Zanolla R, Monzeglio C, Campo B, Ordesi G, Balzarini A, Martino G
J Surg Oncol. 1985 Mar;28(3):190-4. doi: 10.1002/jso.2930280309.
We studied bladder and urethral function prospectively in 64 patients before and after Wertheim's radical hysterectomy. Immediately after surgery, neurogenic bladder dysfunction of various degrees was found in 70% of all patients who presented difficulty of voiding, with high residual urine and/or stress incontinence. All the patients have received an early rehabilitative treatment with kinesitherapy and/or pharmacological therapy after the bladder catheter removal and the urodynamics' results. We have obtained a satisfactory functional recovery of the bladder activity in 91% of the symptomatic patients.
我们前瞻性地研究了64例患者在Wertheim根治性子宫切除术前、后的膀胱和尿道功能。术后即刻,在所有存在排尿困难、残余尿量多和/或压力性尿失禁的患者中,70%出现了不同程度的神经源性膀胱功能障碍。在拔除膀胱导尿管并得出尿动力学结果后,所有患者均接受了早期康复治疗,包括运动疗法和/或药物治疗。我们使91%有症状的患者膀胱功能获得了满意的恢复。