Comparison of sexual function of people with colorectal cancer with and without colostomy bag in Iran: a comparative cross-sectional study

Dahouri, Amirmohammad; Sahebihagh, Mohammad Hasan; Gilani, Neda

doi:10.1038/s41598-023-39728-9

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…The effect of various factors such as age, gender, comorbidities, location of the tumor, whether the level of pelvic reflection was lowered during surgery, and the surgical technique applied to the patients (AR, LAR, open surgery, laparoscopic surgery, etc) on ED have been the subject of research in various studies. [12,13] The results of our study showed that age and CCI values significantly differed in the IIEF scores of the patients in the postoperative period (P < .001). A review of the literature suggests that patient age and comorbidities increase the risk of ED in the postoperative period.…”

Section: Discussionmentioning

confidence: 65%

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Investigation of postoperative erectile dysfunction in colorectal surgery patients and comparison of results

Uçaner,

Buldanli,

Çimen

et al. 2024

Medicine

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Background: Although surgical treatment is curative for colorectal cancers, erectile dysfunction (ED) is one of the complications that affect the patient quality of life. The present study aimed to evaluate sexual dysfunction in patients who underwent anterior resection (AR) and low AR (LAR) surgery secondary to rectosigmoid pathologies in our clinic, to analyze the effective variables, and to compare the results. Methods: In the retrospectively designed study, male patients who underwent surgery for malignancy or other surgical pathologies in the General Surgery Clinic between January 2017 and December 2022 were examined. Female gender, patients under 18 years of age, and patients who refused to participate in the study were excluded. Results: The high age of the patient increased the risk of severe ED in the postoperative period. However, surgical technique, alcohol use, American Society of Anesthesiologists (ASA) score, and Clavien-Dindo class were not determinants in the presence of severe ED. Conclusion: ED is an emerging medical problem that affects patients who undergo colorectal surgery adversely both in social and psychological aspects. Discussions on the issue are still ongoing. Clinicians’ concerns can be addressed in the future as the number of prospectively designed studies involving more homogeneous and larger populations increases.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Investigation of postoperative erectile dysfunction in colorectal surgery patients and comparison of results

Uçaner,

Buldanli,

Çimen

et al. 2024

Medicine

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“…These confounding factors may mask the precise impact of a stoma on sexual functioning. Therefore, it is imperative for future research to specifically address this issue in the context of colon cancer 59 – 61 .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with sexual dysfunction in patients with colorectal cancer in Iran: a cross-sectional study

Dahouri,

Sahebihagh,

Gilani

2024

Sci Rep

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Sexual dysfunction is a prevalent issue among individuals diagnosed with colorectal cancer (CRC), significantly impacting their quality of life. However, limited research has explored the factors associated with sexual dysfunction in CRC patients in Iran. This cross-sectional study aimed to identify the demographic factors that may contribute to sexual dysfunction in this population. A cross-sectional study involving CRC patients was conducted from April 1, 2022, to May 1, 2022, in Tabriz, Iran. Ethical approvals were obtained, and convenience sampling was employed at outpatient chemotherapy centers in five Tabriz hospitals. Validated questionnaires, including participants characteristics form, the Female Sexual Function Index (FSFI) for females and International Index of Erectile Function (IIEF) for males, were utilized. Data were analyzed using IBM SPSS Statistics version 24, employing descriptive statistics and stepwise linear regression to assess association between mentioned factors and sexual function. Among 256 participants, 50.4% were males, 49.6% were females, and 80.5% were married. The predominant age range was 50–60 years. The study findings revealed a high prevalence of sexual dysfunction among both female (Mean ± SD: 10.91 ± 8.67, Min–Max: 3.20–33.00) and male (Mean ± SD: 27.64 ± 16.28, Min–Max: 11–62) CRC patients. Factors such as the presence of a colostomy for FSFI (P < 0.001), type of treatment received for both FSFI and IIEF (P < 0.001), type of housing for both FSFI and IIEF (P < 0.001), occupation for FSFI (P < 0.001), presence of other diseases for FSFI (P = 0.047), and time since the last chemotherapy session for FSFI (P = 0.018), Education for IIEF (P = 0.026), and Age for IIEF (P = 0.002) were identified as significant factors of sexual dysfunction. These demographic factors demonstrated varying effects on sexual function, underscoring the complexity of this issue. The results underscore the significance of addressing sexual health concerns in CRC patients and highlight the necessity for tailored interventions to enhance their overall well-being. Healthcare providers should recognize the influence of demographic factors on sexual function and contemplate integrating sexual health assessments and interventions into the care of CRC patients. Further research is needed to comprehend better the underlying mechanisms and devise effective strategies for managing sexual dysfunction in this population.

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Comparison of sexual function of people with colorectal cancer with and without colostomy bag in Iran: a comparative cross-sectional study

Cited by 2 publications

References 33 publications

Investigation of postoperative erectile dysfunction in colorectal surgery patients and comparison of results

Investigation of postoperative erectile dysfunction in colorectal surgery patients and comparison of results

Factors associated with sexual dysfunction in patients with colorectal cancer in Iran: a cross-sectional study

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