Gaudenz R
Geburtshilfe Frauenheilkd. 1977 Jan;37(1):19-26.
52% (21/40) of patients treated for cervical cancer by a radical hysterectomy without subsequent radiation therapy, complained months and years later still about a significant bladder dystunction and about urinary incontinence. A urodynamic investigation of the urologically sumptomatic cases revealed a severe hypertonus of the detrusor muscle in 58% (10/17). Uninhibited detrusor contractions are not typical of the bladder dysfunction after radical hysterectomy. The urinary incontinence was in most cases a mixed one, where a hypertonic detrusor and a sphincter incontinence are both present.
接受根治性子宫切除术且未进行后续放疗的宫颈癌患者中,52%(21/40)在数月甚至数年之后仍抱怨存在严重的膀胱功能障碍和尿失禁。对有泌尿系统症状的病例进行尿动力学检查发现,58%(10/17)的患者逼尿肌严重张力亢进。逼尿肌无抑制性收缩并非根治性子宫切除术后膀胱功能障碍的典型表现。大多数情况下,尿失禁为混合型,同时存在逼尿肌张力亢进和括约肌失禁。