Urinary and sexual dysfunction in women after resection with and without preoperative radiotherapy for rectal cancer: a population‐based cross‐sectional study
Abstract:Urinary and sexual problems are common in women after treatment for rectal cancer. Preoperative radiotherapy interferes with several aspects of urinary and sexual functioning. Bowel dysfunction after LAR is associated with urinary dysfunction and a reduction in sexual desire, activity and satisfaction.
“…However, this is not supported by our study, probably because of few patients who received APR surgery. On the other hand, some papers on female urinary and sexual dysfunction after resection with and without preoperative radiotherapy showed similar results to ours [24,25]. In terms of urinary function, although we saw no intergroup differences in mean IPSS scores, the changes in IPSS scores between baseline and the various follow-up time points are significantly different.…”
Compared with the CS group, erectile and urinary functions were significantly affected by NA CRT. Age, stoma, tumor location, and tumor size were also correlated with erectile dysfunction in the RCS group.
“…However, this is not supported by our study, probably because of few patients who received APR surgery. On the other hand, some papers on female urinary and sexual dysfunction after resection with and without preoperative radiotherapy showed similar results to ours [24,25]. In terms of urinary function, although we saw no intergroup differences in mean IPSS scores, the changes in IPSS scores between baseline and the various follow-up time points are significantly different.…”
Compared with the CS group, erectile and urinary functions were significantly affected by NA CRT. Age, stoma, tumor location, and tumor size were also correlated with erectile dysfunction in the RCS group.
“…However, the risk of either urinary or sexual dysfunction does seem heightened following total mesorectal excision compared with partial mesorectal excision, as well as after preoperative radiotherapy. 14,30,31 A limitation of the current study was that not all patients treated with curative surgery for rectal cancer in the study period underwent postoperative MRI or had their bowel function assessed. Of these patients, a subset of elderly patients, patients with disseminated disease, and patients with major comorbidities were exempted from follow-up or were not assessed for LARS.…”
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“…Nevertheless, in the studies performed recently, severe late effects have been confirmed in patients undergoing pelvic radiation therapy. The gastrointestinal problem is among them (30,31).…”
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