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Sexuální dysfunkce po sfinkter-záchovných resekcích konečníku

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dc.title Sexuální dysfunkce po sfinkter-záchovných resekcích konečníku cs
dc.title Sexual dysfunctions following sphincter-preserving rectal resection en
dc.contributor.author Kotoč, Július
dc.contributor.author Gatěk, Jiří
dc.contributor.author Kotočová, K.
dc.contributor.author Dudešek, Bohumil
dc.contributor.author Vrzgula, Andrej
dc.contributor.author Krajničák, R.
dc.contributor.author Ponížil, Petr
dc.relation.ispartof Praktický Lékař
dc.identifier.issn 0032-6739 Scopus Sources, Sherpa/RoMEO, JCR
dc.date.issued 2015
utb.relation.volume 95
utb.relation.issue 3
dc.citation.spage 106
dc.citation.epage 109
dc.type article
dc.language.iso cs
dc.publisher Česká lékařská společnost Jana Evangelisty Purkyně (ČLS JEP)
dc.relation.uri http://www.prolekare.cz/en/general-practitioner-article/sexual-dysfunctions-following-sphincter-preserving-rectal-resection-52484
dc.subject FSFI en
dc.subject IIEF en
dc.subject Laparoscopic approach en
dc.subject Open surgery approach en
dc.subject Sexual dysfunction en
dc.subject Sphincter-preserving rectal resection en
dc.description.abstract Increase in number of sphincter-preserving rectal resections for carcinoma, as well as improved patient survival brings to the fore the question relating to quality of patient's life also in the sense of influencing their sexual functions. These functions may be reduced (temporary or permanently) as a consequence of surgery, radiotherapy or mental suffering of patients with malignant disease. Using standardized questionnaires, in this prospective study of 42 patients with rectal cancer, pre-operative and post-operative sexual functions of men (International Index of Erectile Function; IIEF) and women (modified Female Sexual Function Index; FSFI) were compared. Impact of the conventional (open) versus laparoscopic surgical approach on the deterioration of sexual functions, as well as risk factors in relation to the tumour, and risk demographic characteristics of patients were assessed. In total, 28 of 42 patients (67.7%) were sexually active preoperatively. In the group of 20 men, a worsening of sexual functions occurred in 15 patients (75.0%). This deterioration of sexual functions in men was statistically significant (P = 0.01). In the group of 8 women, a worsening occurred in 4 patients (50.0%), but it was not statistically significant. As risk factor the perioperative blood loss in women was identified (P = 0.1). The influences of the age, BMI, tumour size and distance, and duration of surgery were not found out. Impact of the open or laparoscopic approach on sexual dysfunctions was not proven. en
utb.faculty Faculty of Technology
dc.identifier.uri http://hdl.handle.net/10563/1005639
utb.identifier.obdid 43873688
utb.identifier.scopus 2-s2.0-84933524166
utb.identifier.coden PRLEA
utb.source j-scopus
dc.date.accessioned 2015-10-02T15:10:12Z
dc.date.available 2015-10-02T15:10:12Z
utb.contributor.internalauthor Ponížil, Petr
utb.fulltext.affiliation KOTOČ J. 1, GATĚK J. 1, KOTOČOVÁ K. 1, DUDEŠEK B. 1, VRZGULA A. 2, KRAJNIČÁK R. 2, PONÍŽIL P. 3 1 Nemocnice Atlas, a. s., Zlín Chirurgické oddělení Primář: MUDr. Jiří Gatěk, PhD. 2 Nemocnica Košice-Šaca, a. s., 1. súkromná nemocnica, Košice-Šaca Chirurgická klinika LF UPJŠ Prednosta: MUDr. Andrej Vrzgula, PhD. 3 Univerzita T. Bati ve Zlíně, Technologická fakulta Ústav fyziky a materiálového inženýrství Ředitel: doc. Mgr. Aleš Mráček, PhD.
utb.fulltext.dates -
utb.fulltext.faculty Faculty of Technology
utb.fulltext.ou Department of Physics and Materials Engineering
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