Urodynamic follow-up after radical hysterectomy

Two groups of patients treated for cervical cancer stage Ib with radical Wertheim-Meigs hysterectomy, in two periods (1957–1966 and 1981–1986) were compared. To avoid urological complications after the Wertheim-Meigs operation the experience of the surgeon is very important. Only mild disturbances of the lower urinary tract function were found in 36% of patients in the second group. In those patients treated subsequently by irradiation the bladder compliance is significantly lower compared to the control group.