Voiding dysfunction after pelvic colorectal surgery.

Abstract:

:Bladder dysfunction following colorectal surgery may be related to extirpative procedures in the region of the pelvic autonomic plexus. The most common etiology is from autonomic disruption during abdominoperineal or low anterior resections. Contemporary technical modifications have allowed surgeons to achieve oncologic control while preserving the autonomic nerves that innervate the bladder and sexual organs. Although these modifications have resulted in a significant decrease in the incidence of postoperative bladder dysfunction, bladder dysfunction continues to be a source of significant morbidity after surgery. In this patient population, symptoms are not reliable for accurate diagnosis. The use of urodynamics provides objective measurements of bladder and outlet function and are paramount in providing an accurate diagnosis and in recommending treatments. Follow-up and treatment are highly individualized based on urodynamic findings, patient expectations, patient abilities, and family support. This article provides an overview of pertinent neuroanatomy, diagnosis, urodynamic interpretation, and treatment related to bladder dysfunction following pelvic colorectal surgery.

journal_name

Clin Colon Rectal Surg

authors

Delacroix SE Jr,Winters JC

doi

10.1055/s-0030-1254299

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

119-27

issue

2

eissn

1531-0043

issn

1530-9681

journal_volume

23

pub_type

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