title: [Assessment of Functional Results after Sphincter-Preserving Surgery in Elderly Patients with Low Rectal Cancer].
abstract: The aim of this study was to evaluate postoperative dysfunction and potential problems after a sphincter-preserving operation in elderly patients with low rectal cancer.
  
  
  METHODS
  Between 2000 and 2012, 307 consecutive patients with low rectal cancer underwent curative sphincter-preserving surgery. We evaluated postoperative anal and urinary dysfunction in 190 patients who responded to a questionnaire by mail.
  
  
  RESULTS
  After a median follow-up of 5.7 years, there was no significant difference between the elderly and a younger group in the Wexner incontinence score. Poor anal function assessed by modified FIQL was significantly associated with the elderly. Poor urinary function assessed by the IPSS score was significantly associated with the elderly, diabetes mellitus, and autonomic nerve preservation(AN2-3).
  
  
  CONCLUSIONS
  From the viewpoint of urinary function, sphincter-preserving surgery with all autonomicnerve preservation(AN4)should be considered for elderly people and patients with diabetes.
authors.affiliation: Dept. of Surgery, Kashiwa Kousei General Hospital.
authors.forename: Motoi
authors.initials: M
authors.lastname: Koyama
authors.forename: Kenta
authors.initials: K
authors.lastname: Kitamura
authors.forename: Tomonori
authors.initials: T
authors.lastname: Matsumura
authors.forename: Keigo
authors.initials: K
authors.lastname: Okada
authors.forename: Satoshi
authors.initials: S
authors.lastname: Inose
authors.forename: Eishi
authors.initials: E
authors.lastname: Totsuka
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Karikomi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Suzuki
authors.forename: Naokazu
authors.initials: N
authors.lastname: Nakamura
authors.forename: Shigeru
authors.initials: S
authors.lastname: Masamura
authors.forename: Tatsushi
authors.initials: T
authors.lastname: Suwa
authors.forename: Hajime
authors.initials: H
authors.lastname: Morohashi
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hakamada
mesh_terms: D000368:Aged; D001005:Anus Neoplasms / Q000503:physiopathology* / Q000601:surgery*; D005242:Fecal Incontinence; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome