Related Experiment Video
Updated: Jun 11, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Sexual and urinary dysfunction after proctectomy for rectal cancer.
C Eveno1, A Lamblin, C Mariette
1Département médicochirurgical de pathologie digestive, hôpital Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.
Journal of Visceral Surgery
|July 1, 2010
Summary
Rectal surgery, especially total mesorectal excision (TME), can cause sexual and urinary issues. Identifying risk factors and informing patients pre-operatively aids in managing these common post-surgical complications.
Area of Science:
- Colorectal Surgery
- Urology
- Oncology
Background:
- Sexual and urinary dysfunction are common after rectal surgery.
- Total mesorectal excision (TME) is the standard for rectal cancer resection, offering improved outcomes.
- Understanding risk factors is crucial for managing post-operative sequelae.
Purpose of the Study:
- To review the incidence and risk factors of sexual and urinary dysfunction after rectal surgery.
- To discuss the impact of Total Mesorectal Excision (TME) on these dysfunctions.
- To highlight the importance of pre-operative patient counseling and multifaceted management strategies.
Main Methods:
- Review of current literature on sexual and urinary dysfunction following rectal surgery.
- Analysis of risk factors associated with post-operative sequelae.
- Evaluation of outcomes in the era of Total Mesorectal Excision (TME).
Main Results:
- Postoperative sexual dysfunction occurs in 10-35% of patients after TME.
- Urinary sequelae have decreased to less than 5% with TME.
- Key risk factors include age, pre-operative radiation, abdominoperineal resection, and non-adherence to TME planes.
Conclusions:
- Pre-operative patient counseling is essential for informed consent and management.
- Management strategies are multifaceted, involving psychological, pharmacological, and surgical interventions.
- The role of laparoscopic surgery in these complications requires further definition.
Related Concept Videos
01:20Disorders of the Male Reproductive System
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
01:21Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
01:19Anatomy of the Genitourinary System II: Bladder and Urethra
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...