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Sexual dysfunction after low anterior resection for midrectal cancer
Acta Chirurgica Scandinavica
|January 1, 1984
Summary
Low anterior resection for midrectal cancer can cause sexual dysfunction. While some patients experience temporary issues like erectile impotence or painful intercourse, permanent impairment is rare, suggesting caution in early conclusions.
Area of Science:
- Colorectal Surgery
- Oncology
- Sexual Health
Background:
- Low anterior resection (LAR) is a common surgical procedure for midrectal cancer.
- Sexual function can be affected by pelvic surgeries.
- Understanding postoperative sexual outcomes is crucial for patient quality of life.
Purpose of the Study:
- To evaluate the incidence and nature of sexual dysfunction after low anterior resection for midrectal cancer.
- To assess the long-term impact of LAR on sexual health in patients under 65.
Main Methods:
- Prospective interview-based study.
- Inclusion of 41 patients (under 65) who underwent LAR for midrectal cancer and were sexually active preoperatively.
- Assessment of sexual function, including erectile function and dyspareunia, at a specific postoperative period.
Main Results:
- 35 out of 41 patients (85%) reported normal sexual function postoperatively.
- Transient erectile impotence occurred in 2 male patients.
- Dyspareunia led to cessation of sexual activity in 2 female patients.
- Permanent sexual impairment was reported by 2 patients (1 male, 1 female).
Conclusions:
- Severe sexual dysfunction can occur after low anterior resection for rectal cancer.
- Temporary sexual dysfunction is more common than permanent impairment.
- Early assessment of sexual function may not reflect the final outcome; long-term follow-up is necessary.