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Chun, Noh, Song, and Kim: Frequency, Intensity and Daily Life Distress of Urinary Dysfunction in Women with Cervical Cancer after Radical Hysterectomy
Original Article

Journal of Korean Academy of Nursing 2016; 46(3): 400-408.

Published online: 30 June 2016

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

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

Nami Chun1, Gie Ok Noh1, Hyun Ju Song2, Sang Hee Kim2

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 2 November 2015       Revised 28 December 2015       Accepted 21 March 2016

© 2016 Korean Society of Nursing Science

(open-access):

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.

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

Figures and Tables

Table 1

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

jkan-46-400-i001
Table 2

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

jkan-46-400-i002

*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)

jkan-46-400-i003
Table 4

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

jkan-46-400-i004

Notes

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

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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