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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Assessment of the Rectum and Anus01:25

Assessment 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,...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary 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...
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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Related Experiment Video

Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Voiding dysfunction after total mesorectal excision in rectal cancer.

Jae Heon Kim1, Tae Il Noh, Mi Mi Oh

  • 1Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.

International Neurourology Journal
|November 17, 2011
PubMed
Summary

Rectal cancer surgery can cause temporary voiding dysfunction, often improving within six months. Abdominoperineal resection surgery may lead to longer recovery times for urinary function.

Keywords:
Postoperative complicationsRectal neoplasmsRectal surgeryUrination

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Vessel-sparing Excision and Primary Anastomosis
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Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

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Last Updated: May 27, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Area of Science:

  • Urology
  • Colorectal Surgery
  • Oncology

Background:

  • Rectal cancer surgery, particularly total mesorectal excision (TME), can impact adjacent pelvic structures.
  • Understanding postoperative voiding dysfunction is crucial for patient recovery and quality of life.

Purpose of the Study:

  • To evaluate the incidence and characteristics of voiding dysfunction following rectal cancer surgery with TME.
  • To identify factors influencing postoperative urinary function recovery.

Main Methods:

  • Prospective study involving 50 rectal cancer patients undergoing TME surgery.
  • Preoperative and postoperative assessments included uroflowmetry, post-voided residual volume, and voiding questionnaires.
  • Data analyzed at 3 and 6 months post-surgery.

Main Results:

  • Significant decreases in maximal flow rate, voided volume, and post-voided residual volume were observed at 3 months post-surgery.
  • Maximal flow rate remained significantly decreased at 6 months (P=0.02).
  • Abdominoperineal resection was associated with delayed recovery of voiding parameters compared to other surgical methods.

Conclusions:

  • Voiding dysfunction is a common complication after rectal cancer surgery with TME, typically improving within six months.
  • Abdominoperineal resection is a risk factor for prolonged postoperative voiding dysfunction.
  • Further research is needed to understand long-term effects and gender-specific outcomes.