A Comparative Study of Voiding and Sexual Function after Total Mesorectal Excision with Autonomic Nerve Preservation for Rectal Cancer: Laparoscopic Versus Robotic Surgery

Kim, Jeong Yeon; Kim, Nam Kyu; Lee, Kang Young; Hur, Hyuk; Min, Byung Soh; Kim, Jang Hwan

doi:10.1245/s10434-012-2262-1

Cited by 331 publications

(232 citation statements)

References 27 publications

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“…Surgical expertise is another influencing factor of ED with case series from high surgeon volume and high cancer center volume reporting lower rates of ED (Havenga et al, 1996). Furthermore, a laparoscopic approach can be used in pelvic autonomic nerve-preserving surgery for patients with low rectal cancer (Kim et al, 2012;Liang et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Phosphodiesterase-5 Inhibitors and Vacuum Erection Device for Penile Rehabilitation After Laparoscopic Nerve-Preserving Radical Proctectomy for Rectal Cancer: A Prospective Controlled Trial

et al. 2016

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The current study sought to clarify the role of phosphodiesterase type 5 inhibitors (PDE-5i) and a vacuum erection device (VED) in penile rehabilitation after laparoscopic nerve-preserving radical proctectomy (LNRP) for rectal cancer. Participants were assigned to one of the following arms-no-intervention, nightly use of sildenafil 25 mg for 3 months after surgery, or concurrent use of nightly sildenafil 25 mg/day for 3 months and a vacuum erection device (VED) 10 to 15 minutes/day for 3 months-in a nonrandomized fashion. All participants had a follow-up of over 12 months prospectively, and patients had baseline, 3-, 6-, and 12-month assessment based on the International Index of Erectile Function-5 (IIEF-5). Seventy-one cases were included in final analyses. In the no-intervention group, the mean baseline IIEF-5 score of 21.9 decreased rapidly to 5.0 at 3 months (p < .001), 9.2 at 6 months (p < .001), and stayed at 10.9 at 12 months (p < .001). In the single therapy group, the mean baseline IIEF-5 score of 22.4 decreased dramatically to 9.0 at 3 months (p < .001), 14.9 at 6 months (p = .005), and stayed at 15.1 at 12 months (p = .005). In the combined therapy group, the mean baseline IIEF-5 score of 23.0 decreased slightly to 15.0 at 3 months (p = .005), 18.0 at 6 months (p = .038), and maintained at 18.7 at 12 months (p = .163). Findings suggested an over 50% decline in the quality of erection function of the patients after LNRP. The early use of PDE-5i alone or combined use of PDE-5i and VED after LNRP maintained erectile function at 12 months.

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Section: Discussionmentioning

confidence: 99%

Phosphodiesterase-5 Inhibitors and Vacuum Erection Device for Penile Rehabilitation After Laparoscopic Nerve-Preserving Radical Proctectomy for Rectal Cancer: A Prospective Controlled Trial

et al. 2016

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“…No differences in adequacy of resected specimen or complications were observed 22 . Kim and colleagues observed an earlier return in bladder function in robotic versus laparoscopic patients, but no overall differences were seen in bladder or sexual function at six months 23 . Further study is needed to determine if this is a significant difference that will be realised by all surgeons.…”

Section: Rectal Resection and Total Mesorectal Excisionmentioning

confidence: 96%

The robotic colorectal surgeon

Olson¹

2013

OA Robotic Surgery

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“…W piśmiennictwie dostępne są publikacje potwierdzające, że zastosowanie robota w operacjach odbytnicy związane jest z lepszymi wynikami czynnościowymi, tj. z mniej nasilonymi zaburzeniami mikcji i funkcji seksualnych, jak również bardziej kompletnym preparatem mezorektum [19][20][21]. W najnowszym badaniu Kang i wsp.…”

Section: Chirurgia Onkologicznaunclassified

Chirurgia robotowa: nowa jakość i przełom w leczeniu czy kosztowny gadżet?

Witkiewicz¹

2013

Nowotwory. Journal of Oncology

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A Comparative Study of Voiding and Sexual Function after Total Mesorectal Excision with Autonomic Nerve Preservation for Rectal Cancer: Laparoscopic Versus Robotic Surgery

Abstract: R-TME for rectal cancer is associated with earlier recovery of normal voiding and sexual function compared to patients who underwent L-TME, although this result needs to be verified by larger prospective comparative studies.

Cited by 331 publications

References 27 publications

Phosphodiesterase-5 Inhibitors and Vacuum Erection Device for Penile Rehabilitation After Laparoscopic Nerve-Preserving Radical Proctectomy for Rectal Cancer: A Prospective Controlled Trial

Phosphodiesterase-5 Inhibitors and Vacuum Erection Device for Penile Rehabilitation After Laparoscopic Nerve-Preserving Radical Proctectomy for Rectal Cancer: A Prospective Controlled Trial

The robotic colorectal surgeon

Chirurgia robotowa: nowa jakość i przełom w leczeniu czy kosztowny gadżet?

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