Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs

The review is devoted to the generalization and analysis of domestic and foreign works describing the mechanism of development of neurogenic dysfunction of the bladder after surgery on the pelvic organs in cancer patients. All modern authors agree that the cause of these disorders is trauma of the p...

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Autores principales:	V. F. Onopko, E. A. Zagainova, E. A. Kirilenko
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	cancer patients colorectal cancer cervical cancer neurogenic bladder dysfunction surgery on the pelvic organs Science Q
Acceso en línea:	https://doaj.org/article/c7c2a6d57a244e13bd53b18103745472
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spelling	oai:doaj.org-article:c7c2a6d57a244e13bd53b181037454722021-11-23T06:14:42ZNeurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs2541-94202587-959610.29413/ABS.2019-4.3.11https://doaj.org/article/c7c2a6d57a244e13bd53b181037454722019-07-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2089https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The review is devoted to the generalization and analysis of domestic and foreign works describing the mechanism of development of neurogenic dysfunction of the bladder after surgery on the pelvic organs in cancer patients. All modern authors agree that the cause of these disorders is trauma of the pelvic nerves and interruption of the reflex arc. Unfortunately, when removing malignant tumors of the pelvic organs, urological complications are difficult and often impossible to avoid. This is due to the complex neuroanatomy of the bladder, its proximity to the rectum, the uterus, as well as the volume and radicality of cancer operations. The article shows that if the parasympathetic ganglia are damaged, there is a violation of the evacuation function of the bladder and a weakening or absence of the urge to urinate. If the sympathetic nervous system is damaged in isolation, on the contrary, an increase in the detrusor tone, intravesical pressure and a decrease in the capacity of the bladder is observed, which is in conditions of low bladder sphincter tone causes imperative urges, frequent urination and incontinence. Prior radiation therapy also affects the development of urological complications. Postradiated soft tissue changes, ischemia, fibrosis lead to great technical difficulties during surgery. In addition, factors that are important in the development of pelvic disorders in this category of patients include urinary system diseases and metabolic – endocrine disorders in case history.V. F. OnopkoE. A. ZagainovaE. A. KirilenkoScientific Сentre for Family Health and Human Reproduction Problemsarticlecancer patientscolorectal cancercervical cancerneurogenic bladder dysfunctionsurgery on the pelvic organsScienceQRUActa Biomedica Scientifica, Vol 4, Iss 3, Pp 89-95 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	cancer patients colorectal cancer cervical cancer neurogenic bladder dysfunction surgery on the pelvic organs Science Q
spellingShingle	cancer patients colorectal cancer cervical cancer neurogenic bladder dysfunction surgery on the pelvic organs Science Q V. F. Onopko E. A. Zagainova E. A. Kirilenko Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
description	The review is devoted to the generalization and analysis of domestic and foreign works describing the mechanism of development of neurogenic dysfunction of the bladder after surgery on the pelvic organs in cancer patients. All modern authors agree that the cause of these disorders is trauma of the pelvic nerves and interruption of the reflex arc. Unfortunately, when removing malignant tumors of the pelvic organs, urological complications are difficult and often impossible to avoid. This is due to the complex neuroanatomy of the bladder, its proximity to the rectum, the uterus, as well as the volume and radicality of cancer operations. The article shows that if the parasympathetic ganglia are damaged, there is a violation of the evacuation function of the bladder and a weakening or absence of the urge to urinate. If the sympathetic nervous system is damaged in isolation, on the contrary, an increase in the detrusor tone, intravesical pressure and a decrease in the capacity of the bladder is observed, which is in conditions of low bladder sphincter tone causes imperative urges, frequent urination and incontinence. Prior radiation therapy also affects the development of urological complications. Postradiated soft tissue changes, ischemia, fibrosis lead to great technical difficulties during surgery. In addition, factors that are important in the development of pelvic disorders in this category of patients include urinary system diseases and metabolic – endocrine disorders in case history.
format	article
author	V. F. Onopko E. A. Zagainova E. A. Kirilenko
author_facet	V. F. Onopko E. A. Zagainova E. A. Kirilenko
author_sort	V. F. Onopko
title	Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
title_short	Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
title_full	Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
title_fullStr	Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
title_full_unstemmed	Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs
title_sort	neurogenic bladder dysfunction in cancer patients after operations on the pelvic organs
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/c7c2a6d57a244e13bd53b18103745472
work_keys_str_mv	AT vfonopko neurogenicbladderdysfunctionincancerpatientsafteroperationsonthepelvicorgans AT eazagainova neurogenicbladderdysfunctionincancerpatientsafteroperationsonthepelvicorgans AT eakirilenko neurogenicbladderdysfunctionincancerpatientsafteroperationsonthepelvicorgans
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Neurogenic Bladder Dysfunction in Cancer Patients after Operations on the Pelvic Organs

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