Objectives: To evaluate short-term effects of low anterior resection using
either open or laparoscopic approach on erectile function (EF) and sexual
performance of rectal cancer patients.
Patients & Methods: The study included 60 male patients with mean age
of 57.9±5.6 years; 45 had TO tumors, while 15 patients had TI tumors
and 51 patients had NO and 9 patients had NI nodal involvement. All
patients had low anterior rectal resection (RR) according to the standard
total mesorectal excision (TME) with identification of the hypogastric
and autonomic nerves using either laparoscopic (Lap RR) or open (Open
RR) approach. All patients underwent evaluation of EF using the
International Index of Erectile Function (IIEF-5) and sexual function and
performance using the Brief Male Sexual Function Inventory (BMSFI)
preoperatively and at 6 postoperative (PO) months. |