Effect of laparoscopic surgery on sexual function of male patients with rectal cancer

doi:10.3877/cma.j.issn.1674-0793.2016.04.006

Abstract

Abstract:

Objective

To compare the effect of laparoscopic and open radical surgery on sexual function of male patients with rectal cancer.

Methods

Totally one hundred and sixteen male cases with rectal cancer were collected from April 2010 to May 2013, who were divided into observation group (69 cases with laparoscopic PANP surgery) and open group (47 cases with open PANP surgery), and the sexual function of the two groups were compared after 6 and 12 months follow-up.

Results

The erectile dysfunction and ejaculatory dysfunction in the observation group after 6 months was significantly lower than those of the open group (χ²=6.520, 6.158, P=0.010, 0.013); and the erectile and ejaculatory dysfunction in the observation group after 12 months was significantly lower than those of the open group (χ²=6.144, 3.985, P=0.013, 0.045).

Conclusion

Compared with traditional open surgery, laparoscopic radical resection of rectal cancer can effectively reduce the incidence of postoperative erectile dysfunction and ejaculation dysfunction, and improve the quality of life after surgery.

Key words: Sexual dysfunction, physiological, Rectal neoplasms, Laparoscopes, Autonomic nervous system

Liping Xie, Jinxin Lin, Yuqing Lei, Puning Wang, Junwen Ye, Jun Huang. Effect of laparoscopic surgery on sexual function of male patients with rectal cancer[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(04): 256-259.

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URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0793.2016.04.006

https://zhptwkxwx.cma-cmc.com.cn/EN/Y2016/V10/I04/256

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References 15

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组别	例数	勃起功能			射精功能
组别	例数	Ⅰ级	Ⅱ级	Ⅲ级	Ⅰ级	Ⅱ级	Ⅲ级
腹腔镜组	69	56(81.16)	10(14.49)	3(4.35)	52(75.36)	11(15.94)	6(8.70)
开腹组	47	28(59.57)	14(29.79)	5(10.64)	25(53.19)	14(29.79)	8(17.02)
χ²值	?	5.761	3.985	1.723^a	6.158	3.170	1.826
P值	?	0.016	0.046	0.189	0.013	0.080	0.177

组别	例数	勃起功能			射精功能
组别	例数	Ⅰ级	Ⅱ级	Ⅲ级	Ⅰ级	Ⅱ级	Ⅲ级
腹腔镜组	69	56(81.16)	10(14.49)	3(4.35)	52(75.36)	11(15.94)	6(8.70)
开腹组	47	28(59.57)	14(29.79)	5(10.64)	25(53.19)	14(29.79)	8(17.02)
χ²值	?	5.761	3.985	1.723^a	6.158	3.170	1.826
P值	?	0.016	0.046	0.189	0.013	0.080	0.177

组别	例数	勃起功能			射精功能
组别	例数	Ⅰ级	Ⅱ级	Ⅲ级	Ⅰ级	Ⅱ级	Ⅲ级
腹腔镜组	69	59(85.51)	9(13.04)	1(1.45)	59(85.51)	8(11.59)	2(2.90)
开腹组	47	31(65.96)	12(25.53)	4(8.51)	33(70.21)	12(25.53)	2(4.26)
χ²值	?	4.102	2.941	3.380 ^a	3.985	3.806	0.155 ^a
P值	?	0.043	0.086	0.066	0.045	0.051	0.694

组别	例数	勃起功能			射精功能
组别	例数	Ⅰ级	Ⅱ级	Ⅲ级	Ⅰ级	Ⅱ级	Ⅲ级
腹腔镜组	69	59(85.51)	9(13.04)	1(1.45)	59(85.51)	8(11.59)	2(2.90)
开腹组	47	31(65.96)	12(25.53)	4(8.51)	33(70.21)	12(25.53)	2(4.26)
χ²值	?	4.102	2.941	3.380 ^a	3.985	3.806	0.155 ^a
P值	?	0.043	0.086	0.066	0.045	0.051	0.694

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