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. 2022 Dec 16:12:968978.
doi: 10.3389/fonc.2022.968978. eCollection 2022.

Patients' related sexual outcomes in colorectal surgery

Emilie Liot  1 , Niki Christou  1   2   3 , Sandra de Sousa  1 , Jacques Klein  4 , Iranmanesh Pouya  1 , Danae Guedj  1 , Nicolas C Buchs  3   4 , Frédéric Ris  3   4
Affiliations

Patients' related sexual outcomes in colorectal surgery

Emilie Liot et al. Front Oncol. .

Abstract

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.

Keywords: assessment; colorectal surgery; marital satisfaction; patient related outcome; sexual function.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram.
Figure 2
Figure 2
Evolution of sexual function and marital satisfaction after colorectal surgery, in women.
Figure 3
Figure 3
Evolution of sexual function and marital satisfaction after colorectal surgery, in men.
See this image and copyright information in PMC

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