Scotti R J, Bergman A, Bhatia N N, Ostergard D R
Obstet Gynecol. 1986 Jul;68(1):111-20.
Twelve patients undergoing radical hysterectomy were comprehensively evaluated urodynamically pre- and postoperatively using sensitive instrumentation, including microtip transducers. Five patients developed genuine stress incontinence, four developed loss of bladder compliance, three developed motor deficits consisting of either inability to relax the urethra or inability to initiate or maintain a vesical contraction, two developed impaired urinary flow, three had persistent excessive residual urine volumes, and two developed bladder sensory loss. These changes persisted beyond the one-year follow-up period. The degree of urethrovesical dysfunction bore no significant relationship to the radicality of the hysterectomy.
12例行根治性子宫切除术的患者在术前和术后使用包括微尖端换能器在内的灵敏仪器进行了全面的尿动力学评估。5例患者出现真性压力性尿失禁，4例出现膀胱顺应性丧失，3例出现运动功能障碍，表现为无法放松尿道或无法启动或维持膀胱收缩，2例出现尿流受损，3例持续存在过多残余尿量，2例出现膀胱感觉丧失。这些变化在一年的随访期后仍持续存在。尿道膀胱功能障碍的程度与子宫切除术的根治程度无显著关系。
