J.Jpn. Surg. Soc.. 83(9): 1034-1038, 1982
Report on the annual meeting
URINARY AND SEXUAL DYSFUNCTION AND THE MODE OF RADICAL OPERATION FOR RECTAL CANCER
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Institute of Gastroenterology, Tokyo Women's Medical School, Tokyo, Japan Kyoichi. Hamano, S. Akimoto, T. Yuri, T. Noguchi, M. Masuyama, Y. Mukubo |
Urinary dysfunction occurred in 101 cases out of total 215 cases (47%). In male of 123 cases, erection disturbance was experienced in 53 cases (43.1%), whereas ejaculation impairment was seen in 80 cases (67.2%).
There were seen some differences in incidence of these disturbances according to its mode of operation, namely, urinary dysfunction rate of 68.4% and erection disturbance rate of 58.5% was obtained in the group which underwent Miles (abdominoperineal resection) operations. On the other hand, in anterior resection group, urinary dysfunction occurred in 26.8%, erection disturbance in 27.6% which show the better results than those of in Miles group.
Incidence of ejaculation impairment was unexpectedly high, however, both in Miles group (81.1%) and in anterior resection group (67.2%).
In the consequence of recently performed extended excision including lateral dissection, grave damage on these functions was experienced, i.e., uritary dysfunction in 73.6%, erection disturbance in 86.3% and ejaculation impairment in 96%.
It is still a inevitable and antinomic problem to pursue the extended radical surgery and to avoid such functional disturbance.
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