The influence of pelvic autonomic nerve preservation with total mesorectal excision on urinary and sexual function in mid and low rectal cancer
- VernacularTitle:保留盆腔自主神经的全直肠系膜切除术对中、低位直肠癌患者术后排尿和性功能的影响
- Author:
Xuehui ZHANG
;
Yongmei LIU
;
Qingliang ZENG
- Publication Type:Journal Article
- Keywords:
Hypogastric plexus?Rectal neoplasms?Total mesorectal excision?Urination disorders?sex disorders
- From:
Chinese Journal of Current Advances in General Surgery
1998;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the changes of urinary and sexual function after pelvic autonomic nerve preservation with total mesorectal excision operation in patients of rectal cancer . Methods:Fifty-two patients of Dukes B stage received The PANP following TME with follow-up was complete in 38 cases while TME in 35 cases of Dukes B from January 2004 to August 2006. The urinary and sexual dysfunctions of patients in case and control group were analyzed retrospectively by case-control study. Urinary and sexual function were evaluated by means of questionnaires before and after operation.Results:The micturation dysfunction rate was 15.7%(6/38) and 40%(14/35) ,the sexual dysfunction rate was 18.4%(7/38) and 51.4%(18/35)in case and control group respectively,with the difference being significant(P=0.013,P=0.002).Conclusion:The PANP following TME for rectal cancer could reduce sexual and micturition disorder rate and improve the quality of life of the patients after operation.
