ArticleInternational journal of colorectal disease2019
The risk factors for urinary dysfunction after autonomic nerve-preserving rectal cancer surgery: a multicenter retrospective study at Yokohama Clinical Oncology Group (YCOG1307).
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review and meta-analysis of early removal of urinary catheter after colorectal surgery with infraperitoneal anastomosis.Langenbeck's archives of surgery · 2022Pooled it
- The influence of diabetes on postoperative complications following colorectal surgery.Techniques in coloproctology · 2021Pooled it
- A prospective, single-arm, multicenter trial of neoadjuvant chemotherapy with mFOLFOX6 plus panitumumab without radiotherapy for locally advanced rectal cancer.International journal of colorectal disease · 2020Trial
- Effect of autonomic nervous system resection extent on urinary dysfunction in robotic rectal cancer surgery.Annals of gastroenterological surgery · 2025Article
- Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis.BMC gastroenterology · 2024Article
- Identification of lateral pelvic nodes without metastasis in patients with rectal cancer treated with preoperative chemoradiotherapy or chemotherapy based on magnetic resonance imaging.Annals of gastroenterological surgery · 2024Article
- Predictive value of the Naples prognostic score on postoperative outcomes in patients with rectal cancer.Langenbeck's archives of surgery · 2023Article
- Validation of a scoring system to predict bladder dysfunction after laparoscopic rectal cancer surgery.Langenbeck's archives of surgery · 2022Article
- Long-term effects of laparoscopic lateral pelvic lymph node dissection on urinary retention in rectal cancer.Surgical endoscopy · 2022Article
- Retrospective risk analysis for acute urinary dysfunction after laparoscopic rectal cancer surgery in patients receiving epidural analgesia.International journal of colorectal disease · 2021Article
- Rate of urinary retention after ileostomy takedown in men and role of routine placement of urinary catheter.Updates in surgery · 2020Article
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10 authors.
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Abstract
aimThe aim of this retrospective study was to evaluate the frequency and risk factors of urinary dysfunction after autonomic nerve-preserving surgery for rectal cancer.
methodsThis was a retrospective multiinstitution study of 1002 rectal cancer patients conducted between January 2008 and December 2012 in Yokohama Clinical Oncology Group. Patients who had preoperative urinary dysfunction or had not undergone autonomic nerve preservation surgery were excluded. Urinary dysfunction was defined as that with a Clavien-Dindo classification grade ≥ 2. Patient-, tumor-, and surgery-related variables were examined by univariate and multivariate analyses.
resultsA total of 887 patients were analyzed. Postoperative urinary dysfunction was observed in 77 patients (8.8%). A multivariate logistic analysis showed that a tumor location in lower rectum (odds ratio [OR] 2.16; 95% confidence interval [CI] 1.15-3.71; p = 0.02), tumor diameter ≥ 40 mm (OR 2.07; 95% CI 1.19-4.44; p < 0.01), operation time ≥ 240 min (OR 2.07; 95% CI 1.19-4.44; p < 0.01), blood loss ≥ 300 ml (OR 2.35; 95% CI 1.12-3.84; p = 0.02), and diabetes (OR 3.26; 95% CI 1.80-5.89; p < 0.01) were independent risk factors of urinary dysfunction. The incidence of urinary dysfunction exceeded 20% in patients with 3 preoperative predictors (tumor location, tumor diameter, diabetes).
conclusionsThis result demonstrated that high-risk patients with more than two risk factors should be informed of the risk of urinary dysfunction.
trial registrationUMIN000033688.
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