Transurethral incision of bladder neck for voiding dysfunction after radical hysterectomy: A report of 24 cases

A. C. Wang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Twenty-four women who had radical abdominal hysterectomy, and subsequently developed persistent high post-void residual urine underwent transurethral bladder neck incision. Persistent high post-void residual urine is defined as a residual urine volume 20% greater than the amount just voided. This was determined during a 24-hour period, 3 months or more after the radical hysterectomy. Our results indicated that the bladder outlet resistance before and after the procedure was 0.96±1.01 and 0.19±0.07 respectively (P<0.05). The mean ratios between residual urine and total bladder volume in 24 cases were reduced from 93.45±42.93% to 33.47±22.79% after the procedure (P<0.001). In addition, there was a significant decrease of functional urethral length, maximal urethral closure pressure and bladder outlet resistance. Based on the ratios of residual urine and total bladder volume, 7 patients were markedly improved, 10 were partially improved, 7 remained unchanged and none worsened. The overall improvement rate was 71% (17/24). Urinary incontinence was a rare complication which occurred in only one woman (4%).

Original languageEnglish
Pages (from-to)136-140
Number of pages5
JournalInternational Urogynecology Journal
Volume2
Issue number3
DOIs
StatePublished - 09 1991

Keywords

  • Bladder outlet resistance
  • Functional urethral length
  • Maximal urethral closure pressure
  • Persistent high post-void residual urine
  • Radical abdominal hysterectomy
  • Transurethral incisions of bladder neck

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