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February 2, 2026World Journal of Surgery

Laparoscopic Rectal Cancer Resection With Pelvic Autonomic Nerve Preservation in Males: A Prospective Single‐Center Study

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Authors

YXYequan XieGZGuangyu ZhongBYBin Yang

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Overview

Prospective trial confirms pelvic autonomic nerve preservation benefits genitourinary function in males, suggesting effective surgical approach.

Key Points

  • The study aims to determine the effectiveness of pelvic autonomic nerve preservation during laparoscopic rectal cancer surgery on sexual and urinary function and identify risk factors for sexual dysfunction postoperatively.
  • Conducted a prospective, single‐center, single‐arm trial
  • Included male patients with rectal adenocarcinoma suitable for laparoscopic surgery with PANP
  • Primary outcome was change in sexual function at 6 months post-operation
  • Utilized IIEF‐5 and IPSS scores for assessment
  • Seventy patients underwent laparoscopic surgery, with a follow-up demonstrating score changes (p = 0.003 for IIEF-5, p = 0.018 for IPSS)
  • Sexual disorders occurred in 5 patients (7.69%) and moderate urinary dysfunction in 2 patients (3.08%)
  • Complete quality of TME was achieved in 94.29% of patients
  • Positive circumferential resection margin noted in 2.86% of cases
  • Mean postoperative hospital stay was 7.80 days

Cite This Study

Xie et al. (2026) studied this question.

synapsesocial.com/papers/6980feabc1c9540dea810fefhttps://doi.org/10.1002/wjs.70224
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Open vs. Laparoscopic Surgery for Rectal Cancer: Impact on Identification and Preservation of Pelvic Autonomic Nerves and Effects on Urinary and Sexual Function and Quality of Life2026 · 3 citations
  2. 2Evaluation of surgical and functional outcomes after bilateral intrafascial nerve-sparing laparoscopic radical prostatectomy after prostate resection for incidental prostate cancer2024
  3. 3Impact of robot-assisted surgery on postoperative sexual function in younger male rectal cancer patients.2026
  4. 4Pelvic anatomy and functional outcomes after rectal cancer resection2026
  5. 5How I do it: Nerve-sparing laparoscopic low anterior resection: Step by step nerve identification and preservation2026