Comparison in postoperative urination and defecation dysfunctions between laparoscopic and open radical hysterectomy

  Objective   To explore the incidence of urination and defecation dysfunctions after laparoscopic radical hysterectomy.

  Methods   Totally 50 cervical cancer patients with radical hysterectomy were divided into laparoscopy group and open surgery group according to the operation methods, with 25 cases in each group. The recovery conditions of postoperative urination and defecation functions were compared between the two groups.

  Results   The postoperative hospital stay, anal exhaust time and intraoperative blood loss of the laparoscopic group were significantly lower or shorter than those of the open surgery group, while the operation time was significantly longer than the control group (P < 0.05 or P < 0.01). The ratios of patients with urinary incontinence, urgent urinary incontinence and increased bladder sensitivity in the open surgery group were significantly higher than that in the laparoscopy group (P < 0.05 or P < 0.01). At 6 months after operation, the score of Wexner Constipation Score System (CSS) in the laparoscopy group was significantly lower than that in the open surgery group (P < 0.05). The CSS score at 6 months after operation in the patients with chemoradiotherapy in the open surgery group was significantly higher than that before operation, and the score of the Fecal Incontinence Score of Cleveland Clinic in Florida (CCF-FIS) at 6 months after operation in the laparoscopy group was significantly higher than that before operation (P < 0.05).

  Conclusion   Compared with open surgery, laparoscopic radical hysterectomy can reduce the incidence of long-term complications such as urgent urinary and fecal incontinence, bladder sensation enhancement and constipation.