Assessment of Long-Term Sexual Function after Radical Resection for Lower Rectal Cancer

The aim of this study was to evaluate the long-term sexual function and risk factors of dysfunction after the autonomic nerve preserving operation for lower rectal cancer. We evaluated postoperative sexual function assessed by IIEF5 in 91 patients who responded to the questionnaire by mail. After a...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 44; no. 12; p. 1500
Main Authors Koyama, Motoi, Okada, Keigo, Kitamura, Kenta, Matsumura, Tomonori, Totsuka, Eishi, Karikomi, Kazuhiro, Suzuki, Hiroyuki, Masamura, Shigeru, Suwa, Tatsushi, Arai, Tomomi, Komiya, Akemi, Yoshioka, Yuriko
Format Journal Article
LanguageJapanese
Published Japan 01.11.2017
Subjects
Colectomy - adverse effects
Humans
Rectal Neoplasms - surgery
Sexual Behavior
Sexual Dysfunction, Physiological - physiopathology
Surveys and Questionnaires
Time Factors
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Summary:The aim of this study was to evaluate the long-term sexual function and risk factors of dysfunction after the autonomic nerve preserving operation for lower rectal cancer. We evaluated postoperative sexual function assessed by IIEF5 in 91 patients who responded to the questionnaire by mail. After a median follow-up of 5.5 years, univariate analysis identified 4 risk factors associated with poor sexual function: the elder, over 3 years after surgery, pathological stage III , and lateral lymph node dissection(both side). Poor sexual function assessed by multivariate analysis was significantly associated with the elder(over 60 years). From the viewpoint of sexual dysfunction, the autonomic nerve preserving operation( AN4)should be considered for elderly people.
ISSN:0385-0684