Fishman I J, Shabsigh R, Kaplan A L
Urology. 1986 Dec;28(6):462-8. doi: 10.1016/0090-4295(86)90144-5.
The charts of 22 consecutive patients who had undergone radical hysterectomy for carcinoma of the cervix were reviewed retrospectively. Uroflowmetry, gas cystometry, and postvoid residual measurements were performed pre- and postoperatively, and a questionnaire to evaluate urinary problems experienced postoperatively was mailed to all patients. Twenty responses were received and followed up by a telephone interview with the urologist. The number and kind of problems suggest that the cause of urinary dysfunction commonly reported after radical hysterectomy is disruption of nerve supplies to both bladder and urethra. Data on retention suggest that the characteristics of this dysfunction change with time but generally are stabilized by the end of the first postoperative year. It is noted that recurrent urinary tract infection may occur asymptomatically because of loss of bladder sensation. Because of the diversity of presentation, urodynamics played an important role in individualization of treatment and monitoring of progress.
对22例因宫颈癌接受根治性子宫切除术的连续患者的病历进行了回顾性研究。术前和术后均进行了尿流率测定、膀胱测压和残余尿量测量，并向所有患者邮寄了一份评估术后泌尿系统问题的问卷。共收到20份回复，并由泌尿科医生进行电话随访。问题的数量和种类表明，根治性子宫切除术后常见的排尿功能障碍原因是膀胱和尿道的神经供应中断。关于尿潴留的数据表明，这种功能障碍的特征随时间变化，但通常在术后第一年末趋于稳定。值得注意的是，由于膀胱感觉丧失，复发性尿路感染可能无症状发生。由于表现形式多样，尿动力学在治疗个体化和病情监测中发挥了重要作用。
