Sexual and urinary dysfunction following laparoscopic total mesorectal excision in male patients: A prospective study
| Autor: | Deepak George, Kaniyarakkal Pramil, Naduthottam P Kamalesh, Shaji Ponnambatheyil, Prakash Kurumboor |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Minimal Access Surgery, Vol 14, Iss 2, Pp 111-117 (2018) |
| Druh dokumentu: | article |
| ISSN: | 0972-9941 1998-3921 |
| DOI: | 10.4103/jmas.JMAS_93_17 |
| Popis: | Aims: Even with the use of nerve-sparing techniques, there is a risk of bladder and sexual dysfunction after total mesorectal excision (TME). Laparoscopic TME is believed to improve this autonomic nerve dysfunction, but this is not demonstrated conclusively in the literature. In Indian patients generally, the stage at which the patients present is late and presumably the risk of autonomic nerve injury is more; however, there is no published data in this respect. Materials and Methods: This prospective study in male patients who underwent laparoscopic TME evaluated the bladder and sexual dysfunction using objective standardised scores, measuring residual urine and post-voided volume. The International Prostatic Symptom Score (IPSS) and International Index of Erectile Function score were used respectively to assess the bladder and sexual dysfunction preoperatively at 1, 3, 6 months and at 1 year. Results: Mean age of the study group was 58 years. After laparoscopic TME in male patients, the moderate to severe bladder dysfunction (IPSS |
| Databáze: | Directory of Open Access Journals |
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