Studies on postoperative dysfunctions after rectal cancer surgery.

• Yamada Kazutaka

  First Department of Surgery, Kagoshima University School of Medicine

• Niwa Kiyoshi

  First Department of Surgery, Kagoshima University School of Medicine

• Sameshima Takashi

  First Department of Surgery, Kagoshima University School of Medicine

• Haruyama Katsuro

  First Department of Surgery, Kagoshima University School of Medicine

• Katsura Yoshinori

  First Department of Surgery, Kagoshima University School of Medicine

• Hase Shigeya

  First Department of Surgery, Kagoshima University School of Medicine

• Ishizawa Takashi

  First Department of Surgery, Kagoshima University School of Medicine

• Shimazu Hisaaki

  First Department of Surgery, Kagoshima University School of Medicine

Bibliographic Information

Other Title

• 直腸癌患者の術後排尿，性機能およびストーマの機能障害に関する検討

Abstract

Rectal cancer surgery not infrequently causes serious disturbances in defecation, urination and sexualf unction, postoperatively. We studied such postoperative dysfunctions in 73 patients by a questionnaire survey. The incidence of urinary dysfunction was affected by the type of operation and lymph node dissection. Particularly, abdominoperineal resection or iliopelvic lymphadenectomy caused serious disturbances. However, no dysfunction occurred in patients who underwent an autonomic nerve-preserving operation. Urinary dysfunction occurred less frequently in female patients. Sexual disturbances in postoperative patients were also affected by the type of operative procedure, occurring frequently after abdominoperineal resection or pull-through method. The older the patient, the more frequently sexual disturbances occurred. Moreover, their sexual life was mainly disturbed by psychological factors due to intestinal stoma. On the other hand, a considerable number of stoma patients complained of a peristomal skin disturbance and an odor of feces. Adequate preoperative marking of the stoma was considered important to avoid its malpositioning.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 23 (12), 2777-2782, 1990

  The Japanese Society of Gastroenterological Surgery

Keywords

• urinary dysfunction after rectal cancer surgery
• sexual dysfunction after rectal cancer surgery
• complication of intestinal stoma

Details

• CRID: 1390282679892589056
• NII Article ID: 130004341778
• NII Article ID: 110001312344
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.23.2777
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/23/12/23_12_2777/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1991219955
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed