Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Costa, Pedro, Cardoso, João M., Louro, Hugo, Dias, Jorge, Costa, Luís, Rodrigues, Raquel, Espiridião, Paulo, Maciel, Jorge, Ferraz, Luís
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2018
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
_version_ 1783300513658306560
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
work_keys_str_mv AT costapedro impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT cardosojoaom impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT lourohugo impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT diasjorge impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT costaluis impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT rodriguesraquel impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT espiridiaopaulo impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT macieljorge impactonsexualfunctionofsurgicaltreatmentinrectalcancer
AT ferrazluis impactonsexualfunctionofsurgicaltreatmentinrectalcancer