Preservation of sexual and bladder function after laparoscopic rectal surgery
| Autor: | John W. Lumley, Andrew R. L. Stevenson, Russell W. Stitz, Oliver Jones |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Retrograde ejaculation medicine.medical_specialty Colorectal cancer Urinary system Rectum Young Adult Sex Factors medicine Humans Colectomy Aged Retrospective Studies Aged 80 and over business.industry General surgery Urinary Bladder Diseases Gastroenterology Retrospective cohort study Middle Aged Urination Disorders medicine.disease Colorectal surgery Surgery Sexual Dysfunction Physiological Sexual dysfunction Erectile dysfunction medicine.anatomical_structure Female Laparoscopy medicine.symptom business |
| Zdroj: | Colorectal Disease. 11:489-495 |
| ISSN: | 1463-1318 1462-8910 |
| DOI: | 10.1111/j.1463-1318.2008.01642.x |
| Popis: | Background: There have recently been reports of higher levels of bladder and sexual dysfunction in men after laparoscopic rectal surgery when compared with those undergoing open surgery. This has led some surgeons to question the role of the laparoscopic approach to rectal surgery.Method: This study represents a retrospective analysis of a prospectively collected database for a single unit, comprising 2406 patients undergoing laparoscopic colorectal surgery. Bladder function, potency and ejaculation were assessed at postoperative clinic visits for men undergoing laparoscopic low or ultra-low anterior resection and abdominoperineal excision of the rectum. Results:A total of 101 males were identified (median age 62 years: range 20-90 years). Urinary dysfunction was reported by six (6%) patients. Six (6%) patients had sexual dysfunction, manifesting as retrograde ejaculation in four patients and erectile dysfunction in a further two patients. Conclusions: The low rates of sexual dysfunction in this unit may be attributable to pelvic dissection only being undertaken by experienced, dedicated laparoscopic colorectal surgeons. Laparoscopic restorative surgery for rectal cancer has been performed here only since 2001 after considerable experience accrued in operating on benign rectal disease and colon cancer. Studies from elsewhere reporting poorer functional outcomes have probably included a significant number of patients on the surgeons' 'learning curve'. |
| Databáze: | OpenAIRE |
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