Urodynamic outcome of waterjet-assisted total mesorectal excision

• Published in: British journal of surgery Vol. 94; no. 12; pp. 1543 - 1547
• Main Authors: Geers, P., Moesta, K. T., Yildirim, C., Thon, W. F., Köckerling, F.
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Ltd 01.12.2007; Wiley
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Colectomy - instrumentation; Colectomy - methods; Female; General aspects; Humans; Male; Medical sciences; Middle Aged; Prospective Studies; Rectal Neoplasms - physiopathology; Rectal Neoplasms - surgery; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Urinary Bladder - physiopathology; Urodynamics - physiology; Water; Medicine; Proctectomy; Evolution; Prognosis; Treatment; Surgery
• ISSN: 0007-1323; 1365-2168
• DOI: 10.1002/bjs.5862

Background: Waterjet dissection has been proposed for total mesorectal excision. The present study investigated its impact on urodynamic function and oncological outcome. Methods: Thirty patients with rectal cancer were recruited to this prospective study, of whom 25 underwent urodynamic evaluation both before and after surgery. Results: All patients were capable of spontaneous micturition at a median of 5 months after surgery. Urodynamic measurements revealed a decrease in detrusor pressure of more than 30 mmHg, and residual urine volumes of between 100 and 200 ml, in three patients. No patient had a complete neurogenic voiding disorder. Local recurrences developed in two of 22 patients. Conclusion: The extent of micturition disorders observed after total mesorectal excision using the waterjet method in this small series is encouraging. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Preliminary results encouraging