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Related Experiment Videos

Sexual dysfunction, informed consent and multimodality therapy for rectal cancer.

M I Chorost1, T K Weber, R J Lee

  • 1Department of Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.

American Journal of Surgery
|July 6, 2000
PubMed
Summary

Informed consent for rectal cancer treatment rarely discussed sexual dysfunction risks. Post-treatment sexual dysfunction was higher in males receiving abdominoperineal resection (APR) with radiation therapy.

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Area of Science:

  • Oncology
  • Surgical Gastroenterology
  • Sexual Health

Background:

  • Rectal cancer treatment can lead to post-therapy sexual dysfunction.
  • Assessing the discussion of these risks pre-treatment is crucial.

Purpose of the Study:

  • To evaluate presurgical and preradiation discussions of sexual dysfunction risks in rectal cancer patients.
  • To determine the incidence of sexual dysfunction after curative rectal cancer therapy.

Main Methods:

  • Retrospective review of medical records for 52 rectal cancer patients.
  • Analysis of treatment modalities including local excision, low anterior resection, and abdominoperineal resection (APR) with or without radiation.

Main Results:

  • Informed consent documented sexual dysfunction risks in only 29% of patients.

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  • Males undergoing APR with radiation had a higher incidence of sexual dysfunction (75%) compared to APR alone (33%).
  • Sexual dysfunction was infrequent in females and after local excision or low anterior resection in males.

    • Conclusions:

    • Discussion of sexual dysfunction risks was inadequate in most rectal cancer cases.
    • Postoperative radiation following APR in males may increase sexual dysfunction risk.
    • Female sexual function appeared unaffected by surgery and/or radiation therapy.