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勃起功能障碍是低前置切除和腹腔骨切除对结直肠癌的诊断不足的后果

Christopher D Gaffney¹, Nahid Punjani^1,2, Aaron Brant¹

¹Department of Urology, Weill Cornell Medicine, New York, NY, USA.

Updates in surgery

|November 20, 2024

概括

在结直肠癌手术后,勃起功能障碍 (ED) 的风险增加,特别是在低前切除和腹腔操作切除后. 与开放手术相比,微创手术也会增加ED风险.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
在瘤学瘤学.
手术瘤学手术瘤学

背景情况:

结肠直肠癌 (CRC) 手术会影响患者的生活质量,包括性功能.
勃起功能障碍 (ED) 是CRC治疗后的潜在并发症.
了解ED后CRC手术的发生率和预测因素对于患者咨询和护理至关重要.

研究的目的:

为了确定结直肠癌 (CRC) 手术后新的勃起功能障碍 (ED) 诊断的频率.
确定与老年男性CRC手术后ED发展相关的预测因素.
在CRC的不同手术方法中比较ED率.

主要方法:

使用了监测,流行病学和最终结果-医疗保险数据库 (2004-2015).
包括65岁以上接受CRC手术的男性,不包括之前患有ED或生殖尿道/转移性癌症的男性.
在指针手术后两年内评估新的ED诊断.

主要成果:

较低的前切除 (LAR) 和腹腔经管切除 (APR) 与血液切除相比,与更高的ED风险有关.
最少侵入性手术 (MIS) 与开放性手术相比,显示出与ED风险增加的独立关联.
经过CRC手术后ED的总体诊断率很低,这表明潜在的诊断不足.

结论:

特定的外科手术技术,如LAR和APR增加ED后CRC手术的风险.
最少侵入性的方法也可能导致ED的发病率更高.
低的诊断率凸显了需要改善ED查和管理在现实世界的临床实践中CRC幸存者的需要.

关键词:

腹腔经骨切除术是指腹腔经骨切除术.结肠直肠癌是一种癌症.勃起功能障碍是因为勃起功能障碍.低前切除的前部切除.

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