Prospective Evaluation of Genito-Urinary Function after Laparoscopic Rectal Resection in the Elderly

Area of Science:

• Colorectal Surgery
• Geriatric Medicine
• Urology

Background:

• Laparoscopic anterior rectal resection with total mesorectal excision (LaAR-TME) is linked to sexual and urinary dysfunction.
• Anastomotic leak and neoadjuvant radiation therapy can exacerbate pelvic floor issues post-surgery.

Purpose of the Study:

• To evaluate the impact of LaAR-TME on genito-urinary function in elderly patients.
• To assess changes in sexual function, urinary function, and quality of life after LaAR-TME.

Main Methods:

• Prospective study of 50 elderly patients (age ≥70) undergoing LaAR-TME.
• Pre- and post-operative assessments (1 and 9 months) using validated questionnaires.
• Urofluximetric testing, bladder remnant volume measurement, and geriatric assessment (Barthel Index).

Main Results:

• Urinary and sexual function showed slight, non-significant worsening post-surgery.
• Gastrointestinal Quality of Life Indicator scores significantly decreased at 1 month.
• Uroflowmetry and bladder residual volume showed non-significant worsening.

Conclusions:

• LaAR-TME affects the genito-urinary status of elderly patients.
• The incidence of severe genito-urinary dysfunction is comparable to the normal aged population.