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  • Title: Delayed bladder dysfunction after abdominoperineal resection: an indicator of local recurrence.
    Author: Leach GE, Yip CM.
    Journal: Urology; 1987 Jan; 29(1):99-101. PubMed ID: 3798642.
    Abstract:
    It is generally not appreciated that the delayed onset of voiding dysfunction after abdominoperineal resection for rectal carcinoma may be the first sign of local pelvic recurrence. We herein present a series of 5 patients who were referred for urodynamic evaluation of voiding dysfunction beginning nine to twenty-four months after the original operative procedure. Urodynamic evaluation revealed low bladder wall compliance in 4 patients, and detrusor hyperreflexia in 1 patient. Computerized tomography scans confirmed the local tumor recurrence in all cases. The delayed onset of voiding complaints after abdominoperineal resection should prompt a high index of suspicion that a local tumor recurrence may be present.
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