Urinary impairment is a typical complication in people after major pelvic surgery for non-urologic cancers. Lower urinary tract symptoms (LUTS) or indicators such as urine retention or leakage could occur as a result of these dysfunctions. For a literature review, researchers characterized the various urinary dysfunctions that developed following colorectal resection, hysterectomy, and sacrectomy.
Conventional aggressive surgery for pelvic cancer frequently resulted in serious functional issues. As surgical procedures and care choices improved, the patients’ functional results, particularly in the lower urinary tract, improved. As patient survival improved, nerve-sparing treatments and vascular preservation became increasingly critical for preserving urinary function. Additionally, innovative approaches, like nerve stimulation for patients who were unable to empty sufficiently, were being investigated. In this study researchers also discussed several treatment options for particular voiding problems that might occur as a result of pelvic surgery.
Some preventive methods, such as nerve preservation after surgery, were critical in the prevention of urinary dysfunction. Maintaining the reservoir compliance and capacity, as well as permitting correct voiding outlets, were all goals for optimal functional results. Researchers covered many approaches to help patients with lower urinary tract dysfunction who had pelvic surgery to attain a functioning lower urinary tract.
Reference:link.springer.com/article/10.1007/s11934-018-0824-x
