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Impact on sexual function of surgical treatment in rectal cancer
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 uri...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815544/ https://www.ncbi.nlm.nih.gov/pubmed/29219281 http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0318 |
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author | Costa, Pedro Cardoso, João M. Louro, Hugo Dias, Jorge Costa, Luís Rodrigues, Raquel Espiridião, Paulo Maciel, Jorge Ferraz, Luís |
author_facet | Costa, Pedro Cardoso, João M. Louro, Hugo Dias, Jorge Costa, Luís Rodrigues, Raquel Espiridião, Paulo Maciel, Jorge Ferraz, Luís |
author_sort | Costa, Pedro |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5815544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-58155442018-02-22 Impact on sexual function of surgical treatment in rectal cancer Costa, Pedro Cardoso, João M. Louro, Hugo Dias, Jorge Costa, Luís Rodrigues, Raquel Espiridião, Paulo Maciel, Jorge Ferraz, Luís Int Braz J Urol Original Article 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. Sociedade Brasileira de Urologia 2018 /pmc/articles/PMC5815544/ /pubmed/29219281 http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0318 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Costa, Pedro Cardoso, João M. Louro, Hugo Dias, Jorge Costa, Luís Rodrigues, Raquel Espiridião, Paulo Maciel, Jorge Ferraz, Luís Impact on sexual function of surgical treatment in rectal cancer |
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 | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815544/ https://www.ncbi.nlm.nih.gov/pubmed/29219281 http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0318 |
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