Wang Gang, Wang Zhiming, Jiang Zhiwei, Liu Jiang, Zhao Jian, Li Jieshou
Department of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, Jiangsu, People's Republic of China.
Int J Med Robot. 2017 Mar;13(1). doi: 10.1002/rcs.1725. Epub 2016 Jan 8.
Urinary and sexual dysfunction is the potential complication of rectal cancer surgery. The aim of this study was to evaluate the urinary and sexual function in male patients with robotic surgery for rectal cancer.
This prospective study included 137 of the 336 male patients who underwent surgery for rectal cancer. Urinary and male sexual function was studied by means of a questionnaire based on the International Prostatic Symptom Score and International Index of Erectile Function. All data were collected before surgery and 12 months after surgery.
Patients who underwent robotic surgery had significantly decreased incidence of partial or complete erectile dysfunction and sexual dysfunction than patients with laparoscopic surgery. The pre- and post-operative total IPSS scores in patients with robotic surgery were significantly less than that with laparoscopic surgeries.
Robotic surgery shows distinct advantages in protecting the pelvic autonomic nerves and relieving post-operative sexual dysfunction.
泌尿和性功能障碍是直肠癌手术的潜在并发症。本研究的目的是评估男性直肠癌患者接受机器人手术时的泌尿和性功能。
本前瞻性研究纳入了336例接受直肠癌手术的男性患者中的137例。通过基于国际前列腺症状评分和国际勃起功能指数的问卷来研究泌尿和男性性功能。所有数据均在手术前和手术后12个月收集。
与接受腹腔镜手术的患者相比，接受机器人手术的患者发生部分或完全勃起功能障碍及性功能障碍的发生率显著降低。接受机器人手术的患者术前和术后的国际前列腺症状评分总分显著低于接受腹腔镜手术的患者。
机器人手术在保护盆腔自主神经和缓解术后性功能障碍方面显示出明显优势。
