J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1045KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(10): 680-684, 1995

Original article

ASSESSMENT OF DISTURBANCE OF URINARY BLADDER FUNCTION AFTER AN OPERATION FOR RECTAL CANCER

1) First Department of Surgery , Tokyo Medical and Dental University, Tokyo, Japan
2) Urology, Tokyo Medical and Dental University, Tokyo, Japan

Akiyo Matsumoto1), Satoshi Okabe1), Eiichi Yabata1), Hideki Nagamatsu2), Takashi Morita2), Mitsuo Endo1)

Disturbance of urinary bladder function occurs frequently after operations on rectal cancer. Clinical studies of 15 male patients with resected rectal cancers revealed a close relationship between the disturbance of urinary bladder function and the extent to which the autonomic nerves in the pelvis were disturbed. Clinically, transection of the hypogastric nerve did not affect urinary function. Branches to the urinary bladder in the pelvic plexus controlled bladder function bilaterally. Transection of one side of the pelvic splanchnic nerve (PSN) did not affect bladder function. Partial transection of the bilateral PSN strongly affected bladder function, but in these cases, compensation by the non-disturbed PSN improved urinary bladder function 3 months after the operation. It seems possible that the lower-grade branches to the urinary bladder in the PSN may control bladder function. Urofiowmetry, amount of residual urine, cystometry, and urinary bladder compliance were all useful in assessing disturbance of blanches to the urinary bladder in the PSN. To assess the grade of severe Clinical cases, it proved the most convenient to examine the uroflowmetry and amount of residual urine.

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