Patients’ related sexual outcomes in colorectal surgery

BackgroundPatients undergoing colorectal surgery (CRS) have an increased risk of developing sexual disorders, attributed to different mechanisms. In this context, sexual function (SF) assessment of patients before and after surgery is essential: to identify risk factors for sexual disorders as well...

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Main Authors: Emilie Liot, Niki Christou, Sandra de Sousa, Jacques Klein, Iranmanesh Pouya, Danae Guedj, Nicolas C. Buchs, Frédéric Ris
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.968978/full
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author Emilie Liot
Niki Christou
Niki Christou
Niki Christou
Sandra de Sousa
Jacques Klein
Iranmanesh Pouya
Danae Guedj
Nicolas C. Buchs
Nicolas C. Buchs
Frédéric Ris
Frédéric Ris
author_facet Emilie Liot
Niki Christou
Niki Christou
Niki Christou
Sandra de Sousa
Jacques Klein
Iranmanesh Pouya
Danae Guedj
Nicolas C. Buchs
Nicolas C. Buchs
Frédéric Ris
Frédéric Ris
author_sort Emilie Liot
collection DOAJ
description BackgroundPatients undergoing colorectal surgery (CRS) have an increased risk of developing sexual disorders, attributed to different mechanisms. In this context, sexual function (SF) assessment of patients before and after surgery is essential: to identify risk factors for sexual disorders as well as to minimize their impact on overall quality of life (QoL), allowing them a satisfying relationship and sexual life.Material and methodsPatients over 18 years of age who underwent a CRS in the University Hospital of Geneva, Switzerland, between June 2014 and February 2016 were included. Our main objective was to compare and analyze the evolution of SF, QoL, and marital satisfaction (MS) before and after CRS. Specific and standardized tests were used.ResultsA cohort of 72 patients with a median age of 58.73 was analyzed. The majority of CRS was elective (91.5%). A percentage of 52.8% of patients underwent surgery for oncological reasons. There was no statistical difference in SF, sexual QoL, and MS before and after elective or emergency CRS for men. Interestingly, a significant decrease in women’s SF (FSFI) as well as their satisfaction within their couple (Locke–Wallace) until 12 months after surgery was found (p = 0.021). However, they showed a steady SF (GRISS) within their couple until 12 months after surgery.ConclusionRegarding knowledge about difficulties to talk about this intimate topic and gender differences, this general overview raises the question of the necessity to introduce in a long-course follow-up different methods of sexual health assessment with specific stakeholders.
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spelling doaj.art-b0a7284b62bc4eef80b7cdd7bf3d17c82022-12-22T04:23:16ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-12-011210.3389/fonc.2022.968978968978Patients’ related sexual outcomes in colorectal surgeryEmilie Liot0Niki Christou1Niki Christou2Niki Christou3Sandra de Sousa4Jacques Klein5Iranmanesh Pouya6Danae Guedj7Nicolas C. Buchs8Nicolas C. Buchs9Frédéric Ris10Frédéric Ris11Division of Digestive Surgery, University Hospitals of Geneva, Genève, SwitzerlandDivision of Digestive Surgery, University Hospitals of Geneva, Genève, SwitzerlandUnit of Surgical Research, University of Geneva, Genève, SwitzerlandService de Chirurgie Digestive, Endocrinienne et Générale, University Hospital of Limoges (CHU) de Limoges, Limoges, FranceDivision of Digestive Surgery, University Hospitals of Geneva, Genève, SwitzerlandDivision of Urologic Surgery, Department of Surgery, University Hospitals, Genève, SwitzerlandDivision of Digestive Surgery, University Hospitals of Geneva, Genève, SwitzerlandDivision of Digestive Surgery, University Hospitals of Geneva, Genève, SwitzerlandService de Chirurgie Digestive, Endocrinienne et Générale, University Hospital of Limoges (CHU) de Limoges, Limoges, FranceDivision of Urologic Surgery, Department of Surgery, University Hospitals, Genève, SwitzerlandService de Chirurgie Digestive, Endocrinienne et Générale, University Hospital of Limoges (CHU) de Limoges, Limoges, FranceDivision of Urologic Surgery, Department of Surgery, University Hospitals, Genève, SwitzerlandBackgroundPatients undergoing colorectal surgery (CRS) have an increased risk of developing sexual disorders, attributed to different mechanisms. In this context, sexual function (SF) assessment of patients before and after surgery is essential: to identify risk factors for sexual disorders as well as to minimize their impact on overall quality of life (QoL), allowing them a satisfying relationship and sexual life.Material and methodsPatients over 18 years of age who underwent a CRS in the University Hospital of Geneva, Switzerland, between June 2014 and February 2016 were included. Our main objective was to compare and analyze the evolution of SF, QoL, and marital satisfaction (MS) before and after CRS. Specific and standardized tests were used.ResultsA cohort of 72 patients with a median age of 58.73 was analyzed. The majority of CRS was elective (91.5%). A percentage of 52.8% of patients underwent surgery for oncological reasons. There was no statistical difference in SF, sexual QoL, and MS before and after elective or emergency CRS for men. Interestingly, a significant decrease in women’s SF (FSFI) as well as their satisfaction within their couple (Locke–Wallace) until 12 months after surgery was found (p = 0.021). However, they showed a steady SF (GRISS) within their couple until 12 months after surgery.ConclusionRegarding knowledge about difficulties to talk about this intimate topic and gender differences, this general overview raises the question of the necessity to introduce in a long-course follow-up different methods of sexual health assessment with specific stakeholders.https://www.frontiersin.org/articles/10.3389/fonc.2022.968978/fullsexual functionmarital satisfactioncolorectal surgeryassessmentpatient related outcome
spellingShingle Emilie Liot
Niki Christou
Niki Christou
Niki Christou
Sandra de Sousa
Jacques Klein
Iranmanesh Pouya
Danae Guedj
Nicolas C. Buchs
Nicolas C. Buchs
Frédéric Ris
Frédéric Ris
Patients’ related sexual outcomes in colorectal surgery
Frontiers in Oncology
sexual function
marital satisfaction
colorectal surgery
assessment
patient related outcome
title Patients’ related sexual outcomes in colorectal surgery
title_full Patients’ related sexual outcomes in colorectal surgery
title_fullStr Patients’ related sexual outcomes in colorectal surgery
title_full_unstemmed Patients’ related sexual outcomes in colorectal surgery
title_short Patients’ related sexual outcomes in colorectal surgery
title_sort patients related sexual outcomes in colorectal surgery
topic sexual function
marital satisfaction
colorectal surgery
assessment
patient related outcome
url https://www.frontiersin.org/articles/10.3389/fonc.2022.968978/full
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