Abstract
BackgroundTo evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy.MethodsA total of 91 women with stage IA2–IB2 cervical cancer, who were treated with radical hysterectomy and lymphadenectomy from January 2009 to December 2012, were enrolled into this study and were randomly divided into two groups: trail group (48 cases) and control group (43 cases). Traditional bladder function training and low-frequency electrical stimulation were conducted in the trail group, while patients in the control group were only treated by traditional bladder training. The general condition, rate of urinary retention, and muscle strength grades of pelvic floor muscle in the perioperative period were compared between these two groups.ResultsThe incidence of postoperative urinary retention in the electrical stimulation group was 10.41%, significantly lower than that in the control group (44.18%), and the difference was statistically significant (P < 0.01). The duration of postoperative fever and use of antibiotics were almost the same between these two groups. Eleven days after surgery, the difference in grades of the pelvic floor muscle between these two groups was not statistically significant. However, 14 days after the operation, grades of the pelvic floor muscle were significantly higher in the trail group than in the control group, and the difference was statistically significant (P < 0.01). In addition, although there was no significant difference between the two groups with different parameters (P = 0.782), the incidence of urinary retention was lower in the endorphins analgesia program group than in the neuromuscular repair program group (9.09% < 11.54%).ConclusionLow-frequency electrical stimulation is more effective than conventional intervention in preventing urinary retention after radical hysterectomy. It also intensifies the recovery of pelvic muscle strength.
Highlights
Cervical cancer is the most common gynecologic malignant tumor, and extensive panhysterectomy is a radical surgery for the treatment of cervical cancer
At the beginning and end of the postoperative treatment intervention (11th and 14th day, respectively), the routine urine test was conducted to observe whether patients developed urinary tract infection and was expressed as the leukocyte count
There was no significant difference in urinary tract infection between the two groups, and P values were 0.229 and 0.500, respectively
Summary
Cervical cancer is the most common gynecologic malignant tumor, and extensive panhysterectomy is a radical surgery for the treatment of cervical cancer. The incidence of bladder dysfunctions after radical hysterectomy for cervical cancer is 8.0– 80% [2, 3]. Some scholars have begun to apply electrical stimulation for postoperative rehabilitation of malignant tumors, effectively improving the quality of life of patients. The quality of life questionnaire showed that the quality of life and pelvic floor function of the patients in the electrical stimulation group were significantly better than those in the control group [7]. There are few studies on the rehabilitation treatment of urinary retention electrical stimulation after cervical cancer surgery. Based on the previous studies, we will fill in the gaps in related research fields and provide effective treatment methods for improving the postoperative quality of life of patients with cervical cancer. To evaluate the clinical significance of low-frequency electrical stimulation in preventing urinary retention after radical hysterectomy
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