[Complications after treatment of colorectal cancer, with special focus on stomas, urological conditions and sexual dysfunction].
In spite of improved surgical principles in colorectal surgery, patients undergoing this operation still suffer from long-term postoperative complications. Many patients have permanent stomas, and up to 60% have problems related to their stomas, the most frequent of these being parastomal hernia. In this context, the use of primary prophylaxis with mesh insertion is encouraging. Before the introduction of total mesorectal excision (TME), there was a very high rate of bladder problems and sexual dysfunction with impotence and retrograde ejaculation. The rate has been reduced dramatically since the introduction of TME, but up to 5% of patients still suffer from permanent bladder dysfunction and complete impotence.
Gögenur
Ismail
I
Amtssygehuset i Gentofte, Kirurgisk Afdeling D, Hellerup. ig@dadlnet.dk
Wittendorff
Hans-Erik
HE
Colstrup
Hans
H
Rosenberg
Jacob
J
Fischer
Anders
A
D015179:Colorectal Neoplasms / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects; D004542:Ejaculation / Q000502:physiology; D007172:Erectile Dysfunction / Q000209:etiology; D046449:Hernia, Abdominal / Q000517:prevention & control; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D012004:Rectal Neoplasms / Q000601:surgery*; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000503:physiopathology; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*; D014555:Urination Disorders / Q000209:etiology* / Q000503:physiopathology