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International Journal of Colorectal Disease

Published in:

01-11-2017 | Review

Sexual dysfunction following rectal cancer surgery

Authors: V Celentano, R Cohen, J Warusavitarne, O Faiz, M Chand

Published in: International Journal of Colorectal Disease | Issue 11/2017

Abstract

Introduction

Sexual and urological problems after surgery for rectal cancer are common, multifactorial, inadequately discussed, and untreated. The urogenital function is dependent on dual autonomic sympathetic and parasympathetic innervation, and four key danger zones exist that are at risk for nerve damage during colorectal surgery: one of these sites is in the abdomen and three are in the pelvis. The aim of this study is to systematically review the epidemiology of sexual dysfunction following rectal cancer surgery, to describe the anatomical basis of autonomic nerve-preserving techniques, and to explore the scientific evidence available to support the laparoscopic or robotic approach over open surgery.

Methods

According to the PRISMA guidelines, a comprehensive literature search of studies evaluating sexual function in patients undergoing rectal surgery for cancer was performed in Medline, Scopus, Web of Science, Embase, and Cochrane Central Register of controlled trials.

Results

An increasing number of studies assessing the incidence and prevalence of sexual dysfunction following multimodality treatment for rectal cancer has been published over the last 30 years. Significant heterogeneity in the prevalence of sexual dysfunction is reported in the literature, with rates between 5 and 90%.

Conclusions

There is no evidence to date in favor of any surgical approach (open vs laparoscopic vs robotic). Standardized diagnostic tools should be routinely used to prospectively assess sexual function in patients undergoing rectal surgery.

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Title: Sexual dysfunction following rectal cancer surgery
Authors: V Celentano
R Cohen
J Warusavitarne
O Faiz
M Chand
Publication date: 01-11-2017
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 11/2017
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-017-2826-4

ACC 2024 Congress

Springer Medicine

Sexual dysfunction following rectal cancer surgery

Abstract

Introduction

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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