Fegiz G, Trenti A, Bezzi M, Ambrogi V, Papini Papi M, Tucci G, Angelini L
Ital J Surg Sci. 1986;16(2):103-9.
A series of 475 patients who underwent surgery for rectal carcinoma were followed up and entered this study. Sexual and bladder function before and after surgery with respect to the surgical procedure was considered. 221 patients gave suitable information about their urinary function: bladder dysfunction was observed in 20% of amputated patients as against 13-14% of resected patients. 144 patients (103 males and 41 females) were available for a follow-up study of the sexual function. Sexual intercourse, libido, erection, ejaculation, dyspareunia, vaginal humidification, orgasm were the parameters examined. Almost all of them were more affected after abdominoperineal resection than after low anterior resection with manual or stapled anastomosis, although the difference was not always significant. In a few instances the rates were inverted. It is believed that these dysfunctions are not related to the type of surgery, but to required extent of radicality. Extreme care should be always taken when dissecting the end portion of the rectum to avoid injuries to the hypogastric plexus and the pudendal nerve.
对475例行直肠癌手术的患者进行了随访并纳入本研究。考虑了手术前后与手术方式相关的性功能和膀胱功能。221例患者提供了关于其排尿功能的合适信息：截肢患者中20%出现膀胱功能障碍，而切除患者中这一比例为13 - 14%。144例患者（103例男性和41例女性）可用于性功能的随访研究。检查的参数包括性交、性欲、勃起、射精、性交困难、阴道湿润、性高潮。几乎所有患者在腹会阴切除术后比在低位前切除加手工或吻合器吻合术后受影响更大，尽管差异并非总是显著。在少数情况下，比例会颠倒。据信这些功能障碍与手术类型无关，而是与所需的根治程度有关。在解剖直肠末端时应始终极其小心，以避免损伤下腹神经丛和阴部神经。
