Abstract:
Objective To explore influence of total mesorectal excision, radical resection and pelvic autonomic nerve preservation surgery on male sexual function and urinary function.
Methods Fifty-six cases of rectal cancer patients were randomly divided into observation group and control group: the observation group underwent TME+ PANP treatment, the control group underwent conventional TME treatment.One-year postoperative survival rate, recurrence rate, and the sexual and urinary function(including erectile function and ejaculatory function)of patients were evaluated.
Results No deaths occurred in both groups.Two cases of TME+ PANP group, and 1 case of TME group developed recurrence, the relapse rate of the two groups have no significant difference(P>0.05). There is no significant difference between TME+ PANP group and TME group(P>0.05)on urinary function.The postoperative ejaculation function of TME+ PANP group is better than that of of TME group(P<0.05); The postoperative erectile function of TME+ PANP group was better than that of TME group(P<0.05).
Conclusion TME and PANT do not increase local recurrence rate and could reduce urinary dysfunction, sexual dysfunction and ejaculatory dysfunction rate.
Key words:
Total mesorectal excision,
Pelvic autonomic nerve,
Urination,
Sexual dysfunction, physiological
Tao LI. Influence of total mesorectal excision, radical resection and pelvic autonomic nerve preservation surgery on male sexual function and urinary function[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(01): 36-39.