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• W2066707882 abstract "Les troubles sexuels et urinaires après chirurgie du cancer du rectum sont fréquents. L’exérèse totale du mésorectum (ETM) est la technique d’exérèse chirurgicale, garante à la fois d’une efficacité carcinologique maximale mais aussi d’un résultat fonctionnel optimal. L’âge, la radiothérapie préopératoire, la chirurgie à type d’amputation abdominopérinéale et la chirurgie en dehors du plan de l’ETM sont les quatre facteurs de risque majeurs de séquelles urinaires et sexuelles postopératoires. Avec l’avènement de l’ETM, le taux de séquelles urinaires s’est réduit à 0 à 5 % et le taux de séquelles sexuelles à 10 à 35 % en fonction des scores utilisés. La place de la chirurgie laparoscopique reste à définir en particulier pour ces séquelles. Prévenir le patient en préopératoire de la possibilité de survenue de troubles est une nécessité pour l’acceptation par le patient et la bonne prise en charge des troubles en postopératoire. Le traitement est multifactoriel avec une prise en charge psychologique, médicamenteuse et parfois chirurgicale. Sexual and urinary dysfunctions occur frequently after rectal surgery. Total mesorectal excision (TME) is currently the best technique for rectal cancer, provided optimal carcinological and functional outcomes. Age, preoperative radiation therapy, abdominoperineal resection and surgery where the “holy plane” of TME is not respected are the four major risk factors for postoperative sexual and urinary sequels. In the era of TME, postoperative sexual dysfunction ranges between 10 to 35%, according to the scores used to assess it, while urinary sequels have decreased to less than 5%. The place of laparoscopic surgery remains to be defined with respect to these complications. Preoperative information to the patient about the possibility of such disorders is necessary not only for patient acceptation but also to help correctly manage the problem postoperatively. Management is multifactorial, and includes psychological, pharmacological, and sometimes surgical therapy." @default.
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• W2066707882 date "2010-02-01" @default.
• W2066707882 modified "2023-09-23" @default.
• W2066707882 title "Troubles sexuels et urinaires après proctectomie pour cancer du rectum" @default.
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• W2066707882 doi "https://doi.org/10.1016/j.jchirv.2010.02.003" @default.
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