Impact on sexual function of surgical treatment in rectal cancer
ABSTRACT Introduction The development of new surgical techniques and medical devices, like therapeutical multimodal approaches has allowed for better outcomes on patients with rectal cancer (RCa). Owing to that, an increased awareness and investment towards better outcomes regarding patients’ sexua...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100141&lng=en&tlng=en |
| _version_ | 1818342791859666944 |
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| author | Pedro Costa João M. Cardoso Hugo Louro Jorge Dias Luís Costa Raquel Rodrigues Paulo Espiridião Jorge Maciel Luís Ferraz |
| author_facet | Pedro Costa João M. Cardoso Hugo Louro Jorge Dias Luís Costa Raquel Rodrigues Paulo Espiridião Jorge Maciel Luís Ferraz |
| author_sort | Pedro Costa |
| collection | DOAJ |
| description | ABSTRACT Introduction The development of new surgical techniques and medical devices, like therapeutical multimodal approaches has allowed for better outcomes on patients with rectal cancer (RCa). Owing to that, an increased awareness and investment towards better outcomes regarding patients’ sexual and urinary function has been recently observed. Aim Evaluate and characterize the sexual dysfunction of patients submitted to surgical treatment for RCa. Materials and Methods An observational retrospective study including all male patients who underwent a surgical treatment for RCa between January 2011 December 2014 (n=43) was performed, complemented with an inquiry questionnaire to every patient about its sexual habits and level of function before and after surgery. Discussion All patients were male, with an average of 64yo. (range 42-83yo.). The surgical procedure was a rectum anterior resection (RAR) in 22 patients (56%) and an abdominoperineal resection (APR) in 19(44%). Sixty three percent described their sexual life as important/very important. Sexual function worsening was observed in 76% (65% with complains on erectile function, and 27% on ejaculation). Fourteen patients (38%) didn't resume sexual activity after surgery. Increased age (p=0.007), surgery performed (APR) (p=0.03) and the presence of a stoma (p=0.03) were predictors of ED after surgery. A secondary analysis found that the type of surgery (APR) (p=0.04), lower third tumor's location (p=0.03) and presence of comorbidities (p=0.013) (namely, smokers and diabetic patients) were predictors of de novo ED after surgery. Conclusions This study demonstrated the clear negative impact in sexual function of patients submitted to a surgical treatment for RCa. Since it is a valued feature for patients, it becomes essential to correctly evaluate/identify these cases in order to offer an adequate therapeutical option. |
| first_indexed | 2024-12-13T16:20:19Z |
| format | Article |
| id | doaj.art-c47c82c3c0cc412e939a17c1a125ad62 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-13T16:20:19Z |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-c47c82c3c0cc412e939a17c1a125ad622022-12-21T23:38:45ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-611944114114910.1590/s1677-5538.ibju.2017.0318S1677-55382018000100141Impact on sexual function of surgical treatment in rectal cancerPedro CostaJoão M. CardosoHugo LouroJorge DiasLuís CostaRaquel RodriguesPaulo EspiridiãoJorge MacielLuís FerrazABSTRACT Introduction The development of new surgical techniques and medical devices, like therapeutical multimodal approaches has allowed for better outcomes on patients with rectal cancer (RCa). Owing to that, an increased awareness and investment towards better outcomes regarding patients’ sexual and urinary function has been recently observed. Aim Evaluate and characterize the sexual dysfunction of patients submitted to surgical treatment for RCa. Materials and Methods An observational retrospective study including all male patients who underwent a surgical treatment for RCa between January 2011 December 2014 (n=43) was performed, complemented with an inquiry questionnaire to every patient about its sexual habits and level of function before and after surgery. Discussion All patients were male, with an average of 64yo. (range 42-83yo.). The surgical procedure was a rectum anterior resection (RAR) in 22 patients (56%) and an abdominoperineal resection (APR) in 19(44%). Sixty three percent described their sexual life as important/very important. Sexual function worsening was observed in 76% (65% with complains on erectile function, and 27% on ejaculation). Fourteen patients (38%) didn't resume sexual activity after surgery. Increased age (p=0.007), surgery performed (APR) (p=0.03) and the presence of a stoma (p=0.03) were predictors of ED after surgery. A secondary analysis found that the type of surgery (APR) (p=0.04), lower third tumor's location (p=0.03) and presence of comorbidities (p=0.013) (namely, smokers and diabetic patients) were predictors of de novo ED after surgery. Conclusions This study demonstrated the clear negative impact in sexual function of patients submitted to a surgical treatment for RCa. Since it is a valued feature for patients, it becomes essential to correctly evaluate/identify these cases in order to offer an adequate therapeutical option.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100141&lng=en&tlng=enSurgical ProceduresOperativeRectal NeoplasmsDiagnosis |
| spellingShingle | Pedro Costa João M. Cardoso Hugo Louro Jorge Dias Luís Costa Raquel Rodrigues Paulo Espiridião Jorge Maciel Luís Ferraz Impact on sexual function of surgical treatment in rectal cancer International Brazilian Journal of Urology Surgical Procedures Operative Rectal Neoplasms Diagnosis |
| title | Impact on sexual function of surgical treatment in rectal cancer |
| title_full | Impact on sexual function of surgical treatment in rectal cancer |
| title_fullStr | Impact on sexual function of surgical treatment in rectal cancer |
| title_full_unstemmed | Impact on sexual function of surgical treatment in rectal cancer |
| title_short | Impact on sexual function of surgical treatment in rectal cancer |
| title_sort | impact on sexual function of surgical treatment in rectal cancer |
| topic | Surgical Procedures Operative Rectal Neoplasms Diagnosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100141&lng=en&tlng=en |
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