Prospective study of urinary function and analysis of risk factors after rectal cancer surgery

Balciscueta, Zutoia; Tabet, Janine; Martín, M. Carmen; López, Manuel; Uribe, Natalia

doi:10.1007/s10151-021-02445-4

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…These studies corroborate the results in the present study to some degree. In contradiction to our findings, Torrijo et al [ 22 ], with shorter follow-up time than ours (12 months), reported AL as a risk factor for urinary dysfunction measured by IPSS [ 26 ]. Our results are also in contrast with Kverneng et al reporting that AL was associated with a decreased risk for urinary incontinence [ 15 ].…”

Section: Discussioncontrasting

confidence: 99%

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Rutegård,

Jutesten,

Buchwald

et al. 2024

Int J Colorectal Dis

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Purpose Anastomotic leakage after anterior resection for rectal cancer induces bowel dysfunction, but the influence on urinary and sexual function is largely unknown. This cross-sectional cohort study evaluated long-term effect of anastomotic leakage on urinary and sexual function in male patients. Methods Patients operated with anterior resection for rectal cancer in 15 Swedish hospitals 2007–2013 were identified. Anastomotic leakage and other clinical variables were retrieved from the Swedish Colorectal Cancer Registry and medical records. Urinary and sexual dysfunction were evaluated at 4 to 11 years after surgery using the International Prostate Symptom Score, International Index of Erectile Function, and European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire CR29. The effect of anastomotic leakage on average scores of urinary and sexual dysfunction was evaluated as a primary outcome, and the single items permanent urinary catheter and sexual inactivity as secondary outcomes. The association of anastomotic leakage and functional outcomes was analyzed using regression models with adjustment for confounders. Results After a median follow-up of 84 months (interquartile range: 67–110), 379 out of 864 eligible men were included. Fifty-nine (16%) patients had anastomotic leakage. Urinary incontinence was more common in the leakage group, with an adjusted mean score difference measured by EORTC QLQ ColoRectal–29 of 8.69 (95% confidence interval: 0.72–16.67). The higher risks of urinary frequency, permanent urinary catheter, and sexual inactivity did not reach significance. Conclusion Anastomotic leakage after anterior resection had a minor negative impact on urinary and sexual function in men.

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Section: Discussioncontrasting

confidence: 99%

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Rutegård,

Jutesten,

Buchwald

et al. 2024

Int J Colorectal Dis

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show abstract

“…Postoperative urinary function after rectal cancer surgery may be impacted by several factors. [31][32][33] According to Manabe et al, 23 bilateral IVA resection can significantly increase the incidence of postoperative urinary dysfunction because of decreased blood flow to the bladder and the subsequent lower urinary tract symptoms; however, the influence of unilateral IVA resection was similar to that of no IVA resection. In our study, although the bilateral LLND accounted for a small proportion, patients in the NIR group tended to have better postoperative urinary function than those in the non-NIR group, which may be attributed to the higher IVA preservation rate.…”

Section: Discussionmentioning

confidence: 99%

Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Non-randomized Controlled Study

Tang,

Zhou,

et al. 2023

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Near-infrared imaging with indocyanine green has been used to guide lateral lymph node dissection, yet its efficacy and benefits need further investigation. OBJECTIVE: To investigate the efficacy and feasibility of near-infrared fluorescence imaging and angiography of inferior vesical artery in laparoscopic lateral lymph node dissection. DESIGN: A prospective non-randomized controlled study. SETTINGS: Single center study PATIENTS: Patients with lower rectal cancer who underwent total mesorectal excision plus lateral lymph node dissection. MAIN OUTCOME MEASURES: A cohort of 108 patients was enrolled. After propensity score matching, 29 patients in near-infrared group and 50 patients in non-near-infrared group were matched. The total number of harvested lateral lymph nodes, positive lateral lymph nodes, inferior vesical artery preservation, and postoperative urinary function were compared. RESULTS: After propensity score matching, the baseline characteristics were similar in both groups. The total number of harvested lateral lymph nodes in the near-infrared group was significantly higher (12 vs 9, p = 0.013), but positive lateral lymph nodes were similar between the two groups (1 vs. 1, p = 0.439). The ratio of inferior vesical artery preservation was significantly increased with the aid of indocyanine green angiography (93.1% vs. 56.0%, p < 0.001). The non-near-infrared group required more days for urinary catheter removal than the near-infrared group (5 vs. 4, p = 0.046). Urinary recatheterization tended to occur more frequently in the non-near-infrared group, with a marginally significant trend (16% vs. 0%, p = 0.059). The non-near-infrared group tended to have more cases with residual urine volume ≥50 ml than that of the near-infrared group (20.0% vs. 3.4%, p = 0.087), especially in the bilateral dissection subgroup (41.2% vs. 0%, p = 0.041). LIMITATIONS: Small sample size. CONCLUSIONS: Near-infrared imaging increased the number of harvested lateral lymph nodes, while real-time indocyanine green fluorescence angiography ensured the preservation of inferior vesical artery and tended to improve postoperative urinary function.

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Prevalence of urinary dysfunction after minimally invasive surgery for deep rectosigmoid endometriosis

Carvalho

Pellino

Pereira

et al. 2023

Langenbecks Arch Surg

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Prospective study of urinary function and analysis of risk factors after rectal cancer surgery

Cited by 8 publications

References 42 publications

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Minor impact of anastomotic leakage in anterior resection for rectal cancer on long-term male urinary and sexual function

Applications of Near-Infrared Fluorescence Imaging and Angiography of Inferior Vesical Artery in Laparoscopic Lateral Lymph Node Dissection: A Prospective Non-randomized Controlled Study

Prevalence of urinary dysfunction after minimally invasive surgery for deep rectosigmoid endometriosis

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