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Phantom sensations after excision of the rectum
Diseases of the Colon and Rectum
|December 1, 1984
Summary
Phantom sensations, including a frequent urge to defecate, are common after proctectomy. While often permanent, understanding the phenomenon can reduce patient distress.
Area of Science:
- Colorectal Surgery
- Neuroscience
- Patient Experience
Background:
- Proctectomy, the surgical removal of the rectum, can lead to complex sensory alterations.
- Phantom sensations are poorly understood phenomena following surgical interventions in the pelvic region.
Purpose of the Study:
- To investigate the prevalence and characteristics of phantom sensations in patients post-proctectomy.
- To understand the long-term nature and impact of these sensations.
Main Methods:
- A cohort of forty consecutive patients underwent questioning after proctectomy.
- Data collected focused on the presence, nature, and duration of phantom sensations.
Main Results:
- Sixty-five percent (26/40) of patients reported phantom sensations.
- The most common sensation was a disturbing urge to defecate.
- Sensations were permanent in 20 patients and transient in six.
Conclusions:
- Phantom sensations are a significant post-proctectomy experience for many patients.
- The urge to defecate is a prominent and distressing symptom.
- Patient education regarding phantom sensations can effectively alleviate anxiety.