Do colorectal cancer patients with a postoperative stoma have sexual problems? A pooling up analysis of 2566 patients

Liu, Xu-Rui; Tong, Yue; Liu, Fei; Liu, Xiaoyu; Zhang, Wei; Peng, Dong

doi:10.1007/s00384-023-04372-2

Cited by 5 publications

(1 citation statement)

References 48 publications

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“…The effect of a permanent stoma on sexual function is difficult to distinguish from the effect of AL. In two recent meta-analyses on quality of life after rectal cancer surgery, worse sexual function was associated with abdominoperineal resection compared to sphincter-saving surgery in men [ 27 , 28 ]. In abdominoperineal excision of the rectum, more neural damage might occur; thus, the stoma per se might not be the ultimate reason for sexual dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Rutegård,

Jutesten,

Buchwald

et al. 2024

Int J Colorectal Dis

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Purpose Anastomotic leakage after anterior resection for rectal cancer induces bowel dysfunction, but the influence on urinary and sexual function is largely unknown. This cross-sectional cohort study evaluated long-term effect of anastomotic leakage on urinary and sexual function in male patients. Methods Patients operated with anterior resection for rectal cancer in 15 Swedish hospitals 2007–2013 were identified. Anastomotic leakage and other clinical variables were retrieved from the Swedish Colorectal Cancer Registry and medical records. Urinary and sexual dysfunction were evaluated at 4 to 11 years after surgery using the International Prostate Symptom Score, International Index of Erectile Function, and European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire CR29. The effect of anastomotic leakage on average scores of urinary and sexual dysfunction was evaluated as a primary outcome, and the single items permanent urinary catheter and sexual inactivity as secondary outcomes. The association of anastomotic leakage and functional outcomes was analyzed using regression models with adjustment for confounders. Results After a median follow-up of 84 months (interquartile range: 67–110), 379 out of 864 eligible men were included. Fifty-nine (16%) patients had anastomotic leakage. Urinary incontinence was more common in the leakage group, with an adjusted mean score difference measured by EORTC QLQ ColoRectal–29 of 8.69 (95% confidence interval: 0.72–16.67). The higher risks of urinary frequency, permanent urinary catheter, and sexual inactivity did not reach significance. Conclusion Anastomotic leakage after anterior resection had a minor negative impact on urinary and sexual function in men.

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Section: Discussionmentioning

confidence: 99%

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Rutegård,

Jutesten,

Buchwald

et al. 2024

Int J Colorectal Dis

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Effect of a telephone-based perioperative nurse-led counselling programme on unmet needs, quality of life and sexual function in colorectal cancer patients: A non-randomised quasi-experimental study

Cihan,

Vural

2024

European Journal of Oncology Nursing

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Novel stent‐assisted ileal bypass is applied to avoid protective stoma and prevent anastomotic leakage for rectal cancer

Wen,

Bai,

Zhou

2023

ANZ Journal of Surgery

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PurposeThis study aimed to investigate the safety and feasibility of a novel stent‐assisted ileal bypass for rectal cancer patients who received sphincter‐preserving surgery.MethodsPatients who were diagnosed with rectal cancer and received sphincter‐preserving surgery plus a novel stent‐assisted ileal bypass were respectively included from January 2022 to January 2023. Biofragmentable ileal stent with diaphragm sheet in the cavity was placed in the terminal ileum using absorbable sutures after anastomosis. At the proximal end of the stent, an intestinal diversion tube was placed in the prefabricated purse‐string, through which faeces were drained. The stent completely disintegrated in the body after 3–4 weeks, which protected the anastomosis after surgery and avoided protective stoma. Clinical characteristics and surgical outcomes were collected.ResultsEleven patients who successfully received surgery were included. There were seven (63.6%) males and four (36.4%) females. The tumour size was 3.2 ± 1.7 cm and the lower verge of tumour to anal verge was 6.8 ± 1.3 cm. As for surgical outcomes, operation time was 216.4 ± 54.1 min, blood loss was 43.6 ± 64.6 mL, time to first flatus via intestinal diversion tube was 3.2 ± 1.1 days, time to discharge stent was 22.8 ± 3.0 days, and postoperative hospital stay was 21.0 ± 5.4 days. Two patients suffered from postoperative complications including pneumonia and incision infection.ConclusionThis novel stent‐assisted ileal bypass is safe and feasible, it provides a new choice for rectal cancer patients to avoid protective stoma and secondary surgery.

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Do colorectal cancer patients with a postoperative stoma have sexual problems? A pooling up analysis of 2566 patients

Cited by 5 publications

References 48 publications

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Effect of a telephone-based perioperative nurse-led counselling programme on unmet needs, quality of life and sexual function in colorectal cancer patients: A non-randomised quasi-experimental study

Novel stent‐assisted ileal bypass is applied to avoid protective stoma and prevent anastomotic leakage for rectal cancer

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