Abstract
A retrospective study was made of 122 patients who had an abdominoperineal excision (APE) of the rectum for carcinoma at Concord Hospital between 1971 and 1979. Fifty‐two percent of patients suffered one or more significant urological complications. These included urinary tract infection (32%), operative trauma to the urinary tract (8.5%) and temporary or permanent bladder dysfunction in 35% of patients. Acute urinary retention, when temporary, was managed by simple measures. Chronic retention, incontinence and some episodes of acute retention were due to a neurogenic bladder. These patients were difficult to treat. It is recommended that urodynamic studies be used to assess these patients who develop a neurogenic bladder before any treatment is instituted. This is relevant especially in those patients in whom a transurethral resection of either the bladder neck or prostate is contemplated.
| Original language | English |
|---|---|
| Pages (from-to) | 445-447 |
| Number of pages | 3 |
| Journal | Australian and New Zealand Journal of Surgery |
| Volume | 53 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Oct 1983 |
| Externally published | Yes |
Keywords
- abdominoperineal excision
- carcinoma
- rectum
- urological complications