Male sexual function after laparoscopic total mesorectal excision

Abstract

The proportion of patients with sexual dysfunction after LTME is low. With the enhanced visibility of the laparoscope, inadvertent PAN injury was detected in a significant number of cases and associated with transient deterioration of sexual function.

High Rate of Sexual Dysfunction Following Surgery for Rectal Cancer

“…While a number of studies have examined rates of SD after surgery for rectal cancer, the primary focus has been on the male sexual issue of ED. Research on female rectal cancer survivors' sexual function remains limited, and generally it is ignored during surgery [ 19 , 21 , 22 ]. Moreover, female SD after surgery for rectal cancer has been relatively ignored [ 13 ] due in part to the reluctance of women with rectal cancer to respond to questions about their sexuality [ 16 ].…”

A prospective video-controlled study of genito-urinary disorders in 35 consecutive laparoscopic TMEs for rectal cancer

“…However, if related to specific postoperative GU symptoms, it might become a diagnostic examination. Video review, in fact, has helped us in understanding where the neural lesions could have happened [24]. In 5 patients reporting moderate/severe GUD though, video analysis could not provide a clear surgical reason related to the dysfunction referred.…”

“…We also reviewed the video documentations of all patients to determine the potential sites of neural lesion occurence and their frequency [22][23][24][25].…”

Total mesorectal excision for rectal cancer with emphasis on pelvic autonomic nerve preservation: Expert technical tips for robotic surgery

“…The reason could be ineffective laparoscopic traction and countertraction, which cause difficulties in dissection around the neurovascular bundles. However, favorable functional outcomes also have been reported [15,44]. We have compared voiding and male sexual dysfunction between open (n ¼ 41) and laparoscopic (n ¼ 56) TME for rectal cancer.…”