性生活調査成績 : 第III報直腸, 結腸癌根治手術後の性生活

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The present study was made in patients of the following two groups: a group of patients following radical surgery for cancer of the rectum and of the colon. Total cases are 31, and 21 of them are rectum cancer, and the other 10 are colon cancer. All data in the present study have been gathered through a questionnaire study. In each history, many items, such as general physical conditions, condition of micturition, morning erections, frequencies and potency in coitus, duration of intromission, condition of ejaculation, frequency of orgasm and soon, were explored. The rate of incidence of no erection during the intercourse following radical surgery for cancer of the rectum reaches 33.3 percent (26.6 percent under 70 years of age), and 44.5 percent have no sufficient erection. After radical operation for cancer of the colon, 33.3 percent (25.0 percent under 70years of age) of the patients have no erection at the intercourse, 22.2 percent have no sufficient erection. In 72.2 percent of the patients following radical operation for cancer of the rectum have no ejaculation. On the other hand, cases of no ejaculation are found in 25.0 percent of patients following radical operation for cancer of the colon. It is clear that these postoperative sexual dysfunction due to injury of the path ways of the sympathetic and parasympathetic nerves upon which normal sexual function is dependent. Dissection of these nerves concerned with sexual function cannot be avoided and is a necessary sacrifice while performing adequate local surgery for malignant tumor. But we must weigh our concern for the patient's postoperative sexual function as much as the desire to prevent local recurrence of the malignant disease.
社団法人日本泌尿器科学会の論文

性生活調査成績 : 第III報直腸, 結腸癌根治手術後の性生活

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性生活調査成績 : 第III報 直腸, 結腸癌根治手術後の性生活

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性生活調査成績 : 第III報直腸, 結腸癌根治手術後の性生活