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International Journal of Colorectal Disease

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01-09-2008 | Original Article

Anorectal, bladder, and sexual function in females following colorectal surgery for carcinoma

Authors: G. Böhm, R. Kirschner-Hermanns, A. Decius, N. Heussen, V. Schumpelick, S. Willis

Published in: International Journal of Colorectal Disease | Issue 9/2008

Abstract

Background

The aim of this study was to establish the incidence of potential postoperative anorectal, bladder, and sexual dysfunction in women following excision of rectal cancer with total mesorectal excision (TME).

Materials and methods

All women who underwent a transabdominal rectal resection with TME for cancer between 2000 and 2003 were included. Women with a colonic resection for cancer during the same time period served as the control group. Exclusion criteria were strict. Standardized questionnaires were sent to all patients.

Results

Twenty-six patients fulfilled the inclusion criteria and were evaluated. Fifteen patients had TME and 11 patients had colonic resection. The median Wexner score showed a higher rate of anal incontinence in the rectal group. The difference was due to a higher rate of severe incontinence in the rectal group. The King’s Health Questionnaire showed normal urinary function in both groups. The Female Sexual Function Index showed worse sexual function in the rectal group, reaching statistical significance in the categories ‘arousal’ and ‘lubrication’.

Conclusion

After rectal excision, the women showed impairment of their anorectal and sexual function. Urinary function was normal. This is in contrast to the incidence of urinary dysfunction in men observed by others. Our study indicates that women seem to have less functional problems when compared to literature data on dysfunction in male following rectal surgery for cancer.

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Title: Anorectal, bladder, and sexual function in females following colorectal surgery for carcinoma
Authors: G. Böhm
R. Kirschner-Hermanns
A. Decius
N. Heussen
V. Schumpelick
S. Willis
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 9/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-008-0498-9

At a glance: The STEP trials

Springer Medicine

Anorectal, bladder, and sexual function in females following colorectal surgery for carcinoma

Abstract

Background

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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