[Assessment of Long-Term Sexual Function after Radical Resection for Lower Rectal Cancer].

Autor:	Koyama M; Dept. of Surgery, Kashiwa Kousei General Hospital., Okada K, Kitamura K, Matsumura T, Totsuka E, Karikomi K, Suzuki H, Masamura S, Suwa T, Arai T, Komiya A, Yoshioka Y
Jazyk:	japonština
Zdroj:	Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2017 Nov; Vol. 44 (12), pp. 1500-1502.
Abstrakt:	The aim of this study was to evaluate the long-term sexual function and risk factors of dysfunction after the autonomic nerve preserving operation for lower rectal cancer. Methods: We evaluated postoperative sexual function assessed by IIEF5 in 91 patients who responded to the questionnaire by mail. Results: After a median follow-up of 5.5 years, univariate analysis identified 4 risk factors associated with poor sexual function: the elder, over 3 years after surgery, pathological stage III , and lateral lymph node dissection(both side). Poor sexual function assessed by multivariate analysis was significantly associated with the elder(over 60 years). Conclusion: From the viewpoint of sexual dysfunction, the autonomic nerve preserving operation( AN4)should be considered for elderly people.
Databáze:	MEDLINE
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