Deep pelvis and low visceral fat mass as risk factors for neurogenic bladder after rectal cancer surgery.

ABSTRACT:

Background

Postoperative neurogenic bladder (PONB) frequently occurs as a complication after rectal cancer surgery. This study aimed to analyze risk factors for developing PONB after rectal cancer surgery, particularly the association between pelvic anatomy and visceral fat mass.

Methods

We included 138 patients who underwent rectal resection for lower rectal cancer in our department between 2017 and 2021. PONB was defined as the need for urethral catheter reinsertion or oral medication administration for urinary retention after catheter removal with severe NB that required treatment for ≥ 60 days. We obtained visceral fat area (VFA) at the umbilical level based on a CT scan and measured five pelvic dimensions.

Results

Of the 138 patients, 19 developed PONB, with 16 b

SUBMITTER: Matsui T 

PROVIDER: S-EPMC11437677 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature