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The assessment of urinary function following extended lymph node dissection for colorectal cancer.

Cöl C, Hasdemir O, Yalcin E, Guzel H, Tunc G, Bilgen K, Kucukpinar T

Department of General Surgery, Abant Izzet Baysal University Medical School, 14280 Bolu, Turkey. col_c@ibu.edu.tr

AIMS: The aim of the current study is to demonstrate whether the effects of extended systematic lymph-node dissection (ESLND) on urinary dysfunctions differ from those of curative radical surgery (CRS) only for rectal cancer. METHODS: We present data about our patients who underwent rectal resection for rectal cancer over 5 years. One hundred and seventy patients with rectal cancer were reviewed with respect to surgical procedures and post-operative urinary problems. RESULTS: We performed CRS on 146 patients and CRS+ESLND on 24 patients, and analysed the incidence of post-operative urinary dysfunction in both groups. Urinary incontinence rates were 39 and 58%, urinary retention rates were 4 and 16%, for the patients from CRS group and CRS+ESLND group, respectively. CONCLUSIONS: We conclude that the addition of ESLND to CRS does not increase the frequency of post-operative urinary dysfunction, apart from an increased risk of urinary retention.

Published 22 March 2005 in Eur J Surg Oncol, 31(3): 237-41.
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