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Urogenital dysfunction. Chirurgendagen 2007 Sympathetic nerves T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogastric nerves Inferior hypogastric plexus.

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Presentation on theme: "Urogenital dysfunction. Chirurgendagen 2007 Sympathetic nerves T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogastric nerves Inferior hypogastric plexus."— Presentation transcript:

1 Urogenital dysfunction

2

3 Chirurgendagen 2007 Sympathetic nerves T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogastric nerves Inferior hypogastric plexus (IHP) ‏

4 T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogestric nerves Inferior hypogastric plexus (IHP) ‏ Chirurgendagen 2007 Sympathetic nerves

5 Chirurgendagen 2007 Sympathetic nerves T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogastric nerves Inferior hypogastric plexus (IHP) ‏

6 Chirurgendagen 2007 Sympathetic nerves T10-L2 Superior hypogastric plexus (SHP) ‏ Hypogastric nerves Inferior hypogastric plexus (IHP) ‏

7 Urogenital dysfunction

8 Chirurgendagen 2007 Parasympathietic nerves S2-4 Splanchnic nerves Inferior hypogastric plexus (IHP) ‏

9 Chirurgendagen 2007 Parasympathetic nerves S2-4 Splanchnic nerves Inferior hypogastric plexus (IHP) ‏

10 Chirurgendagen 2007 Parasympathetic nerves S2-4 Splanchnic nerves Inferior hypogastric plexus (IHP) ‏

11 Difficulty in bladder emptying after TME Lange MM Br J Surg in press

12 Risk factors for difficulty in bladder emptying Lange MM Br J Surg in press RR P Damage splanchnic nerves3.28 0.008 Preoperative dysfunction 3.15<0.001 Blood loss ≥ 1500 ml 1.95 0.038

13 Etiology of difficulty in bladder emptying after TME

14 Urinary incontinence after TME Lange MM Br J Surg in press

15 Risk factors for urinary incontinence RRp Preoperative incontinence3.42<0.001 Female gender2.370.002 Age ≥65 years1.960.014 Anastomotic level <6 cm1.720.049 Lange MM Br J Surg in press

16 Etiology urinary incontinence after TME Diminished support to urethra and bladder neck (menopause) ‏ Pelvic floor dysfunction


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