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Updated: Jan 4, 2026
04:22
Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
734
Self-reported sexual dysfunction in patients with rectal cancer
M Sörensson1, D Asplund2,3, P Matthiessen4
1Department of Surgery, Karlstad Hospital, Karlstad, Sweden.
Summary
Sexual activity in rectal cancer patients is lower than the general population and decreases further one year after diagnosis. Stoma presence and prior inactivity are key risk factors for reduced sexual function.
Area of Science:
- Oncology
- Sexual Medicine
- Quality of Life Research
Background:
- Rectal cancer treatment frequently leads to sexual dysfunction.
- Understanding sexual function post-diagnosis is crucial for patient care.
Purpose of the Study:
- To prospectively evaluate sexual function in rectal cancer patients.
- To identify factors influencing sexual activity one year after diagnosis, irrespective of treatment or tumor stage.
Main Methods:
- Prospective cohort study (QoLiRECT) in Denmark and Sweden.
- Questionnaires administered at diagnosis and one year post-diagnosis.
- Clinical data obtained from national quality registries.
Main Results:
- Sexual activity at diagnosis (29% women, 41% men) was lower than reference populations, decreasing to 25% (women) and 34% (men) at one year.
- Absence of prior sexual activity and stoma presence were linked to sexual inactivity.
- Women reported reduced lubrication and dyspareunia; men experienced increased erectile dysfunction (46% to 55%).
Conclusions:
- Rectal cancer patients exhibit reduced sexual activity compared to norms, with further decline one year post-diagnosis.
- Stoma presence significantly impacts sexual activity post-surgery.
- Erectile dysfunction is prevalent in male rectal cancer survivors.
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