Sexual Dysfunction Following Proctocolectomy and Abdominoperineal Resection

Abstract

Sexual dysfunction after rectal excision was studied in 45 male patients who were less than 50 yr of age. Of 25 patients having had proctocolectomy, 1 (4%) was impotent, while 3 (15%) of 20 patients having had abdominoperineal resection were impotent. Two patients in the abdominoperineal group reported no ejaculation with normal potency and sensation of orgasm. The age of the patient and the extent of dissection seemed to be the 2 main factors concerned with sexual dysfunction after rectal excision.