Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
Table 3
Urinary system assessment.
Before surgery
5-month follow-up
Low urinary tract dysfunctions/symptoms
Macroscopic hematuria
No
No
Renal calculi
No
No
Recurrent urinary tract infections
No
No
Straining to void
No
No
Feeling of incomplete emptying
No
No
Intermittent stream (intermittency)
No
No
Urgency
No
No
Urinary incontinence (leakage)
No
No
Strangury
No
No
Recurrent cystitis
No
No
Lumbar pain
No
No
Flank pain
No
No
Number of urinations per day
3
5
Nocturia
No
No
Self-reported urinary quality of life
Excellent
Excellent
Urodynamic measurements
Bladder compliance (mL/cmH2O)
38
40
Maximum cystometric capacity (mL)
500
400
Opening pressure (cmH2O)
17
29
Maximum pressure (cmH2O)
23
45
Pressure at maximum flow (cmH2O)
21
31
Closing pressure (cmH2O)
25
-11
Maximum flow rate (mL/s)
23
20
Voided volume (mL)
500
395
Postvoid residual (mL)
0
5
Bladder outlet obstruction index
-25
-9
Bladder contractility index
136
131
Urodynamic observations
Low bladder compliance
No
No
Detrusor underactivity
No
No
Abnormal bladder sensation
No
No
Detrusor overactivity
No
No
Abnormal residual urine
No
No
Bladder outlet obstruction
No
No
No
No
At least one abnormal finding
No
No
Self-reported urinary quality of life is a subjective question with an open answer. Recurrent urinary tract infections when 3 or more episodes per year (confirmed with urine culture). Low bladder compliance when <30 cmH2O. Detrusor underactivity when bladder contractility index () ≤100. Abnormal bladder sensation when the first desire to void occurs at or >200 mL. Detrusor overactivity when there are involuntary detrusor contractions during the filling phase. Abnormal residual urine when . Bladder outlet obstruction when bladder outlet obstruction index () ≥40. The definitions and normal ranges are according to de Resende Júnior et al. [2].
