Clinical prognosis of hydronephrosis treated with urological intervention after radical hysterectomy for uterine cervical cancer: clinical study

摘要

Purpose: To review the clinical prognosis of hydronephrosis treated with urological intervention (HTUI) after radical hysterectomy (RH) for uterine cervical cancer. Materials and Methods: Thirty-six of 270 patients who underwent RH between January 2010 and December 2015 were included. The authors compared the prognostic factors for the resolution of hydronephrosis between resolution (n=17) and non-resolution groups (n=19) after HTUI. Results: There were no significant differences in valuables between the two groups. Combined percutaneous nephrostomy and intraureteric stent was most frequently used as the first procedure (n=23). Age 55.5 years and onset time of hydronephrosis after RH 2.75 months showed poor prognosis for HTUI on receiver operating characteristic (ROC) curve. The rates of HTUI varied depending on each institution (0-14.4%). Conclusions: Old age and later onset of hydronephrosis could be the important prognostic factors for HTUI. The rate of HTUI depended on each institution and its surgical techniques.