Quality of life after rectal resection for cancer, with or without permanent colostomy.

Pachler, Jørn; Wille‐Jørgensen, Peer

doi:10.1002/14651858.cd004323.pub2

Cited by 166 publications

(227 citation statements)

References 37 publications

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“…However, a recent Cochrane review (in 2007) found no significant differences in overall QOL between patients with stomas and those without stomas. 42 Data regarding the effects of stoma creation on sexual function are mixed. Sideris et al 23 compared patients with stomas with those without stomas and found no significant differences.…”

Section: Ostomy Creationmentioning

confidence: 99%

Sexual Function After Treatment for Rectal Cancer: A Review

Lee

Stein

et al. 2011

Diseases of the Colon &Amp; Rectum

134

101

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Sexual function is one element of QOL that may be significantly altered following treatment for rectal cancer, but the incidence and contributing risk factors are generally poorly understood. Nevertheless, the impact of rectal cancer therapy on sexual function should be conveyed to patients preoperatively. In addition to helping patients evolve realistic expectations, it will help clinicians identify those for whom interventions may be appropriate. In the past 10 years, there has been an increase in the number of studies reporting sexual dysfunction following rectal cancer treatment. However, these studies are difficult to interpret collectively for a variety of reasons. Most importantly, sexual dysfunction lacks a standardized definition, which leads to poor comparability between studies. The best inclusive definitions describe sexual dysfunction as a collection of distinct symptoms, which differ for men and women. The absence of sexual activity is sometimes used as a surrogate for sexual dysfunction, but this is confounded by an individual's desire and opportunity for sexual activity, and may not be an accurate reflection of physiologic functionality. Additional factors complicating assimilation of studies include the absence of baseline data, missing data, small sample sizes, and heterogeneity in use of validated and nonvalidated instruments. The purpose of this article is to systematically review the contemporary literature reporting sexual function after rectal surgery to determine the overall risk of sexual dysfunction, evaluate possible contributing factors, and identify questions that should be addressed in future studies.

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Section: Ostomy Creationmentioning

confidence: 99%

Sexual Function After Treatment for Rectal Cancer: A Review

Lee

Stein

et al. 2011

Diseases of the Colon &Amp; Rectum

134

101

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“…Thus, clinical anorectal autotransplantation is a convenient approach to the treatment of anorectal malformations, fecal incontinence and complex perineal trauma [1,2,[8][9][10]. However, despite this early success, anorectal transplantation did not progress as a therapeutic model.…”

Section: Discussionmentioning

confidence: 99%

“…It is difficult to explain why anorectal autotransplantation has not achieved widespread use among proctologic surgeons. The fact is that a convenient treatment for complex perineal trauma, anorectal malformation and fecal incontinence is still needed and anorectal transplantation is a logical proposal for these disorders [1,2,[8][9][10]. In addition the procedure avoids permanent colostomy.…”

Section: Discussionmentioning

confidence: 99%

“…The rat is the ultimate model for transplantation research. In the course of previous intestinal transplantation research, we created a model of small-bowel and colon transplantation to study the presence of an ileocecal valve and large-bowel graft behavior [2][3][4][5]. Anorectal transplantation is a logical method to treat fecal incontinence and to avoid colostomy [1,6]; however, there is no model to study anorectal autotransplantation in the rat and no reports comparing this procedure with colostomy.…”

Section: Introductionmentioning

confidence: 99%

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Anorectal transplantation

et al. 2009

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“…This could particularly apply to low rectal cancer, where the eventual anastomosis is very low and many patients have neo-adjuvant therapy. Thus a literature review in 2005 [55] concluded, 'no apparent differences in quality of life are found in rectal cancer patients with a permanent stoma when compared to non-stoma patients. ' A 2007 Meta analysis [56] confirmed these initial findings, that there was no difference in the quality of life experienced following APE or low anterior resection.…”

Section: Morbidity and Quality Of Life In Low Anterior Resection Compmentioning

confidence: 99%

Extralevator AbdominoPerineal Excision (ELAPE) for Advanced Low Rectal Cancer

Moran

Moore

2014

Colorectal Cancer

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Abdominoperineal excision (APE) of the rectum is being performed since more than one hundred years, following the technical description of the procedure reported on Lancet by Sir Ernest Miles. APE can be perfomed either medially to the levator ani (intersphincteric APE) or removing it by sectioning the muscle at its pelvic attachment (extralevator APE, ELAPE). However, some publications recently introduced the concept that the procedure can be classified "standard" or "extended" ("extralevator"). This concept should be carefully examined to avoid confusion.

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Quality of life after rectal resection for cancer, with or without permanent colostomy.

Cited by 166 publications

References 37 publications

Sexual Function After Treatment for Rectal Cancer: A Review

Sexual Function After Treatment for Rectal Cancer: A Review

Anorectal transplantation

Extralevator AbdominoPerineal Excision (ELAPE) for Advanced Low Rectal Cancer

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