Bladder and sexual dysfunction following laparoscopically assisted and conventional open mesorectal resection for cancer

Quah, Hak-Mien; Jayne, David; Eu, Kong‐Weng; Seow‐Choen, Francis

doi:10.1046/j.1365-2168.2002.02275.x

Cited by 272 publications

(225 citation statements)

References 30 publications

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“…With the increasing popularity of laparoscopy, certain surgeons now perform laparoscopic assisted TME. Quah et al 74 reported that sexual dysfunction rates were higher after laparoscopic surgery than open surgery in men, but there was no difference in women. Owing to paucity of reports in the literature, it may be too early to reach any conclusion regarding the sexual function following laparoscopic TME.…”

Section: Sexual Dysfunction After Rectal Cancer Surgeriesmentioning

confidence: 99%

“…ED following rectal cancer surgery is further compounded by the frequent use of neoadjuvant and adjuvant radiotherapy. 74 A recent study by Mannaerts et al 66 showed that the preoperative ability to have an orgasm disappeared in 50% of males and 50% of females following multimodality rectal cancer treatment. Sexual dysfunction rates following treatment for rectal cancer are significant and should be an essential part of preoperative counseling.…”

Section: Sexual Dysfunction After Rectal Cancer Surgeriesmentioning

confidence: 99%

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Sexual dysfunction after pelvic surgery

et al. 2005

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Pelvic surgeries are among the most common causes of organic sexual dysfunction in men and women. The impact of nerve-sparing surgery on potency has been well documented in radical prostatectomy. However, its impact on potency needs to be evaluated in other pelvic surgeries. Sexual dysfunction is highly prevalent even after multiple technical advances in the field of oncological surgeries. The prevalence varies from 8 to 82%, depending on the type of pelvic surgery. In females, sexual dysfunction has not been evaluated adequately using validated questionnaires. However, in subspecialized circles, treatment for female sexual dysfunction is becoming routine. Currently, physicians have several options for the treatment of erectile dysfunction (ED) in men. Since the introduction of oral PDE-5 inhibitors, oral therapy has become the first-line treatment option for ED, irrespective of etiology. Currently available treatment options for the female sexual dysfunction include estrogens, androgens, phosphodiesterase inhibitors, and dopamine receptor antagonists. Initial reports regarding the role of early rehabilitation are encouraging and may become the part of routine practice in the management of ED after pelvic surgery. In this article, we summarize the sexual dysfunction following pelvic surgeries and their management. International Journal of Impotence Research (2006) IntroductionErectile dysfunction (ED) is defined as the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. 1 Several factors have been implicated in the etiology of ED. Vascular and neurogenic causes are the most common among them. Diabetes, smoking and hypertension are the most important risk factors for vasculogenic sexual dysfunction. Neurological dysfunction is mainly associated with certain neurological syndromes like autonomic neuropathy. Sexual dysfunction after pelvic surgery has been an important and underreported cause of ED. The pathophysiology of sexual dysfunction after pelvic surgery is unique because it can be either vascular or neurogenic factors alone, or a combination of both. The pelvic surgeries in males that are associated with considerable ED include radical prostatectomy (RP), radical cystoprostatectomy (cystectomy) and low anterior or abdominoperineal resections (APRs) for rectal cancer. The pelvic surgeries in females associated with sexual dysfunction include radical cystectomy (RC) for bladder cancer, radical hysterectomy for cancers of the cervix and endometrium and, potentially, simple hysterectomy for benign tumors.In this article, we summarize male and female sexual dysfunction following pelvic surgeries for prostate, bladder and rectal cancer. We also discuss our experience in the treatment of sexual dysfunction following RP and RC. than 10%, urologists still report that the majority of patients experience ED following RRP. [3][4][5] Until recently, ED following RP was not an overwhelming concern, as most prostate cancers were detected in older men. 6 However, since the adven...

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Section: Sexual Dysfunction After Rectal Cancer Surgeriesmentioning

confidence: 99%

Section: Sexual Dysfunction After Rectal Cancer Surgeriesmentioning

confidence: 99%

Sexual dysfunction after pelvic surgery

et al. 2005

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“…Until now, very little is known concerning sexual functioning and lower urinary tract symptoms after LTME on the long term [6,7]. A retrospective, questionnairebased study showed an ED incidence of 47% and an EJD incidence of 40% [7].…”

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confidence: 99%

Male sexual function and lower urinary tract symptoms after laparoscopic total mesorectal excision

Breukink

Driel

Pierie

et al. 2008

Int J Colorectal Dis

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Background and aims The aim of this study was to investigate sexual function and the presence of lower urinary tract symptoms (LUTS) in male patients with rectal cancer following short-term radiotherapy and laparoscopic total mesorectal excision (LTME) by physical and psychological measurements. Materials and methods Sexual function and LUTS were assessed by the use of questionnaires [International Index of Erectile Function (IIEF), International Prostate Symptom Score]. Sexual function was further assessed by the use of pharmaco duplex ultrasonography of the cavernous arterial blood flow and nocturnal penile tumescence and rigidity monitoring (NPTR). All investigations were performed prior to the start of preoperative radiotherapy and 15 months after surgery. Results Nine patients (mean age 60 years) participated. Erectile function was maintained in 71% and ejaculation function in 89%. Compared with pre-operative scores on the IIEF, a significant deterioration in intercourse satisfaction was seen following radiotherapy and LTME (7.9 vs 10.3, p=0.042), but overall satisfaction remained unchanged (8.0 vs 7.0, p=0.246). NPTR parameters (duration of erectile episodes, duration of tip rigidity ≥60%) decreased following radiotherapy and LTME. Patients reported a deterioration in micturition frequency (2.0 vs 1.0, p=0.034) and quality of life due to urinary symptoms (8.0 vs 1.8, p=0.018). Conclusion Based on these first preliminary findings, data suggest that 15 months after short-term radiotherapy and LTME in men with rectal cancer, objectively assessed sexual dysfunction was considerable, but overall sexual satisfaction had not changed.

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“…These findings were confirmed & debated in other publications (Quah et al, 2002;Scheidbach et al, 2002;Cecil et al, 2006). It became evident that laparoscopic rectal surgery has a longer learning curve & higher conversion rate, increased circumferential margin involvement as well as poorer outcome of urinary and sexual function especially in men (Quah et al, 2002;Bretagnol et al, 2005).…”

Section: Challenges In Rectal Surgery As Identified From the Clasicc mentioning

confidence: 56%

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

Aly¹

2012

Contemporary Issues in Colorectal Surgical Practice

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Bladder and sexual dysfunction following laparoscopically assisted and conventional open mesorectal resection for cancer

Cited by 272 publications

References 30 publications

Sexual dysfunction after pelvic surgery

Sexual dysfunction after pelvic surgery

Male sexual function and lower urinary tract symptoms after laparoscopic total mesorectal excision

Laparoscopic Surgery for Rectal Cancer: Approaches, Challenges and Outcome

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