TY - JOUR
T1 - Urologic surgery in gynecologic oncology
T2 - A large single-institution experience
AU - Costantini, B.
AU - Vizzielli, G.
AU - Fanfani, F.
AU - D'Addessi, A.
AU - Ercoli, A.
AU - Avenia, N.
AU - Margariti, P. A.
AU - Gallotta, V.
AU - Scambia, G.
AU - Fagotti, A.
PY - 2014
Y1 - 2014
N2 - Objective The increasing tendency to a tailored treatment in gynecologic oncology has required the extension of the intervention to other non-gynecological structures, as the urinary district. Moreover the role of the urological surgery in gynecologic oncology is still not completely explored. The objective of the study is to evaluate the occurrence of urological procedures in gynecologic oncology surgery. Methods Patients admitted to the Division of Gynecologic Oncology, Catholic University of Sacred Hearth, Rome, Italy, between January 2009 and December 2012, were retrospectively analyzed. Clinical charts identified the occurrence of urological procedures in major gynecological surgery. Results A total of 728 patients were analyzed for the study. A total of 204 urologic procedures were carried out in 83 patients. In all patients, preoperative hydronephrosis appears to be the only statistically significant predisposing factor to urological procedures. At multivariate analysis, stratifying data for different neoplasm, recurrence was the only adjunctive significant variable for ovarian cancer, as well as neo-adjuvant treatment and recurrence for cervical cancer. Conclusions This study has identified preoperative factors influencing the needing of urological procedures in different gynecologic neoplasms, allowing a proper planning of surgical treatment, tailored on each patient.
AB - Objective The increasing tendency to a tailored treatment in gynecologic oncology has required the extension of the intervention to other non-gynecological structures, as the urinary district. Moreover the role of the urological surgery in gynecologic oncology is still not completely explored. The objective of the study is to evaluate the occurrence of urological procedures in gynecologic oncology surgery. Methods Patients admitted to the Division of Gynecologic Oncology, Catholic University of Sacred Hearth, Rome, Italy, between January 2009 and December 2012, were retrospectively analyzed. Clinical charts identified the occurrence of urological procedures in major gynecological surgery. Results A total of 728 patients were analyzed for the study. A total of 204 urologic procedures were carried out in 83 patients. In all patients, preoperative hydronephrosis appears to be the only statistically significant predisposing factor to urological procedures. At multivariate analysis, stratifying data for different neoplasm, recurrence was the only adjunctive significant variable for ovarian cancer, as well as neo-adjuvant treatment and recurrence for cervical cancer. Conclusions This study has identified preoperative factors influencing the needing of urological procedures in different gynecologic neoplasms, allowing a proper planning of surgical treatment, tailored on each patient.
KW - Gynecological malignancies
KW - Surgery
KW - Urological procedures
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U2 - 10.1016/j.ejso.2014.01.020
DO - 10.1016/j.ejso.2014.01.020
M3 - Article
C2 - 24630772
AN - SCOPUS:84899639629
SN - 0748-7983
VL - 40
SP - 756
EP - 761
JO - European Journal of Surgical Oncology
JF - European Journal of Surgical Oncology
IS - 6
ER -