Sexual Dysfunction after Colorectal Surgery.

IF 1.6 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinics in Colon and Rectal Surgery Pub Date : 2025-04-16 eCollection Date: 2026-01-01 DOI:10.1055/s-0045-1807737

Sophia Zigouras, James P Taylor

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引用次数: 0

Abstract

Sexual health is a key component of well-being and quality of life. Following colorectal surgery, many patients experience sexual dysfunction in the form of difficulty with libido, arousal, pain, and fertility. Autonomic nerve damage can explain many of these symptoms and may be a result of surgical trauma, tumor invasion, chemotherapy and radiotherapy, or pelvic inflammation and infection. An understanding of pelvic neuroanatomy can help prevent direct nerve damage during surgical dissection, but the effects of postsurgical inflammation and ischemia may be unavoidable. Despite the availability of tools for assessing patient-reported sexual health, data to support an informed consent discussion including risks to sexual health, and a multidisciplinary team of sexual health providers who can be involved in management, sexual dysfunction in colorectal surgery patients remains underdiagnosed and inadequately addressed in clinical practice. This represents a key area for quality improvement in delivering holistic and empathic care to the colorectal patient population.

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结直肠手术后性功能障碍。

性健康是幸福和生活质量的关键组成部分。结直肠手术后，许多患者会经历性功能障碍，表现为性欲减退、觉醒、疼痛和生育困难。自主神经损伤可以解释许多这些症状，可能是手术创伤、肿瘤侵袭、化疗和放疗或盆腔炎症和感染的结果。了解盆腔神经解剖有助于预防手术解剖过程中的直接神经损伤，但术后炎症和缺血的影响可能是不可避免的。尽管有评估患者报告的性健康的工具，支持知情同意讨论（包括性健康风险）的数据，以及可参与管理的性健康提供者的多学科团队，但结直肠手术患者的性功能障碍仍未得到充分诊断，在临床实践中也未得到充分解决。这代表了向结直肠癌患者群体提供整体和移情护理的质量改进的关键领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.