The surgery of rectal cancer can cause _'s treatment of sexual dysfunction

The surgery of rectal cancer can cause _'s treatment of sexual dysfunction
Function and sexual dysfunction are common complications to urinate after the rectal cancer operation, should cause enough attention for the life quality after improving patient's operation, this text will introduce postoperative sexual dysfunction especially.
Generally think its main reason that happens results from damaging and controlling urinating with the basin nerve of the sexual organ at present, often clean the range with the lymph node in the pelvis and is directly proportional to in intensity of sexual dysfunction on clinic.
Basin have to belong to nerve and basin viscera nerve to belong to parasympathetic nerve in front of the orthosympathetic sacral bone close relation with the intersection of sex and function in the nerve, the two participate in forming the main component of the basin clump, send out the branch to rectum, bladder, prostate, spermatic cord, seminal vesicle gland, uterus and vagina,etc..
Sexual dysfunction regard male ejaculation and erection dysfunction as more characteristics at the moment after the operation. Ejaculation is under neural function before the sacral bone, the smooth muscle of places such as the spermatic duct,etc. shrank suddenly, drive urethra enter, seminal fluid by spermatic duct, seminal vesicle, prostate first, the intersection of sponge and the intersection of body and skin under the intersection of private parts and the intersection of nerve and function shrink, penetrate outside the body finishing and then, so the nerve is also called penetrating spirit to pass before the sacral bone. The erection is the small arteriectasis in the penis under the function of ejaculating of basin viscera, the blood vessel in the body of sponge was congested and swollen, the volume of the penis increased and took shape, so the basin viscera nerve is also called erecting the nerve.
After the nerve, basin viscera nerve and a group of people or things of basin suffer and damage to different extent before the sacral bone, it in clinic can appear by weight - ejaculation and obstacle of erecting. Clinical experience brief on, can make in operation nerve and basin viscera nerve avoided damaging in front of the sacral bone, will reduce or avoid the emergence of sexual dysfunction. Nerve by the intersection of belly and the intersection of aorta and underpart and sympathetic to do 3, 4 the intersection of waist and the intersection of waist and the intersection of viscera and nerve that section tell, participate in forming of clump in front of the sacral bone, this neural clump crosses over the branching of aorta to punish for the nerve of left and right lower abdomen, and fall along the hypogastric artery, enter the intersection of basin and clump above back pelvis, therefore and from heartbroken artery, vein under being membrane in the intersection of operation and ligature, while dissociating second form and forming the mesenterium, stripping operation should go on among peritoneum and membrane of muscle. Neural generally from side to side the branch part should be lower than branching of aorta, it is easy to distinguish that it is stripped and arrested blood carefully so long as careful.
The prevention key to sexual dysfunction is the levels of range and stripping excised after the operation, it is only tight to excise rectum, the nerve, basin viscera nerve and basin clump before not damaging the sacral bone in the operation close to the rectum wall, urinate after the operation and the sexual dysfunction incidence is extremely low. However, rectal cancer is often soaked outside, strip and excise the small very difficult purpose to achieve the effecting a radical cure excision of the range, main position that should be that the effecting a radical cure excision will be placed on treating all the time.
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