Objective To study the relationship between autonomic nerve preservation and sexual and urinary functions after total mesorectal excision in patients with cancer of the lower rectum, and to explore improved nursing methods for these patients.
Methods Eligible patients with cancer of the lower rectum were non-randomly assigned to either a control group (n=278)or an autonomic nerve-preserving group （n=263）. The recovery time of micturition desire, catherization time, lower urinary tract infection rate, residual urine, severity of urinary disorders and sexual disorders were observed.
Results The recovery time of micturition desire, catherization time, lower urinary tract infection rate, residual urine, severity of urinary disorders and sexual disorders were lower in the autonomic nerve-preserving group than in the control group. (P lt;0.05) .
Conclusion Autonomic nerve preservation radical resection leads to better maintenance of urinary and sexual functions for patients with cancer of the lower rectum. Nursing should be focused on the prevention of urinary tract complications and the rehabilitation of sexual and urinary functions.
Citation：
CHEN Zengrong,LI Ka,YIN Yiqiong. Effect of Autonomic Nerve Preservation on Sexual and Urinary Functions in Patients Undergoing Total Mesorectal Excision for Lower Rectal Cancer. Chinese Journal of Evidence-Based Medicine, 2006, 06(8): 571-575. doi:
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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Yasutomi M. Advances in rectal cancer surgery in Japan. Dis Colon Rectum, 1997; ( Suppl10): S74-S79.
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| 2. |
Maeda K, Maruta M, Utsumi T, et al. Matsuoka Bladder and male sexual functions after autonomic nerve-sparing TME with or without lateral node dissection for rectal cancer. Tech Coloproctol, 2003; 7(1):29-33.
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| 3. |
Heald RJ, Husband EM, Ryall RD.The mesorectum in rectal cancer surgery ─ the clue to pelvic recurrence? Br J Surg, 1982; 69(10):613-616.
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Enker WE, Thaler HT, Cranor ML, et al.Total mesorectal excision in the operative treatment of carcinoma of the rectum. J Am Coll Surg, 1995;181(4):335-346.
|
| 5. |
Maeda K, Maruta M, Utsumi T, et al. Does perifascial rectal excision (i.e. TME) when combined with the autonomic nerve-sparing technique interfere with operative radicality? Colorectal Dis, 2002; 4(4): 233-239.
|
| 6. |
Bonnel C, Parc YR, Pocard M, et al. Effects of preoperative radiotherapy for primary respectable rectal adenocarcinoma on male sexual and urinary function. Dis Colon Rectum, 2002; 45 (7):934-939.
|
| 7. |
Masui H，Ike H, Yamaguchi S,et al. Male sexual function after autonomic nerve-preserving operation for rectal cancer. Disease of Colon Rectum, 1996;39(10):1140-1145.
|
| 8. |
Maas CP, Moriya Y, Steup WH, et al .Radical and nerve preserving surgery for rectal cancer in the Netherlands: a prospective study on morbidity and functional outcome. Br J Surg, 1998;85 (1): 92-97.
|
- 1. Yasutomi M. Advances in rectal cancer surgery in Japan. Dis Colon Rectum, 1997; ( Suppl10): S74-S79.
- 2. Maeda K, Maruta M, Utsumi T, et al. Matsuoka Bladder and male sexual functions after autonomic nerve-sparing TME with or without lateral node dissection for rectal cancer. Tech Coloproctol, 2003; 7(1):29-33.
- 3. Heald RJ, Husband EM, Ryall RD.The mesorectum in rectal cancer surgery ─ the clue to pelvic recurrence? Br J Surg, 1982; 69(10):613-616.
- 4. Enker WE, Thaler HT, Cranor ML, et al.Total mesorectal excision in the operative treatment of carcinoma of the rectum. J Am Coll Surg, 1995;181(4):335-346.
- 5. Maeda K, Maruta M, Utsumi T, et al. Does perifascial rectal excision (i.e. TME) when combined with the autonomic nerve-sparing technique interfere with operative radicality? Colorectal Dis, 2002; 4(4): 233-239.
- 6. Bonnel C, Parc YR, Pocard M, et al. Effects of preoperative radiotherapy for primary respectable rectal adenocarcinoma on male sexual and urinary function. Dis Colon Rectum, 2002; 45 (7):934-939.
- 7. Masui H，Ike H, Yamaguchi S,et al. Male sexual function after autonomic nerve-preserving operation for rectal cancer. Disease of Colon Rectum, 1996;39(10):1140-1145.
- 8. Maas CP, Moriya Y, Steup WH, et al .Radical and nerve preserving surgery for rectal cancer in the Netherlands: a prospective study on morbidity and functional outcome. Br J Surg, 1998;85 (1): 92-97.
