Sexual dysfunction after colpectomy and vaginal reconstruction with a vertical rectus abdominis myocutaneous flap

Diseases of the Colon and Rectum
Uffe S LøveHenrik K Christensen

Abstract

The use of the vertical rectus abdominis myocutaneous flap in reconstruction after abdominoperineal resection or pelvic exenteration for neoplasia is well documented. However, functional outcomes after vaginal reconstruction, including sexual function, are poorly described. This study aimed to examine sexual function in women following extensive pelvic surgery with colpectomy and vaginal reconstruction with the use of a vertical rectus abdominis myocutaneous flap. This study is a retrospective review of medical records in combination with patient questionnaires. Nonresponders were followed up with a second contact. This study was performed at a tertiary care university medical center (Colorectal Section, Department of Surgery P, Aarhus University Hospital, Denmark) All women undergoing pelvic surgery and simultaneous vaginal reconstruction with the use of a vertical rectus abdominis myocutaneous flap between 2004 and 2010 at our department were identified from a patient database. Thirty women who were alive at the time of identification were included in the study. Sexual function before and after surgery was evaluated by the use of the Sexual function Vaginal changes Questionnaire. The main outcome end point was whether the pat...Continue Reading

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Citations

Mar 13, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D P HarjiJ Brown
Jan 1, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H V ThaysenS Laurberg
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Jul 23, 2014·Current Opinion in Oncology·Manpreet KaurIgnace Vergote
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Lisa M BlockMichael L Bentz

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