الفهرس 
Introduction and Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
Aim of the Study: To evaluate incidence of urinary, sexual, bowel dysfunctions, and quality of life after rectal or colonic surgery either performed by open or laparoscopic techniques for malignant or benign conditions.
Patients & methods: Our study included 108 patients obtained from prospective database performed in Ain Shams university hospital and Minia university hospital from January 2012 to January 2016, 59 males and 49 females, mean age was 44.14±15.67 years. Validated questionnaires were used to assess different functions in patients.
Results: Approximately 80 % of male patients in the APR group had sexual dysfunction. The incidence for urinary affection was 41.7% and 21.4% for males and females respectively in the APR group. Age is a predisposing factor for urogenital dysfunctions in males; type of operation doesn’t significantly affect urological functions with a trend toward more severe symptoms after APR. In female only APR affect urinary dysfunctions. As regard the sexual functions in males; age; APR; and neo-adjuvant are risk factors for male sexual dysfunctions especially for the ejaculatory and erectile dysfunction although the statistical differences was non-significant. However, only adjuvant CT was a risk factor for female sexual dysfunctions. This study showed a non-significant difference in male or female urogenital functions, bowel functions nor QOL after laparoscopic or open rectal resection. QOL is found to be affected significantly in females receiving neo-adjuvant CRT as regard secondary end points of general health, emotional wellbeing and social functions. Neo-adjuvant CRT and adjuvant CT significantly affect severity of bowel functions. But the type of operation had no significant effect on bowel functions with the lowest score after LAR.
Conclusion: age, APR are risk factors for urinary dysfunction in males and age; neo-adjuvant CRT is the risk factors for sexual dysfunction in male patients. Adjuvant chemotherapy is the risk factors of sexual dysfunction for Women.
No significant differences in the domain specific scores between the laparoscopic and open rectal resections. Neo-adjuvant CRT is the main risk factor for bowel dysfunctions and bad QOL especially in females.