oncotarget 8(52):90413–904203. https://doi.org/10.18632/oncotarget.19011
doi: 10.18632/oncotarget.19011 pubmed: 29163840 pmcid: 5685761
Gent MDJMV, Rademaker M, Gaarenstroom KN et al (2017) Long-term oncological outcome after conventional radical hysterectomy versus 2 nerve-sparing modalities for early stage cervical cancer. Int J Gynecol Cancer 27:1729–1736. https://doi.org/10.1097/IGC.0000000000001067
doi: 10.1097/IGC.0000000000001067 pubmed: 28704329
Chhabra S, Shelke S, Sonarkar S (2015) Bladder dysfunction after radical hysterectomy preventive modalities: limitations. Indian J Gynecol 13(1):1. https://doi.org/10.1007/s40944-015-0008-2
doi: 10.1007/s40944-015-0008-2
Liao JY, Lin YH, Liang CC et al (2015) Monitoring bladder compliance using end filling detrusor pressure: clinical results and related factors. Taiwan J Obstet Gynecol 54(6):709–715. https://doi.org/10.1016/j.tjog.2015.10.003
doi: 10.1016/j.tjog.2015.10.003 pubmed: 26700990
Seung KH, Keewon K, Seung-Bum R et al (2015) Conventional versus nerve-sparing radical surgery for cervical cancer: a meta-analysis. J Gynecol Oncol 26(2):100–110. https://doi.org/10.3802/jgo.2015.26.2.100
doi: 10.3802/jgo.2015.26.2.100
Plotti F, Angioli R, Zullo MA et al (2011) Update on urodynamic bladder dysfunctions after radical hysterectomy for cervical cancer. Crit Rev Oncol Hematol 80(2):323–329. https://doi.org/10.1016/j.critrevonc.2010.12.004
doi: 10.1016/j.critrevonc.2010.12.004 pubmed: 21277788
Laterza RM, Salvatore S et al (2015) urinary and anal dysfunction after laparoscopic versus laparotomic radical hysterectomy. Eur J Obstet Gynecol Reprod Biol 194:11–16. https://doi.org/10.1016/j.ejogrb.2015.08.005
doi: 10.1016/j.ejogrb.2015.08.005 pubmed: 26313524
Jiang Y, Tang YR, Xie C et al (2017) Influence of sleep disorders on somatic symptoms, mental health, and quality of life in patients with chronic constipation. Medicine(Baltimore) 96(7):1–7. https://doi.org/10.1097/MD.0000000000006093
doi: 10.1097/MD.0000000000006093
Kathy D, Devinder K (2005) Posterior pelvic floor compartment disorder.Best Practice &. Res Clin Obstet Gynaecol 19(6):941–958. https://doi.org/10.1016/j.bpobgyn.2005.08.010
doi: 10.1016/j.bpobgyn.2005.08.010
Hazewinkel MH, Sprangers MA, Van der Velden J et al (2010) Long-term cervical cancer survivors suffer from pelvic floor symptoms: a cross-sectional matched cohort study. Gynecol Oncol 117(2):281–286. https://doi.org/10.1016/j.ygyno.2010.01.034
doi: 10.1016/j.ygyno.2010.01.034 pubmed: 20170944
Selcuk S, Cam C, Asoglu MR et al (2016) Effect of simple and radical hysterectomy on quality of life – analysis of all aspects of pelvic floor dysfunction. Eur J Obstet Gynecol Reprod Biol 198:84–88. https://doi.org/10.1016/j.ejogrb.2016.01.008
doi: 10.1016/j.ejogrb.2016.01.008 pubmed: 26802255

Auteurs

XiaoQi Sun (X)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China.

YaoJia Chen (Y)

Laboratory of Gynecologic Oncology, Department of Gynecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No. 18 Daoshan Road, Fuzhou, 350001, China.
Fujian Key Laboratory of Women and Children's Critical Diseases Research, No. 18 Daoshan Road, Fuzhou, 350001, China.

YanLing Zhong (Y)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China.

XianJing Chen (X)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China.

HuiQin Shi (H)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China.

Jing Liu (J)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China.

LiangZhi Cai (L)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China. 8878431@qq.com.

PengMing Sun (P)

Department of Gynaecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No 18. Dao Shan Road, Fuzhou, 350001, Fujian Province, China. sunfemy@hotmail.com.
Laboratory of Gynecologic Oncology, Department of Gynecology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, No. 18 Daoshan Road, Fuzhou, 350001, China. sunfemy@hotmail.com.
Fujian Key Laboratory of Women and Children's Critical Diseases Research, No. 18 Daoshan Road, Fuzhou, 350001, China. sunfemy@hotmail.com.
Laboratory of Gynaecologic Oncology, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China. sunfemy@hotmail.com.

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