Aim: The aim of this study was to explore urogenital dysfunction and associated risk factors after treatment of rectal cancer, in a large national cohort of patients 3 years after abdominoperineal excision, and to compare outcomes with a reference population and a cohort of patients operated for prostate cancer.
Method: Patients treated with abdominoperineal excision in 2007-2009 were identified using the Swedish Colorectal Cancer Registry. All consenting patients received a questionnaire. A sample of the Swedish population was contacted and completed a questionnaire. Patients undergoing radical prostatectomy in a prospective multicentre trial received questionnaires 24 months after surgery.
Results: In the abdominoperineal excision, reference and radical prostatectomy populations 72%, 51% and 91% of the questionnaires were returned. Within the abdominoperineal excision group 36% of the men and 57% of the women were incontinent postoperatively. Fifteen per cent and 37% of men and women in the reference group were incontinent. Two years after radical prostatectomy 49% were incontinent. Seventy-four per cent of the men had erectile dysfunction after abdominoperineal excision. Nineteen per cent of the women experienced reduced ability to reach orgasm. Fewer men and women experienced their present sex life as satisfying after abdominoperineal excision for rectal cancer compared with the reference population.
Conclusion: A large proportion of patients endure persistent urogenital dysfunction after abdominoperineal excision for rectal cancer as do men after radical prostatectomy. Effects on sexual and urinary function should be part of preoperative information and after surgery patients should be asked about function in order to identify those in need of further assistance.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/codi.14229 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Purpose: Proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the definitive surgical treatment for patients with ulcerative colitis or familial adenomatous polyposis. While laparoscopic surgery has been widely adopted, robotic surgery has emerged as a promising alternative, particularly for complex pelvic dissection. However, the robotic learning curve presents significant challenges.
View Article and Find Full Text PDFRobotic Multivisceral Resection (RMVR) of the Pelvis for Locally Advanced Colorectal Carcinoma: Single Oncosurgical Center Experience.
South Asian J Cancer
October 2024
Department of Surgical Gastroenterology, Sir Gangaram Hospital, New Delhi, India.
Introduction: Locally advanced colorectal cancer management remains a challenge due to multiple reasons. Some of the major ones include the changes following the use of neoadjuvant radiotherapy and systemic anticancer treatment and previous abdominal surgery (including defunctioning stoma and related changes) and the proximity of structures close to the cancer. Robotic colorectal surgery for malignancy is rapidly evolving as a surgical technique in the management of colorectal cancers but its role in the management of locally advanced disease is not defined.
View Article and Find Full Text PDFEvaluation of pelvic floor rehabilitation in the prevention of low anterior resection syndrome: Study protocol of the CONTICARE trial.
Colorectal Dis
March 2025
Nantes University, CHU Nantes, Inserm, Clinical Investigation Centre CIC1413, Nantes, France.
Article Synopsis
- The trial aims to assess the effectiveness of pelvic floor rehabilitation in preventing low anterior resection syndrome (LARS) in patients who undergo sphincter-preserving rectal cancer surgery.
- The study involves 174 participants randomly assigned to either a rehabilitation group (receiving pelvic floor therapy) or a control group (receiving standard care) before closing their defunctioning stoma, with outcomes measured at multiple time points to track LARS severity and quality of life.
- The conclusion suggests that pelvic floor rehabilitation, including anal exercises and biofeedback, could significantly improve symptom management and quality of life for these patients, with an emphasis on safety and minimal risks involved.
Prognostic scoring systems are critical for assessing preoperative risk and forecasting outcomes in rectal cancer surgery. This study evaluates the effectiveness of four scoring systems - Estimation of Physiologic Ability and Surgical Stress (E-PASS), Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM), Colorectal-POSSUM (CR-POSSUM), and the Association of Coloproctology of Great Britain and Ireland (ACPGBI) - in predicting postoperative complications and mortality. A retrospective study was conducted involving 67 patients who underwent surgery for rectal cancer.
View Article and Find Full Text PDFRectal cancer is one of the most frequently diagnosed malignancies, associated with high morbidity and mortality, which justify the constant interest in fine-tuning the available therapeutic methods and developing new ones. The preference for one surgical technique over another is highly dependent on the stage, the location of the tumor, other patient-related factors and the experience of the surgical team. This article aims to offer a comprehensive review of the surgical modalities utilized at the present time for the curative treatment of rectal cancer, as well as the future directions in this field, pointing out the latest progress and the most recent shifts in paradigm in the management of rectal cancer.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!