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

Hyuk Hur, Sung Uk Bae, Namkyu Kim, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, YoungTae Kim, Youngdeuk Choi

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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. J. Surg. Oncol. 2013; 108:572-578.

Original languageEnglish
Pages (from-to)572-578
Number of pages7
JournalJournal of Surgical Oncology
Volume108
Issue number8
DOIs
Publication statusPublished - 2013 Dec 1

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Rectal Neoplasms
Rheology
Laparoscopy
Prostate
Urine

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

Cite this

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title = "Comparative study of voiding and male sexual function following open and laparoscopic total mesorectal excision in patients with rectal cancer",
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. J. Surg. Oncol. 2013; 108:572-578.",
author = "Hyuk Hur and Bae, {Sung Uk} and Namkyu Kim and Min, {Byung Soh} and Baik, {Seung Hyuk} and Lee, {Kang Young} and YoungTae Kim and Youngdeuk Choi",
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Comparative study of voiding and male sexual function following open and laparoscopic total mesorectal excision in patients with rectal cancer. / Hur, Hyuk; Bae, Sung Uk; Kim, Namkyu; Min, Byung Soh; Baik, Seung Hyuk; Lee, Kang Young; Kim, YoungTae; Choi, Youngdeuk.

In: Journal of Surgical Oncology, Vol. 108, No. 8, 01.12.2013, p. 572-578.

Research output: Contribution to journalArticle

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T1 - Comparative study of voiding and male sexual function following open and laparoscopic total mesorectal excision in patients with rectal cancer

AU - Hur, Hyuk

AU - Bae, Sung Uk

AU - Kim, Namkyu

AU - Min, Byung Soh

AU - Baik, Seung Hyuk

AU - Lee, Kang Young

AU - Kim, YoungTae

AU - Choi, Youngdeuk

PY - 2013/12/1

Y1 - 2013/12/1

N2 - 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. J. Surg. Oncol. 2013; 108:572-578.

AB - 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. J. Surg. Oncol. 2013; 108:572-578.

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