الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Perifascial rectal excision, also called total mesorectal excision (TME), with preservation of the autonomic nerves has become the gold standard for rectal cancer surgery.
There are four major goals in the treatment of a patient with rectal cancer: local control; long-term survival; preservation of the anal sphincter, bladder, and sexual function; and maintenance or improvement in quality of life. These can be achieved with accurate preoperative staging, appropriate referral for neoadjuvant therapy, and a precise surgical technique using the principles of TME.
Postoperative urinary or sexual dysfunction resulting from inadvertent damage to the pelvic hypogastric and splanchnic nerves is a recognized complication of rectal resection. Before the introduction of TME, the incidence of postoperative urinary and sexual dysfunction was 10-30% and 40-60%, respectively. Even with the incorporation of autonomic nerve-preserving techniques in TME, urinary and sexual dysfunctions remain recognized complications.
This prospective clinical study evaluated sexual and urinary functional outcomes in a consecutive series of patients who underwent TME with autonomic nerve preservation for lower and middle rectal cancer in our hospital.
This prospective study was done in the period between April 2015 and April 2018. This study included 40 patients of any age and sex admitted to Menoufia University with histologically proven primary adenocarcinoma of the rectum in outpatient clinic, for whom total.