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Surgery Today
Published in: Surgery Today 4/2016

01-04-2016 | Original Article

Effects of robotic rectal surgery on sexual and urinary functions in male patients

Authors: Shinji Ozeki, Kotaro Maeda, Tsunekazu Hanai, Koji Masumori, Hidetoshi Katsuno, Hiroshi Takahashi

Published in: Surgery Today | Issue 4/2016

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Abstract

Purposes

This study prospectively assessed the sexual and urinary functions, as well as factors influencing these functions, in patients who underwent open or robotic surgery for rectal cancer.

Methods

Forty-five consecutive male patients who underwent rectal resection for rectal cancer were prospectively enrolled in this study. Their sexual and urinary functions were assessed through self-administered questionnaires comprising the International Index of Erectile Function (IIEF; sexual function) and the International Prostate Symptom Score (IPSS; urinary function) before and at 3, 6, and 12 months after surgery.

Results

Fifteen patients who underwent robotic surgery and 22 who underwent open surgery were finally analyzed in this study. The total IIEF score and the individual score items did not change at 3, 6 or, 12 months after open or robotic surgery compared with the preoperative values. However, a univariate analysis revealed that age affected the urinary function 12 months after surgery, while both univariate and multivariate analyses revealed that postoperative complications affected the sexual function 12 months after surgery.

Conclusions

In this non-randomized comparison, the postoperative sexual and urinary functions were comparable between patients who underwent open rectal surgery and those who underwent robotic rectal surgery. Postoperative complications were a risk factor for sexual dysfunction, while age was a risk factor for urinary dysfunction.
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Metadata
Title
Effects of robotic rectal surgery on sexual and urinary functions in male patients
Authors
Shinji Ozeki
Kotaro Maeda
Tsunekazu Hanai
Koji Masumori
Hidetoshi Katsuno
Hiroshi Takahashi
Publication date
01-04-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 4/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1217-0

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