Sexual Function, Incontinence, and Wellbeing in Women after Rectal Cancer—A Review of the Evidence

Panjari, Mary; Bell, Robin J.; Burney, Susan; Bell, Stephen; McMurrick, Paul; Davis, Susan Ruth

doi:10.1111/j.1743-6109.2012.02894.x

Cited by 51 publications

(42 citation statements)

References 75 publications

(88 reference statements)

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“…Colorectal cancer is one of the most common cancers in the developed world[1-3] with rectal cancers making up a third of those cancers[2-4]. The aim of rectal cancer surgery is to radically resect the cancer in order to achieve oncological cure and avoid local recurrence.…”

Section: Introductionmentioning

confidence: 99%

Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery

Panteleimonitis

Ahmed

Harper

et al. 2016

WJGS

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AIMTo analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery.METHODSA comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: “rectal cancer” or “colorectal cancer” and robot* or “da Vinci” and sexual or urolog* or urinary or erect* or ejaculat* or impot* or incontinence. All original studies examining the urological and/or sexual outcomes of male and/or female patients receiving robotic rectal cancer surgery were included. Reference lists of all retrieved articles were manually searched for further relevant articles. Abstracts were independently searched by two authors.RESULTSFifteen original studies fulfilled the inclusion criteria. A total of 1338 patients were included; 818 received robotic, 498 laparoscopic and 22 open rectal cancer surgery. Only 726 (54%) patients had their urogenital function assessed via means of validated functional questionnaires. From the included studies, three found that robotic rectal cancer surgery leads to quicker recovery of male urological function and five of male sexual function as compared to laparoscopic surgery. It is unclear whether robotic surgery offers favourable urogenital outcomes in the long run for males. In female patients only two studies assessed urological and three sexual function independently to that of males. In these studies there was no difference identified between patients receiving robotic and laparoscopic rectal cancer surgery. However, in females the presented evidence was very limited making it impossible to draw any substantial conclusions.CONCLUSIONThere seems to be a trend towards earlier recovery of male urogenital function following robotic surgery. To evaluate this further, larger well designed studies are required.

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Section: Introductionmentioning

confidence: 99%

Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery

Panteleimonitis

Ahmed

Harper

et al. 2016

WJGS

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“…1–3 Common problems include those that are physical (e.g., vaginal dryness, discomfort during intercourse), 4–8 psychological/emotional (e.g., decreased sexual interest, body image distress, loss of femininity) 9–13 and interpersonal in nature (e.g., changes in sexual scripts, loss of sex and intimacy). 11,14–16 There is a strong evidence base suggesting that sexual problems are not limited to women with breast or gynecologic cancer diagnoses but rather are common and distressing for women diagnosed with a range of different cancers (e.g., colorectal, 2,17–19 bone marrow transplant, 20–22 head and neck). 23–25 Unlike other post-treatment health concerns that improve over time (e.g., pain), without intervention sexual concerns tend to persist for women with cancer, leading to long-term sexual distress and potential negative consequences for women’s individual and relationship well-being.…”

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confidence: 99%

Talking about women's sexual health after cancer: Why is it so hard to move the needle?

Reese

Bober

Daly

2017

Cancer

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Précis Despite increasing calls to integrate sexual health into routine cancer care, the majority of women diagnosed with cancer do not receive information about how their cancer treatments will affect their sexual health. With the significant challenges that exist to clinical discussion of sexual health, efforts on multiple fronts are needed to close the gap in the care of women diagnosed with cancer.

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“…150,158 For those women who remain sexually active, prevalence and types of problems appear similar to those in women treated for other pelvic tumors, such as bladder, ovarian, and uterine cancer. 159 The advantages of laparoscopic surgery compared with open procedures for rectal cancer remains inconclusive. 160e162 Extended lateral pelvic lymph node dissection significantly decreased sexual function.…”

Section: Colorectal and Anal Cancermentioning

confidence: 99%

Cancer, Benign Gynecology, and Sexual Function—Issues and Answers

Bennett

Incrocci

Baldwin

et al. 2016

The Journal of Sexual Medicine

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Sexual Function, Incontinence, and Wellbeing in Women after Rectal Cancer—A Review of the Evidence

Cited by 51 publications

References 75 publications

Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery

Critical analysis of the literature investigating urogenital function preservation following robotic rectal cancer surgery

Talking about women's sexual health after cancer: Why is it so hard to move the needle?

Cancer, Benign Gynecology, and Sexual Function—Issues and Answers

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