Çöl, CavitHasdemir, OğuzYalçın, ErolYandakçı, KemalTunç, GündüzKüçükpınar, Tevfik2021-06-232021-06-2320061643-3750https://hdl.handle.net/20.500.12491/5936https://www.scopus.com/inward/record.uri?eid=2-s2.0-32044442737&partnerID=40&md5=61532253a54fa311cc4afe490aba0a59Background: This study was designed to determine the incidence and patterns of sexual dysfunction after curative radical resections (CRR) with or without extended systematic lymph-node dissection (ESLND) for rectal cancer. Material/Methods: A total of 91 patients with rectal cancer were reviewed with respect to surgical procedures and postoperative sexual functions using the International Index of Erectile Function (IIEF), a 15-item self-administered questionnaire. CCR (abdomino-perineal resections or sphincter-saving anterior resections) was performed in 78 patients (Group 1) and ESLND plus CRR in 13 patients (Group 11), and sexual functions were also evaluated in the colostomy and non-colostomy subgroups. Results: In the postoperative period, the five domains of IIEF scoring decreased significantly from the pre-operative scores in both groups (p < 0.05), but the postoperative decreases were not significant between groups I and II (p > 0.05). Having a permanent colostomy decreases IIEF scores in all colostomized patients. Conclusions: CRR and CRR+ESLND both decrease sexual function and lymph-node dissection is not considered to have any additive effect on this decrease. In addition to standard surgery, anxiety about having a malignant disease and permanent colostomy may play an important role in male sexual dysfunction.eninfo:eu-repo/semantics/closedAccessRectal CancerExtended Systematic Lymph-node DissectionSexual FunctionsArticle122CR70CR74164499502-s2.0-32044442737Q2WOS:000235441900011Q3