Common Urologic interventions involved in management of advanced cancer cervix–3year retrospective study in a teaching hospital.

Sitaramaiah.K; Sreelatha.K; Bhagavan.A; Farida.P

Volume : IX, Issue : IV, April - 2019

Common Urologic interventions involved in management of advanced cancer cervix–3year retrospective study in a teaching hospital.

Sitaramaiah. K, Sreelatha. K, Bhagavan. A, Farida. P

Abstract :

Introduction: Over 70% patients with cancer cervix present in advanced stages of the disease with coexisting urological complications like obstructed uropathy. Objectives:To determine clinical profile of patients with urinary complications of advanced cancer cervix and the clinical outcome of the various therapeutic options administered. Material and Methods: 50 patients with advanced cancer cervix previously treated or untreated, who had obstructed uropathy were evaluated to know the type of urological complications, their management and their effect on the primary disease. Simple methods of urinary diversions were tried and the clinical outcomes of these approaches were retrospectively analyzed.Also,19 cases with post irradiation complications were studied with regards to type of complication and its management.Results: 50% of cases were uraemic at presentation.49 out of 50 cases(98%) underwent simple urinarydiversions .Outcome following urinary diversion procedure was poor, with 30 (61.22%) showing no clinical improvement. Conclusion: Various urinary diversion procedures are useful in improving renal function, followed by definitive treatment options.