As a result of experience with a number of cases of abdominoperineal resection for carcinoma of the rectum, it became apparent to one of us (M. R. H.) that vesical dysfunction occurred too often after operation to be considered as an incidental complication. Its frequency suggested that it would be given serious consideration in the literature. When this was found not to be the case, an earnest attempt to study the problem seemed to us to be very much worth while.
Since a complete investigation of the problem required the cooperation of the departments of proctology, urology and neurology, this paper is the result of studies conducted along several lines. It is our purpose to give a short survey of our own experiences as exemplified by typical cases, to review the experiences of contemporary surgeons and to investigate the possible cause of the urinary disturbances.
Our conclusions are based on
HILL MR, BARNES RW, COURVILLE CB. VESICAL DYSFUNCTION FOLLOWING ABDOMINOPERINEAL RESECTIONFOR CARCINOMA OF THE RECTUM. JAMA. 1937;109(15):1184–1188. doi:10.1001/jama.1937.02780410022006