Abstract

It is well known that sexual dysfunction and bladder dysfunction, although sometimes transient, accompanies abdominoperineal resection of the rectum for carcinoma. Fifty-three patients has been evaluated with regard to sexual function and bladder function following abdominoperineal resection for rectal cancer in period 1980 to 1986. The results were as follows, 1) The overall incidence of urinary dysfunction was 58.5 percent (67.9 percent in men and 48.0% in women). 2) The most common urinary discomfort was increased frequency. 3) The extent of the disease is the most important factor related to urinary dysfunction. 4) The sex, circumferential position of tumor, distance of tumor from anal verge, and tumor size were found to be of no value as a prognostic index of postoperative bladder function. 5) The overall incidence of sexual dysfunction was 64.3 percent. 6) The extent of the disease is the most important factor related to sexual dysfunction. 7) The age, circumferential position of tumor, distance of tumor from anal verge, and tumor size were found to be of no value as a prognostic index of postoperative sexual function. 8) Correlation was found between postoperative sexual dysfunction and urologic problem.