Urogenital dysfunction after abdominoperineal resection for carcinoma of the rectum

Abstract

The long-term urogenital dysfunctions in 46 of 104 surviving patients submitted to abdominoperineal resection for rectal carcinoma between 1972 and 1986 were collected and assessed. Urinary retention was present in 41 percent of the men and 35 percent of women, while incontinence was present in 10 percent of men and 29 percent of women. Impotence was reported by 59 percent of the males, all sexually active before surgery. Dyspareunia was present in 50 percent of the women in the study. The possibility of treating prostatic hypertrophy concurrently with abdominoperineal resection in selected cases to avoid urinary retention is discussed. The limited number of responders to the survey may interfere with the global statistical significance.

Male and Female Urogenital Dysfunction after Operation for Rectal Carcinoma

“…14. 15] and 24-71 % after abdomi noperineal resection [10,12]. Our figures on the postoper ative ability to achieve orgasm are also in accordance with the 36-70% found in other series [12.…”

“…A decreased libido was reported by 50% of the patients after low anterior resection [13] and between 18 and 75% of the patients have a decreased libido after abdominoper ineal resection [10][11][12][13], While our study did not stratify for the type of operation. 45% of the men and 43% of the women reported a decreased libido postoperatively com pared to their preoperative state.…”

“…Colostomy may reduce the patient's body-image and in turn influence his or her sex ual activity [15,17], Surprisingly, no one has focused on sex-related differences and the impact of a colostomy. While several women did not answer some of the ques tions concerning sexual activity and ability, the remaining answers indicate that our female patients seem to have the same incidence and extent of complaints and dysfunc tions as reported by others [11,12,16].…”

Causes and Prevention of Functional Disturbances Following Low Anterior Resection for Rectal Cancer

“…Sexual dysfunction occurs in 10 -80 % of men after surgery for rectal cancer (8, 21,22,27,36,47,60,151,157,167). When evaluating post-operative sexual function, the not infrequent pre-existing disorders and non-somatic causes must first be identified.…”

Estudo retrospectivo de 47 complicações em 380 pacientes operados de câncer retal

“…Foi realizada em 27 pacientes (7,1%), delas resultando 2 casos de hemorragia (7,1%), ambos resol- ;Cruz (1992) 16, 17 , Cruz (1996) 18 , Cukier (1970) 28 Não houve diferença estatísticamente significante (baixo número de casos) de nossos resultados (11,1%) com os de alguns autores, como Bokey et al (1990) 8 , Burgos et al (1988) 11 ;Cruz (1992) 16, 17 , Cruz (1996) 18 , Cukier (1970) 28 , Cunsolo et al (1989) 29 , que apontam índices de complicações entre 4,2% e 15,2 %.…”