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Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function

OBJECTIVE: This study was conducted to ascertain the correlation between preserved pelvic nerve networks and bladder function after laparoscopic nerve-sparing radical hysterectomy. METHODS: Between 2009 and 2011, 53 patients underwent total laparoscopic radical hysterectomies. They were categorized...

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Autores principales: Kanao, Hiroyuki, Fujiwara, Kazuko, Ebisawa, Keiko, Hada, Tomonori, Ota, Yoshiaki, Andou, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asian Society of Gynecologic Oncology; Korean Society of Gynecologic Oncology 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4102738/
https://www.ncbi.nlm.nih.gov/pubmed/25045432
http://dx.doi.org/10.3802/jgo.2014.25.3.198
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author Kanao, Hiroyuki
Fujiwara, Kazuko
Ebisawa, Keiko
Hada, Tomonori
Ota, Yoshiaki
Andou, Masaaki
author_facet Kanao, Hiroyuki
Fujiwara, Kazuko
Ebisawa, Keiko
Hada, Tomonori
Ota, Yoshiaki
Andou, Masaaki
author_sort Kanao, Hiroyuki
collection PubMed
description OBJECTIVE: This study was conducted to ascertain the correlation between preserved pelvic nerve networks and bladder function after laparoscopic nerve-sparing radical hysterectomy. METHODS: Between 2009 and 2011, 53 patients underwent total laparoscopic radical hysterectomies. They were categorized into groups A, B, and C based on the status of preserved pelvic nerve networks: complete preservation of the pelvic nerve plexus (group A, 27 cases); partial preservation (group B, 13 cases); and complete sacrifice (group C, 13 cases). To evaluate bladder function, urodynamic studies were conducted preoperatively and postoperatively at 1, 3, 6, and 12 months after surgery. RESULTS: No significant difference in sensory function was found between groups A and B. However, the sensory function of group C was significantly lower than that of the other groups. Group A had significantly better motor function than groups B and C. No significant difference in motor function was found between groups B and C. Results showed that the sensory nerve is distributed predominantly at the dorsal half of the pelvic nerve networks, but the motor nerve is predominantly distributed at the ventral half. CONCLUSION: Various types of total laparoscopic nerve-sparing radical hysterectomies can be tailored to patients with cervical carcinomas.
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spelling pubmed-41027382014-07-18 Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function Kanao, Hiroyuki Fujiwara, Kazuko Ebisawa, Keiko Hada, Tomonori Ota, Yoshiaki Andou, Masaaki J Gynecol Oncol Original Article OBJECTIVE: This study was conducted to ascertain the correlation between preserved pelvic nerve networks and bladder function after laparoscopic nerve-sparing radical hysterectomy. METHODS: Between 2009 and 2011, 53 patients underwent total laparoscopic radical hysterectomies. They were categorized into groups A, B, and C based on the status of preserved pelvic nerve networks: complete preservation of the pelvic nerve plexus (group A, 27 cases); partial preservation (group B, 13 cases); and complete sacrifice (group C, 13 cases). To evaluate bladder function, urodynamic studies were conducted preoperatively and postoperatively at 1, 3, 6, and 12 months after surgery. RESULTS: No significant difference in sensory function was found between groups A and B. However, the sensory function of group C was significantly lower than that of the other groups. Group A had significantly better motor function than groups B and C. No significant difference in motor function was found between groups B and C. Results showed that the sensory nerve is distributed predominantly at the dorsal half of the pelvic nerve networks, but the motor nerve is predominantly distributed at the ventral half. CONCLUSION: Various types of total laparoscopic nerve-sparing radical hysterectomies can be tailored to patients with cervical carcinomas. Asian Society of Gynecologic Oncology; Korean Society of Gynecologic Oncology 2014-07 2014-07-03 /pmc/articles/PMC4102738/ /pubmed/25045432 http://dx.doi.org/10.3802/jgo.2014.25.3.198 Text en Copyright © 2014. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kanao, Hiroyuki
Fujiwara, Kazuko
Ebisawa, Keiko
Hada, Tomonori
Ota, Yoshiaki
Andou, Masaaki
Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title_full Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title_fullStr Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title_full_unstemmed Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title_short Various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
title_sort various types of total laparoscopic nerve-sparing radical hysterectomies and their effects on bladder function
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4102738/
https://www.ncbi.nlm.nih.gov/pubmed/25045432
http://dx.doi.org/10.3802/jgo.2014.25.3.198
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