#1081 Evaluation of urinary dysfunction after nerve-sparing radical hysterectomy in patients with cervical cancer

Abstract

Introduction/Background: Urinary dysfunction is one of the most frequently described postoperative complications after radical hysterectomy. Extensive dissection leads to damage to the pelvic autonomic nerves that innervate the bladder muscles, urethral sphincter and pelvic floor fascia, and thus to urinary dysfunction. The aim of this study is to assess the length of the recovery phase and functional establishment of urinary function after radical hysterectomy type C1. Methodology It is a retrospective cross-sectional study conducted at the University of Gynecology and Obstetrics in the period from January to December 2022 in a total of 33 patients with cervical cancer (stage IA-IIA2) treated with radical hysterectomy. Postoperatively, urinary function was determined by measuring residual urine after appropriate training on the 5th-7th day, a residual volume below 100ml was considered as limit value for well-established urinary function. Results: The average age of the patients in the study was 51 years, the youngest patient was 29 years old, and the oldest 73 years old. The calculated mean length of urinary function recovery was 7.3±1.9 days, with a mean measured residual urine volume of 40.6±26.3 ml. Average time of hospital treatment is 7.7±2.41 days, but no longer than 14 days. Conclusion Monitoring the recovery phase and establishment of urinary function after radical hysterectomy is essential. Good surgical technique with maximum nerve preservation leads to early establishment of urinary function, removal of the urinary catheter and additional urinary complications prevention, shorter hospital stay and better quality of life for patients.