Diseases of the colon and rectum
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Clinical Trial
Prospective and Longitudinal Study of Urogenital Dysfunction After Proctectomy for Rectal Cancer.
Urogenital dysfunctions after rectal cancer treatment are well recognized, although incidence and evolution over time are less well known. ⋯ Most patients experienced sexual dysfunction at 12 months after surgery for rectal cancer, and predictive factors for this dysfunction were related to characteristics of the tumor.
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Clinical and administrative databases each have fundamental distinctions and inherent limitations that may impact results. ⋯ This analysis of 2 large national databases regarding colectomy outcomes highlights the incidence of previously unrecognized data variability. These discrepancies can impact study results and subsequent conclusions/recommendations. These findings underscore the importance of carefully choosing and understanding the different population-based data sets before designing and when interpreting outcomes research.
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Neoplasms infiltrating the pubic bone have until recently been considered a contraindication to surgery. Paucity of existing published data in regard to surgical techniques and outcomes exist. ⋯ Within the realm of evolving exenteration surgery, en bloc composite pubic bone excision offers results comparable to central, lateral, and posterior compartment excisions, and, as such, is a reasonable strategy in the management of neoplasms infiltrating the pubic bone.