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Related Experiment Videos

[Urinary and sexual dysfunction after rectal cancer operation].

H Naito1, M Sasaki, K Nakamura

  • 1Department of Surgery, Sapporo National Hospital.

Nihon Gan Chiryo Gakkai Shi
|March 20, 1990
PubMed
Summary

Rectal cancer surgery, particularly Miles

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Area of Science:

  • Oncology
  • Urology
  • Surgical Gastroenterology

Background:

  • Rectal cancer surgery can significantly impact urinary and sexual function.
  • Understanding the specific effects of different surgical techniques is crucial for patient outcomes.
  • Miles' operation and anterior resection (AR) are common procedures with varying functional consequences.

Purpose of the Study:

  • To evaluate the urinary and sexual function after rectal cancer surgery.
  • To compare the functional outcomes between Miles' operation and anterior resection (AR).
  • To identify factors influencing post-operative urogenital dysfunction.

Main Methods:

  • Questionnaire-based evaluation of urinary and sexual function.
  • Study included 68 patients for urinary function and 81 for sexual function.
  • Patients underwent either Miles' operation or anterior resection (AR).

Main Results:

  • Miles' operation led to severe urinary system damage in 85.7% of males and 42.9% of females.
  • Urinary incontinence was prevalent: 64.3% of males and 71.4% of females after Miles' operation; 36.4% of males and 33.3% of females after AR.
  • Sexual activity was markedly reduced post-Miles' operation, with males experiencing erectile and ejaculatory dysfunction.

Conclusions:

  • Miles' operation poses a higher risk of severe urinary dysfunction compared to AR.
  • Urinary voiding disorders were more common in males, while urinary incontinence affected females more.
  • Preserving the bladder neck and urethra in males, and avoiding artificial stomas in females, is vital for preserving urogenital function.

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