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Urinary and sexual dysfunction after rectosigmoid surgery.

P Hellström1

  • 1Department of Surgery, University Central Hospital, Oulu, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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Anterior resection of the rectum did not affect bladder function, but abdominoperineal excision can cause bladder decentralization. Erectile dysfunction was noted in some patients after anterior resection.

Area of Science:

  • Urology
  • Colorectal Surgery
  • Neuroscience

Background:

  • Rectal surgery, including anterior resection and abdominoperineal excision, can impact pelvic nerve function.
  • Urodynamic studies are crucial for assessing lower urinary tract function.

Purpose of the Study:

  • To evaluate the effects of anterior resection and abdominoperineal excision on bladder function.
  • To assess the incidence of sexual dysfunction following these surgical procedures.

Main Methods:

  • Urodynamic investigations were conducted on 24 patients before and after rectal surgery.
  • Patients underwent either anterior resection or abdominoperineal excision for benign or malignant conditions.

Main Results:

  • Anterior resection showed no significant changes in bladder function.

Related Experiment Videos

  • Abdominoperineal excision resulted in bladder decentralization in 44% of patients.
  • 40% of potent males experienced ejaculatory or erectile dysfunction after anterior resection.

    • Conclusions:

    • Anterior resection appears safe for bladder function, though sexual side effects can occur.
    • Abdominoperineal excision carries a risk of bladder dysfunction.
    • Preoperative urodynamic assessment is vital for interpreting postoperative results accurately.