Male sexual function after abdominoperineal resection for rectal cancer

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Abstract
In a series of 26 male patients undergoing abdominoperineal resection of the rectum for malignant disease, a detailed history of sexual function was obtained using a questionnaire before and 12 mo. after the operation. The overall incidence of sexual dysfunction was 61.5%, total and partial erectile impotence being, respectively, both 27%. Taking age into account, among men of the youngest age group (41-48 yr), incidence of complete and partial erectile impotence was 14%. In the middle age group (49-57 yr), 22% reported total and 33% reported partial erectile impotence; in patients of the oldest group (58-65 yr), total erectile impotence was present in 40% and partial in an additional 30%. The extent of the disease (Dukes'' stage) was of no value as a prognostic index of postoperative sexual dysfunction. The age of the patients is apparently the most important factor related to sexual activity after abdominoperineal resection for cancer.