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Comparative study of voiding and male sexual function following open and laparoscopic total mesorectal excision in patients with rectal cancer

Authors
 Hyuk Hur  ;  Sung Uk Bae  ;  Nam Kyu Kim  ;  Byung Soh Min  ;  Seung Hyuk Baik  ;  Kang Young Lee  ;  Young Tae Kim  ;  Young Deuk Choi 
Citation
 JOURNAL OF SURGICAL ONCOLOGY, Vol.108(8) : 572-578, 2013 
Journal Title
JOURNAL OF SURGICAL ONCOLOGY
ISSN
 0022-4790 
Issue Date
2013
MeSH
Adult ; Aged ; Anastomotic Leak/etiology ; Digestive System Surgical Procedures/adverse effects* ; Digestive System Surgical Procedures/methods* ; Erectile Dysfunction/etiology* ; Humans ; Ileostomy ; Laparoscopy*/adverse effects ; Length of Stay ; Lymphatic Metastasis ; Male ; Middle Aged ; Neoplasm Staging ; Operative Time ; Prospective Studies ; Rectal Neoplasms/physiopathology* ; Rectal Neoplasms/surgery* ; Urination*
Keywords
rectal cancer ; total mesorectal excision ; laparoscopic surgery ; voiding function ; sexual function
Abstract
BACKGROUND: This study aimed to compare voiding and male sexual dysfunction between open and laparoscopic rectal cancer surgery. METHODS: Ninety-seven patients (62 male and 35 female) who underwent open (n = 41) or laparoscopic (n = 56) surgery for rectal cancer were prospectively enrolled. Urine flowmetry, the international prostate symptom score, and the international index of erectile function were assessed preoperatively and postoperatively. RESULTS: Voiding function score increased 1 month after surgery (open: 9.3 ± 4.6 to 14.0 ± 8.2, laparoscopic: 8.3 ± 5.3 to 12.3 ± 5.2; P = 0.002 and P < 0.001). The score was even higher in both groups after 6 months, but the increases were not statistically significant (open: 9.9 ± 4.5, laparoscopic: 9.2 ± 5.6; P = 0.546 and P = 0.280). Male patients who underwent open surgery (n = 22) experienced declining sexual function until 12 months post surgery (before: 55.2 ± 9.8, 12 months: 48.7 ± 15.9, P = 0.031). In laparoscopic group (n = 28), sexual function decreased until 6 months after surgery, but rose again by 12 months (before: 55.4 ± 9.0, 12 months: 52.2 ± 11.7, P = 0.134). CONCLUSIONS: Voiding dysfunction recovered after 6 months following both open and laparoscopic surgery. Male sexual function recovered more quickly in laparoscopic group and returned to preoperative levels after 12 months.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jso.23435/abstract
DOI
10.1002/jso.23435
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Bae, Sung Uk(배성욱)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89129
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