Article Data

  • Views 711
  • Dowloads 166

Original Research

Open Access

A RANDOMIZED CONTROLLED TRIAL FOR THE EFFECTS OF SEXUAL BEHAVIOUR GUIDANCE ON SEXUAL FUNCTION AMONG YOUNG AND MIDDLE-AGED MALE PATIENTS WITH RECTAL CANCER AFTER MILES OPERATION

  • Li-Ying Zhang1
  • Hui-Juan Bian1
  • Ya-Fei Kuang1
  • Guo-Li Cao1
  • Tao-Hsin Tung2,3

1Jiangyin People’s Hospital, Jiangsu, China

2Cheng-Hsin General Hospital, Taiwan, China

3Maoming People's Hospital, Guandong Province, China

DOI: 10.22374/jomh.v15i2.100 Vol.15,Issue 2,April 2019 pp.20-26

Published: 01 April 2019

*Corresponding Author(s): Hui-Juan Bian E-mail: bianbian1978@167.com

PDF (263.37 kB)

Abstract

Purpose

This study was conducted to explore the effect of intervention in the form of sexual behaviour guidance on the quality of sexual life of young and middle-aged male patients with rectal cancer.

Methods

Twenty cases of young and middle-aged male patients with rectal cancer were randomly divided into experimental and control group in each group including 10 cases per group. The control group was given the traditional health education after the rectal cancer Miles operation. While the experimental group was given sexual behaviour guidance and “sex-focused training therapy” after the Miles operation and before sexual intercourse in order to overcome erectile dysfunction. The International Index of Erectile Function (IIEF-5) questionnaire was used to measure the sexual functionality of both groups upon admission, at the time of discharge and after 3, 6 and 9 months.

Results

In the experimental group, patients with normal sexual function at the 6th and 9th month after discharge were 7 cases and 9 cases respectively, which were significantly higher than the control group which included 5 cases and 6 cases (p-value < 0.05).

Conclusion

In conclusion, sexual health education not only could effectively improve the sexual function of young and middle-aged male patients with rectal cancer after a Miles operation, but also could improve the quality of the sexual life of the patients. It is considered to be worthy of promotion and application on clinical practice.

Keywords

sexual behaviour guidance, rectal cancer, Miles operation, sexual function

Cite and Share

Li-Ying Zhang,Hui-Juan Bian,Ya-Fei Kuang,Guo-Li Cao,Tao-Hsin Tung. A RANDOMIZED CONTROLLED TRIAL FOR THE EFFECTS OF SEXUAL BEHAVIOUR GUIDANCE ON SEXUAL FUNCTION AMONG YOUNG AND MIDDLE-AGED MALE PATIENTS WITH RECTAL CANCER AFTER MILES OPERATION. Journal of Men's Health. 2019. 15(2);20-26.

References

1. Ho VP, Lee Y, Stein SL, et al. Sexual function after treatment for rectal cancer: a review. Dis Colon Rectum 2011;54:113–25.

2. Costa P, Cardoso JM, Louro H, et al. Impact on sexual function of surgical treatment in rectal cancer. Int Braz J Urol 2018;44:141–49.

3. Attaallah W, Ertekin SC, Yegen C. Prospective study of sexual dysfunction after proctectomy for rectal cancer. Asian J Surg 2018;41:454–61.

4. Lange MM, Marijnen CA, Maas CP, et al. Risk factors for sexual dysfunction after rectal cancer treatment. Eur J Cancer 2009;45:1578–88.

5. Sendur MA, Aksoy S, Ozdemir NY, Yaman S, Yazici O, Bulent Akinci M, et al. Evaluation of erectile dysfunc-tion risk factors in Young male survivors of colorectal cancer. J BUON 2014;19:115–23

6. Zippe C, Nandipati K, Agarwal A, Raina R. Sexual dysfunction after pelvic surgery. Int J Impot Res 2006;18:1–18.

7. Vironen JH, Kairaluoma M, Aalto AM, et al. Impact of functional results on quality of life after rectal cancer surgery. Dis Colon Rectum 2006;49:568e578.

