Self reported experience of sexual function and quality after abdominoperineal excision in a prospective cohort

INTERNATIONAL JOURNAL OF SURGERY

卷:12

Article

Angenete, Eva¹  Asplund, Dan¹  Andersson, John^1,2  Haglind, Eva¹ 

[1] Univ Gothenburg, Sahlgrenska Univ Hosp Ostra, Inst Clin Sci, Dept Surg,SSORG Scandinavian Surg Outcomes Res Gr, Gothenburg, Sweden

[2] Alingsas Hosp, Dept Surg, Alingsas, Sweden

关键词: Abdominoperineal resection;    Sexual dysfunction;    Rectal neoplasm;    Quality of life;    Morbidity;   

DOI  :  10.1016/j.ijsu.2014.10.003

来源: Elsevier

【 摘 要 】

Introduction: Rectal cancer treatment, especially abdominoperineal excision (APE), can cause sexual dysfunction. There are indications that pre-operative information regarding sexual dysfunction is inadequate. The aim of this study was to explore self reported sexual function in a group of patients operated with APE and the patients' remembrance of preoperative information more than one year after their surgical procedure. Methods: Consecutive patients with rectal cancer operated with APE in one institution between 2004 and 2009 were included. Data was collected from hospital records and the Swedish Colorectal cancer registry. A detailed questionnaire was sent out to the patients 13-84 months post-operatively. Results: One hundred and eight patients were alive in February 2011, 84 agreed to participate and 89% returned the questionnaire. Men and women did not differ regarding age, tumour stage, neoadjuvant treatment or type of surgical procedure. More men were involved in a relationship; men had more thoughts about sex, were less satisfied and were more bothered than women by their sexual dysfunction. A majority of patients did not retain sufficient knowledge from the preoperative information regarding sexual dysfunction. Discussion: This exploratory study shows that although sexual activity was similar between the two genders, men reported more bother by their self-reported sexual dysfunction after an APE than women did. However, both men and women felt that the preoperative information was inadequate. Conclusion: Surgeons should focus more on information about the risk of sexual dysfunction as well as on its treatment at follow-up. Trial registration: ClinicalTrials.gov, NCT01323166. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free