Main Article Content
sexual behaviour guidance, rectal cancer, Miles operation, sexual function
This study was conducted to explore the effect of intervention in the form of sexual behavior guidance on the quality of sexual life of young and middle-aged male patients with rectal cancer.
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 behavior 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.
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).
In conclusion, sexual health education not only could effectively improve the sexual function of young and middle-aged male patients with rectal cancer after Miles operation, but also could improve the quality of the sexual life of the patients. It is considered to be worthy to promotion and application on clinical practice.
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 dysfunction 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 Questionnaires 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.