Consequences of Pelvic Radiotherapy on Urinary Function in Women

Purpose of Review: The objective of this review is to critically evaluate recent literature on the urinary complications following pelvic radiation for malignancy in women. Recent Findings: Lower urinary tract symptoms (LUTS) manifest in a significant population of women post-radiation with confirmed objective findings on urodynamic evaluation. Other serious consequences such as fistula, hemorrhagic cystitis, and strictures are less common but can be significant. Summary: The sequelae of radiation on the female lower urinary tract can range from mild symptoms to those requiring major surgical intervention. Therefore, post-radiotherapy patients must be approached with vigilance in conjunction with thorough preoperative counseling.