Comparative study of voiding and male sexual function following open and laparoscopic total mesorectal excision in patients with rectal cancer. Issue 8 (20th September 2013)

• Record Type: Journal Article
• Authors: Hur, Hyuk; Bae, Sung Uk; Kim, Nam Kyu; Min, Byung Soh; Baik, Seung Hyuk; Lee, Kang Young; Kim, Young Tae; Choi, Young Deuk
• Is Part Of: Journal of surgical oncology. Volume 108:Issue 8(2013:Dec. 15)
• Page Start: 572
• Page End: 578
• Publication Date: 2013-09-20
• Subjects: Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.23435
• Languages: English
• ISSNs: 0022-4790

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="jso23435-sec-0001" sec-type="section"> <title>Background</title> <p>This study aimed to compare voiding and male sexual dysfunction between open and laparoscopic rectal cancer surgery.</p> </sec> <sec id="jso23435-sec-0002" sec-type="section"> <title>Methods</title> <p>Ninety‐seven patients (62 male and 35 female) who underwent open (n<italic> </italic>= 41) or laparoscopic (n<italic> </italic>= 56) surgery for rectal cancer were prospectively enrolled. Urine flowmetry, the international prostate symptom score, and the international index of erectile function were assessed preoperatively and postoperatively.</p> </sec> <sec id="jso23435-sec-0003" sec-type="section"> <title>Results</title> <p>Voiding function score increased 1 month after surgery (open: 9.3 ± 4.6 to 14.0 ± 8.2, laparoscopic: 8.3 ± 5.3 to 12.3 ± 5.2; <italic>P </italic>= 0.002 and <italic>P </italic>< 0.001). The score was even higher in both groups after 6 months, but the increases were not statistically significant (open: 9.9 ± 4.5, laparoscopic: 9.2 ± 5.6; <italic>P </italic>= 0.546 and <italic>P </italic>= 0.280). Male patients who underwent open surgery (n<italic> </italic>= 22) experienced declining sexual function until 12 months post surgery (before: 55.2 ± 9.8, 12 months: 48.7 ± 15.9, <italic>P </italic>= 0.031). In laparoscopic group (n<italic> </italic>= 28), sexual function decreased until 6 months after surgery, but rose again by 12 months (before: 55.4 ± 9.0, 12 months: 52.2 ± 11.7, <italic>P</italic> = 0.134).</p> </sec> <sec id="jso23435-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Voiding dysfunction recovered after 6 months following both open and laparoscopic surgery. Male sexual function recovered more quickly in laparoscopic group and returned to preoperative levels after 12 months. <italic>J. Surg. Oncol. 2013; 108:572–578</italic>. © 2013 Wiley Periodicals, Inc.</p> </sec> </abstract>