mdlinx mdlinx
Latest (53) Full Text Articles (1860) Article Summary

Urogenital function following laparoscopic and open rectal cancer resection: a comparative study
Surgical Endoscopy,

McGlone ER et al. – Laparoscopic total mesorectal excision for rectal cancer is associated with significantly less deterioration in sexual function compared with open surgery. This effect is particularly pronounced in women.

Methods
  • All patients who underwent elective laparoscopic or open surgery for rectal cancer between September 2006 and September 2009 were identified from a prospectively collated database.
  • Validated standardized postal questionnaires were sent to surviving patients to assess their postoperative sexual and urinary function.
  • The functional data were then quantified using previously validated indices of function.

Results
  • A total of 173 patients were identified from the database, of whom 144 (83 %) responded to the questionnaire–based study.
  • Seventy–eight respondents had undergone laparoscopic rectal resection (49 men and 29 women), and 65 had an open procedure (41 men and 24 women).
  • Both open surgery and laparoscopic surgery were associated with deterioration in urinary and sexual function.
  • With regard to urinary function, there was no difference in the deterioration in open and laparoscopic groups in either gender.
  • With regard to sexual function, in males one component of sexual function, namely, the incidence of successful penetration, showed less deterioration in the laparoscopic group (p = 0.04).
  • However, in females, laparoscopic surgery was associated with significantly better outcomes in all aspects of sexual activity, specifically sexual arousal (p = 0.005), lubrication (p = 0.001), orgasm (p = 0.04), and the incidence of dyspareunia (p = 0.02).

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Surgery

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Surgery Articles

Last month's top read Top Articles of 2013

1 Laparoscopic sleeve gastrectomy using 42-French versus 32-French bougie: The first-year outcome Obesity Surgery, March 3, 2014    Clinical Article

2 Are Today's New Surgeons Unprepared? The New York Times, December 13, 2013

3 Traditional lateral ileostomy versus percutaneous ileostomy by exclusion probe for the protection of extraperitoneal colo-rectal anastomosis: The ALPPI (Anastomotic Leak Prevention by Probe Ileostomy) trial. A randomized controlled trial European Journal of Surgical Oncology, March 13, 2014    Clinical Article

4 Outcomes of robotic-assisted colorectal surgery compared with laparoscopic and open surgery: A systematic review Journal of Gastrointestinal Surgery, February 7, 2014    Evidence Based Medicine    Review Article

5 Reduction of postoperative ileus by early Enteral Nutrition in patients undergoing major rectal surgery: prospective, randomized, controlled trial Annals of Surgery, March 7, 2014    Clinical Article

6 Bariatric surgery and its impact on cardiovascular disease and mortality: A systematic review and meta-analysis International Journal of Cardiology, March 18, 2014    Evidence Based Medicine    Review Article

7 Johns Hopkins review throws doubt on wound care treatment Full Text EurekAlert!, December 24, 2013    Free full text

8 Effect of breast conservation therapy vs mastectomy on disease-specific survival for early-stage breast cancer JAMA Surgery, January 20, 2014    Clinical Article

9 Comparison of gastrojejunal anastomosis techniques in laparoscopic roux-en-y gastric bypass: Gastrojejunal stricture rate and effect on subsequent weight loss Obesity Surgery, March 6, 2014    Clinical Article

10 Venous thromboembolism risk in mastectomy and immediate breast reconstruction: Analysis of the 2005 to 2011 American College of Surgeons National Surgical Quality Improvement Program Data Sets Plastic and Reconstructive Surgery, February 28, 2014    Clinical Article

11 Treatment a breakthrough for burn victims Full Text USA Today, January 13, 2014    Free full text

12 A simple method to inset and position polyurethane-covered breast implants Aesthetic Plastic Surgery, March 12, 2014    Clinical Article

13 Transumbilical endoscopic costal cartilage harvesting: A new technique Annals of Plastic Surgery, March 25, 2014    Clinical Article

14 Two hundred seventy-five single-incision laparoscopic gastric band insertions: What have we learnt? Obesity Surgery, March 14, 2014    Clinical Article

15 Effects of gastric bypass on type 2 diabetes in patients with BMI 30 to 35 Obesity Surgery, March 20, 2014    Clinical Article

16 Effect of perioperative transfusion of old red blood cells on postoperative complications after free muscle sparing transverse rectus abdominis myocutaneous flap surgery for breast reconstruction Microsurgery, March 11, 2014    Clinical Article

17 Obstetrical and neonatal outcomes in women following gastric bypass Acta Obstetricia et Gynecologica Scandinavica, March 10, 2014    Clinical Article

18 Adaptive ageing surgeons ANZ Journal of Surgery, March 3, 2014    Review Article

19 3 Things Doctors Should Know About Obamacare U.S. News & World Report - Health, December 17, 2013

20 Is the high superior tension technique an equivalent substitute for progressive tension sutures in postbariatric abdominoplasty? A comparison prospective study Plastic and Reconstructive Surgery, March 4, 2014    Clinical Article

Indexed Journals in Surgery: Surgery, Journal of the American College of Surgeons, Annals of Surgerymore

Other Topics in Surgery

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Stay current - Media Tool

Newsletter
RSS
Follow
Like

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close