Patients' related sexual outcomes in colorectal surgery

Article Article scientifique Article Patients' related sexual outcomes in colorectal surgery eng 2022-12-16 author Liot Emilie 867202 author Papachristou Niki 776408 author De Sousa Sandra 528600 author Klein Jacques 812858 author Iranmanesh Pouya 565405 author Guedj Danae 778102 author Buchs Nicolas 516487 author Ris Frédéric 53083 968978 10.3389/fonc.2022.968978 36591495 2234-943X PMC9800886 https://www.frontiersin.org/articles/10.3389/fonc.2022.968978 Background: Patients undergoing colorectal surgery (CRS) have an increased risk of developing sexual disorders, attributed to different mechanisms. In this context, sexual function (SF) assessment of patients before and after surgery is essential: to identify risk factors for sexual disorders as well as to minimize their impact on overall quality of life (QoL), allowing them a satisfying relationship and sexual life. Material and methods: Patients over 18 years of age who underwent a CRS in the University Hospital of Geneva, Switzerland, between June 2014 and February 2016 were included. Our main objective was to compare and analyze the evolution of SF, QoL, and marital satisfaction (MS) before and after CRS. Specific and standardized tests were used. Results: A cohort of 72 patients with a median age of 58.73 was analyzed. The majority of CRS was elective (91.5%). A percentage of 52.8% of patients underwent surgery for oncological reasons. There was no statistical difference in SF, sexual QoL, and MS before and after elective or emergency CRS for men. Interestingly, a significant decrease in women's SF (FSFI) as well as their satisfaction within their couple (Locke-Wallace) until 12 months after surgery was found (p = 0.021). However, they showed a steady SF (GRISS) within their couple until 12 months after surgery. Conclusion: Regarding knowledge about difficulties to talk about this intimate topic and gender differences, this general overview raises the question of the necessity to introduce in a long-course follow-up different methods of sexual health assessment with specific stakeholders. Assessment Colorectal surgery Marital satisfaction Patient related outcome Sexual function Dewey 617 57 Département de chirurgie 222 false 562 Transplantation et hépatologie 905 1329 Chirurgie viscérale (HUG) Frontiers in oncology 12 4549083c-fc13-4ddf-97e4-5096a654e074 Article (Published version) Public Article-scientifique-from-unpaywall.pdf 915830 application/pdf CC BY-4.0 b8721c57-17fd-4d75-b9af-479b54608a48 Appendix Public fonc-12-968978-g001.jpg 83447 image/jpeg Figure 1 (Flow diagram) cff52143-c0c2-4453-9dbe-3cde8f2eac82 Appendix Public fonc-12-968978-g002.jpg 87918 image/jpeg Figure 2 58731970-dd92-4952-809f-0b3f8141418c Appendix Public fonc-12-968978-g003.jpg 74478 image/jpeg Figure 3 openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Patients' related sexual outcomes in colorectal surgery	Frontiers in oncology			2022	352	167

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Papachristou, Niki