Influencing Factors of Bladder Paralysis in Patients with Cervical Cancer after Laparoscopic Radical Surgery

XU Xiaojuan; JIANG Shujuan; HU Ruijing; GUO Zhouqun

doi:10.16458/j.cnki.1007-0893.2025.17.002

Abstract：Objective To study the influencing factors of bladder paralysis in patients with cervical cancer(CC)after laparoscopic radical surgery and formulate relevant intervention and treatment measures to provide reference and basis for the prevention and treatment of bladder paralysis in these patients.Methods The clinical data of 136 CC patients admitted to Anyang Tumor Hospital from November 2021 to September 2024 were retrospectively collected.All patients underwent laparoscopic radical surgery and were followed up for 3 months after the operation.They were divided into a paralysis group(46 cases)and a non-paralysis group(90 cases)based on whether bladder paralysis occurred after the operation.Univariate and multivariate analyses were conducted to identify the influencing factors of bladder paralysis in CC patients after laparoscopic radical surgery.Prediction model:Logit(P)=-8.917+number of lymph nodes removed×0.637+extent of surgery×0.498+width of parametrial tissue resection×0.557+length of vaginal stump×0.719+duration of catheter indwelling×0.496+urinary tract inflammation×0.539+whether standardized rehabilitation exercises were performed after surgery×0.622,likelihood ratio χ2=134.73,DF=6,P<0.001.Results The number of lymph nodes removed,width of parametrial tissue resection,extent of surgery,whether standardized rehabilitation exercises were performed after surgery,length of vaginal stump,urinary tract inflammation,and duration of catheter indwelling were all influencing factors of bladder paralysis in CC patients after laparoscopic radical surgery(OR=1.891,1.645,1.745,1.863,2.052,1.714,1.642,P<0.05).The receiver operating characteristic(ROC)curve analysis results showed that when Logit(P)>12.27,the area under the curve(AUC)was 0.824,the sensitivity was 86.96%,and the specificity was 71.11%.Conclusion There are many influencing factors for bladder paralysis in CC patients after laparoscopic radical surgery,and targeted interventions can be made based on these factors to reduce the incidence of bladder paralysis.