Evidence map›Paper›PMID 42694801›Full record

ArticleFrontiers in surgery2026

Risk factors and development of a nomogram prediction model for urinary dysfunction after laparoscopic radical surgery for rectal cancer.

Baoming Zhang, Wenchao Shi, Shanting Gao

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Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Baoming ZhangDepartment of Gastrointestinal Surgery, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu, China.
Wenchao ShiDepartment of Gastrointestinal Surgery, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu, China.
Shanting GaoDepartment of Gastrointestinal Surgery, The First People's Hospital of Lianyungang, Lianyungang, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Urinary dysfunction is a relatively common functional complication after laparoscopic radical surgery for rectal cancer and may affect postoperative recovery and quality of life. This study aimed to identify risk factors for urinary dysfunction after laparoscopic radical rectal cancer surgery and to develop a nomogram prediction model to facilitate early identification of high-risk patients. Methods: A total of 392 patients who underwent laparoscopic radical surgery for rectal cancer between January 2021 and December 2025 were retrospectively included. Patients were grouped according to the occurrence of postoperative urinary dysfunction and randomly divided into a training cohort and a validation cohort at a ratio of 7:3. Demographic, tumor-related, and perioperative variables were collected. Univariable and multivariable logistic regression analyses were performed to identify independent predictors, and a nomogram model was constructed. Model performance was evaluated using receiver operating characteristic curves, calibration curves, the Hosmer-Lemeshow test, and decision curve analysis. Results: Among the 392 patients, 84 developed postoperative urinary dysfunction, with an incidence of 21.4%. Multivariable logistic regression analysis showed that age ≥65 years, male sex, Conclusion: Age, sex, tumor distance from the anal verge, intraoperative fluid rate, neoadjuvant chemoradiotherapy, pelvic autonomic nerve preservation, and postoperative urinary tract infection were closely associated with urinary dysfunction after laparoscopic radical surgery for rectal cancer. The nomogram based on these factors showed good predictive performance and may help identify high-risk patients, guide urinary catheter management, and support postoperative follow-up.

Indexed as

laparoscopic radical surgerynomogramprediction modelrectal cancerrisk factorsurinary dysfunction

Identifiers

PMID42694801
PMCPMC13539602

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.