8. Maslyankov S, Penchev D, Todorov G, Vladov N. A Meta-analysis of quality of life, Estimated by Ques-tionnaires of the European Organization for Research and Treatment of Cancer (EORTC) after Rectal Cancer Surgery. Chirurgia (Bucur) 2015;110:356–61.

9. Attaallah W, Ertekin C, Tinay I, Yegen C. High rate of sexual dysfunction following surgery for rectal cancer. Ann Coloproctol 2014;30:210–15.

10. Lim RS, Yang TX, Chua TC. Postoperative bladder and sexual function in patients undergoing surgery for rectal cancer: a systematic review and meta-analysis of laparoscopic versus open resection of rectal cancer. Tech Coloproctol 2014;18:993–1002.

11. Nagpal K, Bennett N. Colorectal surgery and its impact on male sexual function. Curr Urol Rep 2013;14:279–84.

12. Lamonica G, Audisio RA,Tamburini M, et al. sexual potency following surgery for rectal earcinoma. Dis Colon Recturn 1985;28:937–39.

13. Purwar B, Panda SN, Odogwu SO, et a1. Recto-vaginal sex leading to colostomy and recto-vaginal repair. Int J STD AIDS 2008;19:57–58.

14. Celentano V, Fabbrocile G, Luglio G, et al. Prospective study of sexual dysfunction in men with rectal cancer: feasibility and results of nerve sparing surgery. Int J Colorectal Dis 2010;25:1441–45.

15. Akasu T, Sugihara K, Moriya Y. Male urinary and sexual functions after mesorectal excision alone or in combina-tion with extended lateral pelvic lymph node dissection for rectal cancer. Ann Surg Oncol 2009;16:2779–86.

16. Ball M, Nelson CJ, Shuk E, et al. Men’s experience with sexual dysfunction post-rectal cancer treatment: a qualitative study. J Cancer Educ 2013;28:494–502.

17. Liu LY, Zhang C, Yu PW, et al. Male sexual function after D(3) lymphadenectomy combined with pelvic autonomic nerve preservation by laparoscopic and open surgery for rectal cancer]. Zhonghua Wei Chang Wai Ke Za Zhi 2009;12:236–38.

18. Naik AD, Uy N, Anaya DA, Moye J. The effects of age, education, and treatment on physical, sexual and body concern symptoms among multimorbid, colorectal cancer survivors. J Geriatr Oncol 2015;6:299–306.

19. Ball M, Nelson CJ, Shuk E, et al. Men’s experience with sexual dysfunction post-rectal cancer treatment: a qualitative study. J Cancer Educ 2013;28:494–502.

20. Naik AD, Uy N, Anaya DA, Moye J. The effects of age, education, and treatment on physical, sexual and body concern symptoms among multimorbid, colorectal cancer survivors. J Geriatr Oncol 2015;6:299–306.

21. Ball M, Nelson CJ, Shuk E, et al. Men’s experience with sexual dysfunction post-rectal cancer treatment: a qualitative study. J Cancer Educ 2013;28:494–502.

Abstracted / indexed in

Science Citation Index Expanded Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Social Sciences Citation Index Social Sciences Citation Index contains over 3,400 journals across 58 social sciences disciplines, as well as selected items from 3,500 of the world’s leading scientific and technical journals. More than 9.37 million records and 122 million cited references date back from 1900 to present.

Current Contents - Social & Behavioral Sciences Current Contents - Social & Behavioral Sciences provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in the social and behavioral sciences.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

SCOPUS Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

DOAJ DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals.

CrossRef Crossref makes research outputs easy to find, cite, link, assess, and reuse. Crossref committed to open scholarly infrastructure and collaboration, this is now announcing a very deliberate path.

Portico Portico is a community-supported preservation archive that safeguards access to e-journals, e-books, and digital collections. Our unique, trusted process ensures that the content we preserve will remain accessible and usable for researchers, scholars, and students in the future.

Submission Turnaround Time

Conferences

    Top