Abstract
A prospective study to evaluate sexual dysfunction following resection of the rectum was performed in 21 male patients. Following proctocolectomy for inflammatory bowel disease (9 patients), the incidence of sexual dysfunction was 11%, and it was always partial. Following abdominoperineal excision of the rectum for carcinoma (7 patients), the incidence of sexual dysfunction was 50%, and it was total in 16%. After anterior resection with low colorectal anastomosis (5 patients), the incidence of sexual dysfunction was 40%. The risk of dysfunction following operations on the rectum increased with the age of the patient and was minimal below the age of 50 years. In patients with inflammatory bowel disease, careful dissection close to the rectum should avoid damage to the pelvic nerves, and the incidence of sexual dysfunction should be low.
Résumé
Dans une étude prospective, nous avons analysé chez 21 hommes les troubles de la fonction sexuelle après amputation du rectum. Leur fréquence est de 11% après proctocolectomie pour maladie inflammatoire de l'intestin (9 cas) et les troubles sont toujours partiels. Après abdominopérinéale pour cancer du rectum (7 cas), 50% des opérés ont des troubles, avec perte fonctionnelle totale dans 16%. La fréquence est de 40% après résection abdominale du rectum avec anastomose colorectale (5 cas). Le risque augmente avec l'âge: il est minimal en-des-sous de 50 ans. Dans les maladies inflammatoires de l'intestin, une dissection attentive, qui reste au contact du rectum, doit éviter toute lésion des nerfs pelviens avec une fréquence faible de troubles de la fonction sexuelle.
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Fazio, V.W., Fletcher, J. & Montague, D. Prospective study of the effect of resection of the rectum on male sexual function. World J. Surg. 4, 149–151 (1980). https://doi.org/10.1007/BF02393562
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DOI: https://doi.org/10.1007/BF02393562