The Incidence and Consequences of Damage to the Parasympathetic Nerve Supply to the Bladder after Abdominoperineal Resection of the Rectum for Carcinoma

Fowler, J. W.; Bremner, D. N.; Moffat, L. E. F.

doi:10.1111/j.1464-410x.1978.tb03033.x

Cited by 66 publications

(26 citation statements)

References 5 publications

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“…Many factors other than nerve preservation play a role in minor incontinence of bladder function. 15,16 Loss of sympathetic innervation, which may be the result of damage to the hypogastric nerves, may result in urgency and stress incontinence in females. The fact that major incontinence as a result of precise autonomic nervepreserving techniques was not reported indicates that substantial urinary morbidity was avoided.…”

Section: Urinary Function (Uf)mentioning

confidence: 99%

Function preservation in rectal cancer surgery

Moriya

2006

Int J Clin Oncol

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When total mesorectal excision (TME) is accurately performed, dysfunction, theoretically, does not occur. However, there are differences among individuals in the running patterns and the volumes of nerve fibers, and if obesity or a narrow pelvis is present, nerve identification is difficult. Currently, the rate of urinary dysfunction after rectal surgery ranges from 33% to 70%. Many factors other than nerve preservation play a role in minor incontinence. Male sexual function shows impotence rates ranging from 20% to 46%, while 20%-60% of potent patients are unable to ejaculate. In women, information on sexual function is not easily obtained, and there are more unknown aspects than in men. As urinary, sexual, and defecation dysfunction due to adjuvant radiotherapy have been reported to occur at a high frequency, the creation of a protocol that enables analysis of long-term functional outcome will be essential for future clinical trials. In the treatment of rectal cancer, surgeon-related factors are extremely important, not only in achieving local control but also in preserving function. This article reviews findings from recent studies investigating urinary, sexual, and defecation dysfunction after rectal cancer surgery and discusses questions to be studied in the future.

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Section: Urinary Function (Uf)mentioning

confidence: 99%

Function preservation in rectal cancer surgery

Moriya

2006

Int J Clin Oncol

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“…Ratnaval et al 28 did not remove the suprapubic catheters until the postmicturition residual volume was less than 50 ml, with no difference in the duration of drainage between the SPC (mean, 7.2; range, [3][4][5][6][7][8][9][10][11][12][13][14] and TUC (mean, 7.5; range, 2-13) groups. Perrin et al 27 described a precise protocol for catheter removal.…”

Section: Duration Of Catheterizationmentioning

confidence: 99%

Published Evidence Favors the Use of Suprapubic Catheters in Pelvic Colorectal Surgery

Branagan

Moran

2002

Diseases of the Colon &Amp; Rectum

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“…12, 18] and may be caused by several different factors [18][19][20]. 34-41% of the men and 21-35% of the women will be troubled by urinary dysfunc tion [3.12,13], Incontinence is.…”

Section: Discussionmentioning

confidence: 99%

Male and Female Urogenital Dysfunction after Operation for Rectal Carcinoma

et al. 1995

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Rectal operations for cancer are different with regard to radicality and nerve-sparing technique. A retrospective study was carried out to examine the incidence of urogenital dysfunctions after traditional radical surgery without particular emphasis on the nerve-sparing technique. A self-assessment questionnaire asking patients to compare postoperative with preoperative function was used. The response rate was 82%. Postoperatively 45% of the men and 43% of the women had reduced libido, while sexual activity was decreased in 59 and 43%, respectively. 41% experienced loss of erection and ejaculation. 20% of the women reported dyspareunia, but due to the small sample size interpretation must be careful. A higher response rate was obtained for urological function. Incontinence was experienced by 14% of the men and 27% of the women. Similar differences were shown for urinary bladder emptying. Our results indicate that urogenital function is severely impaired in many patients after traditional radical rectal surgery. Refinement of the surgical technique should be considered for rectal cancer, preferably as part of a prospective trial.

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The Incidence and Consequences of Damage to the Parasympathetic Nerve Supply to the Bladder after Abdominoperineal Resection of the Rectum for Carcinoma

Cited by 66 publications

References 5 publications

Function preservation in rectal cancer surgery

Function preservation in rectal cancer surgery

Published Evidence Favors the Use of Suprapubic Catheters in Pelvic Colorectal Surgery

Male and Female Urogenital Dysfunction after Operation for Rectal Carcinoma

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