Quantifying displacement of urogenital organs after abdominoperineal resection for rectal cancer

Sharabiany, Sarah; Strijk, Gaby J.; Blok, Robin D.; Ferrett, Colin; Stoker, Jaap; Cunningham, Christopher; Bilt, Jarmila D. W. van der; Geloven, A. A. W. van; Bemelman, W. A.; Hompes, Roel; Musters, Gijsbert D.; Tanis, Pieter J.

doi:10.1111/codi.15885

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…FSFI total score, FSFI pain domain, and FSDS-R were correlated with absolute displacement of the cervix. All the above analyses were repeated with rotation of the different anatomical landmarks [3]. The correlation between the displacement and questionnaires were analyzed with the Spearman's rank correlation coefficient and were graphically displayed in scatterplots.…”

Section: Discussionmentioning

confidence: 99%

“…A more detailed description of the reference lines, anatomical landmarks, and calculation of displacement has been published previously [3].…”

Section: Quantification Of Urogenital Organ Displacementmentioning

confidence: 99%

“…In a previous study, we quantified that the creation of a large empty cavity in the pelvis after APR can result in substantial displacement of the urogenital organs, and high inter-individual variability was observed [3]. The degree of these anatomical changes may theoretically affect the function of the organs in various ways.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the impact of urogenital organ displacement after abdominoperineal resection on urinary and sexual function

Sharabiany

Kreisel

Strijk

et al. 2022

Int J Colorectal Dis

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Purpose This study aimed to establish the functional impact of displacement of urogenital organs after abdominoperineal resection (APR) using validated questionnaires. Methods Patients who underwent APR for primary or recurrent rectal cancer (2001–2018) with evaluable pre- and postoperative radiological imaging and completed urinary (UDI-6, IIQ-7) and sexual questionnaires (male, IIEF; female, FSFI, FSDS-R) were included from 16 centers. Absolute displacement of the internal urethral orifice, posterior bladder wall, distal end of the prostatic urethra, and cervix were correlated to urogenital function by calculating Spearman’s Rho (ρ). Median function scores were compared between minimal or substantial displacement using median split. Results There were 89 male and 36 female patients included, of whom 45 and 19 were sexually active after surgery. Absolute displacement of the internal urethral orifice and posterior bladder wall was not correlated with UDI-6 in men (ρ = 0.119 and ρ = 0.022) nor in women (ρ = − 0.098 and ρ = − 0.154). In men with minimal and substantial displacement of the internal urethral orifice, median UDI-6 scores were 10 (IQR 0–22) and 17 (IQR 5–21), respectively, with corresponding scores of 25 (IQR 10–46) and 21 (IQR 16–36) in women. Displacement of the cervix and FSDS-R were correlated (ρ = 0.433) in sexually active patients. Conclusion This first analysis on functional impact of urogenital organ displacement after APR suggests that more displacement of the cervix might be associated with worse sexual function, while the data does not indicate any potential functional impact of bladder displacement. Studies are needed to further explore this underexposed topic.

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Section: Discussionmentioning

confidence: 99%

“…A more detailed description of the reference lines, anatomical landmarks, and calculation of displacement has been published previously [3].…”

Section: Quantification Of Urogenital Organ Displacementmentioning

confidence: 99%

See 1 more Smart Citation

Exploring the impact of urogenital organ displacement after abdominoperineal resection on urinary and sexual function

Sharabiany

Kreisel

Strijk

et al. 2022

Int J Colorectal Dis

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Quantifying displacement of urogenital organs after abdominoperineal resection for rectal cancer

et al. 2021

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Aim: This study aimed to quantify displacement of urogenital organs after abdominoperineal resection (APR), and to explore patient and treatment characteristics associated with displacement.Method: Patients from 16 centres who underwent APR for primary or recurrent rectal cancer (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018) with evaluable preoperative and 6-18 months postoperative radiological imaging were included in the study. Anatomical landmarks on sagittal images were related to a coordinate system based on reference lines between fixed bony structures and absolute displacements were calculated using the Pythagorean theorem. Rotation of landmarks was measured relative to a pubic-S5 reference line.Results: There were 248 patients included of which 171 were men and 77 women. The median displacement of the internal urethral orifice was 25 mm in men (maximum 65), and 17 mm in women (maximum 50). Rotation of the internal urethral orifice was in a caudal direction in 160/170 (94%) of men and 65/73 (89%) of women, with a median of 32 degrees (maximum 85) and 33 degrees (maximum 83), respectively. Displacements of

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Quantifying displacement of urogenital organs after abdominoperineal resection for rectal cancer

Cited by 2 publications

References 12 publications

Exploring the impact of urogenital organ displacement after abdominoperineal resection on urinary and sexual function

Exploring the impact of urogenital organ displacement after abdominoperineal resection on urinary and sexual function

Quantifying displacement of urogenital organs after abdominoperineal resection for rectal cancer

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