RT Journal Article
SR Electronic
T1 Pelvic Dysfunctions and Quality of Life after Nerve-sparing Radical Hysterectomy: A Multicenter Comparative Study
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 581
OP 588
VO 32
IS 2
A1 MARCELLO CECCARONI
A1 GIOVANNI ROVIGLIONE
A1 EMANUELA SPAGNOLO
A1 PAOLO CASADIO
A1 ROBERTO CLARIZIA
A1 MICHELE PEIRETTI
A1 FRANCESCO BRUNI
A1 INGE PETERS
A1 GIOVANNI ALETTI
YR 2012
UL http://ar.iiarjournals.org/content/32/2/581.abstract
AB Aim: To analyze pelvic dysfunctions, quality of life, and survival after nerve-sparing radical hysterectomy (NSRH) compared to classical radical hysterectomy (RH) for cervical cancer. Patients and Methods: All cervical cancer patients undergoing a RH or a NSRH were evaluated for pelvic dysfunctions and filled in a quality-of-life questionnaire. Results: A total of 56 women were included; 31 underwent RH (group 1) and 25 NSRH (group 2). Postoperatively, a higher number of patients had urinary incontinence (p=0.02), urinary retention (p=0.01), faecal incontinence (p=0.01) and constipation (p=0.01) in group 1 versus group 2. Patients referred a higher rate of severe sexual dysfunction after RH compared to NSRH (p=0.03). No differences were found in orgasmic frequency and sexual desire; overall quality of life evaluation was more satisfactory after NSRH. Conclusion: NSRH conferred a better clinical outcome with fewer long-term bladder, colorectal and sexual complications. Post-operative quality of life after NSRH was better, with the same overall survival as compared to RH.