[Functional results after continuity resection of the rectum]

Disturbances of anal continence and bladder and sexual functions are frequently a consequence of low anterior resection. In a prospective study of 60 patients anal continence and bladder control were examined for objective results in function. Within the first 3 months after surgery 50% of the patients had a deficiency in anal continence due to reduced reservoir function. This was not evident in cases with good anastomosis healing in the second postoperative half-year. Especially male patients (46%) developed a dysfunction in micturition which required urologic treatment.