Related Experiment Videos
Sexual complications after abdominoperineal resection
The Italian Journal of Surgical Sciences
|January 1, 1987
Summary
Abdominoperineal resection for rectal cancer significantly impacts sexual function in both men and women, with most patients reporting decreased sexual desire and satisfaction one year post-surgery. However, couples can achieve satisfying sexual activity, with first intercourse occurring around six months after the procedure.
Area of Science:
- Oncology
- Sexual Medicine
- Colorectal Surgery
Background:
- Abdominoperineal resection (APR) is a major surgical procedure for low rectal carcinoma.
- Sexual dysfunction is a common concern following pelvic surgeries, particularly APR.
- Understanding the long-term sexual outcomes after APR is crucial for patient counseling and quality of life improvement.
Purpose of the Study:
- To investigate the sexual activity and satisfaction in patients one year after abdominoperineal resection for low rectal carcinoma.
- To analyze specific aspects of sexual function, including desire, performance, orgasm, and satisfaction, in both male and female survivors.
- To identify the prevalence and nature of sexual difficulties experienced by patients post-APR.
Main Methods:
- A questionnaire-based study was conducted.
- The study included 28 males and 18 females who underwent APR for low rectal carcinoma.
- Sexual function parameters such as desire, erectile function, ejaculation, orgasm capacity, dyspareunia, and sexual satisfaction were assessed one year post-surgery.
Main Results:
- A high percentage of patients reported decreased sexual desire (77.77% in females, 75% in males).
- Significant sexual dysfunction was observed, including decreased orgasm capacity (5.5% females), dyspareunia (33.6% females), erectile dysfunction (25% males), and ejaculation issues (10.71% retrograde, 7.14% anejaculation in males).
- Despite challenges, 44.4% of females and an unspecified percentage of males reported loss of sexual satisfaction, while couples achieving satisfying sexual activity initiated intercourse around 6 months post-surgery.
Conclusions:
- Abdominoperineal resection for low rectal carcinoma leads to substantial sexual dysfunction and decreased satisfaction in a majority of patients.
- While sexual challenges are prevalent, successful sexual activity is achievable for some couples, indicating the importance of sexual rehabilitation and support.
- The study highlights the need for comprehensive pre- and post-operative counseling regarding sexual health outcomes following APR for rectal cancer.