Nami Chun; Gie Ok Noh; Hyun Ju Song; Sang Hee Kim

doi:10.4040/jkan.2016.46.3.400

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Original Article
Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy: Nami Chun, Gie Ok Noh, Hyun Ju Song, Sang Hee Kim; Journal of Korean Academy of Nursing 2016;46(3):400-408.
DOI: https://doi.org/10.4040/jkan.2016.46.3.400
Published online: June 30, 2016

¹Department of Nursing, Sungshin Women's University, Seoul, Korea.

²Department of Nursing, Samsung Medical Center, Seoul, Korea.

Address reprint requests to: Noh, Gie Ok. Department of Nursing, Sungshin Women's University, 76ga-gil Dobong-ro, Gangbuk-gu, Seoul 01133, Korea. Tel: +82-2-920-7789, Fax: +82-2-920-2092, nkorn91@gmail.com

• Received: November 2, 2015 • Revised: December 28, 2015 • Accepted: March 21, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was done to identify frequency, intensity of urinary dysfunction and daily life distress in women after a radical hysterectomy for cervical cancer.
Methods
One hundred and fifty seven women who had undergone a radical hysterectomy and one hundred and sixty five women as healthy controls completed questionnaires on intensity of urinary dysfunction and daily life distress caused by urinary dysfunction.
Results
Women with cervical cancer showed higher frequency of urinary dysfunction than healthy controls. Major urinary dysfunction for women with cervical cancer in order of frequency were night-time incontinence (odds ratio=10.39, p<.001), difficulty in starting urination, weak urine stream and sense of incomplete emptying of bladder. The highest score on intensity was difficulty in starting urination, followed by urgency, weak urine stream, daytime frequency and sense of incomplete emptying. Night-time incontinence was the urinary symptom causing the most daily life distress for cervical cancer women followed by difficulty in starting urination, urgency, sense of incomplete emptying, and night-time frequency.
Conclusion
Results suggest that nurses should address the potential postoperative urinary complications and develop long term interventions to decrease urinary dysfunction and daily life distress for women who have had a radical hysterectomy for cervical cancer.
Keywords: Hysterectomy; Uterine cervical neoplasms; Neurogenic urinary bladder

This study was supported by Sungshin Women's University research fund in 2014 (No.: 2014-2-21-003)

The authors declared no conflict of interest.

REFERENCES

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Table 1

Homogeneity of General Characteristics between Patient and Control Group (N=322)

Table 2

Differences in Intensity of Urinary Dysfunction according to Medical Characteristics in Women with Cervical Cancer (N=157)

^*Scheffé post hoc; FIGO=International Federation of Gynecology and Obstetrics; RT=Radiation therapy; RAH=Radical abdominal hysterectomy; LRH=Laparoscopic radical hysterectomy; CIC=Clean intermittent catheterization; UTI=Urinary tract infection.

Table 3

Difference in Frequency of Urinary Dysfunction between Patient and Control Group (N=322)

Table 4

Difference in Intensity of Urinary Dysfunction and Daily Life Distress between Patient and Control Group

Figure & Data

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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy

J Korean Acad Nurs. 2016;46(3):400-408. Published online June 30, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.3.400

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Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy

Table 1

Homogeneity of General Characteristics between Patient and Control Group (N=322)

Table 2

Differences in Intensity of Urinary Dysfunction according to Medical Characteristics in Women with Cervical Cancer (N=157)

Table 3

Difference in Frequency of Urinary Dysfunction between Patient and Control Group (N=322)

Table 4

Difference in Intensity of Urinary Dysfunction and Daily Life Distress between Patient and Control Group

Table 1 Homogeneity of General Characteristics between Patient and Control Group (N=322)

Table 2 Differences in Intensity of Urinary Dysfunction according to Medical Characteristics in Women with Cervical Cancer (N=157)

Table 3 Difference in Frequency of Urinary Dysfunction between Patient and Control Group (N=322)

Table 4 Difference in Intensity of Urinary Dysfunction and Daily Life Distress between Patient and Control Group