Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions
Background: Presacral cysts are rare congenital lesions predominantly affecting females. Surgery is often recommended after diagnosis due to the risk of malignant transformation and complications associated with cyst enlargement. Laparoscopic excision is increasingly favored due to its enhanced visu...
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Elsevier
2024-10-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024147871 |
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| author | Chen Lin Zi-Yan Wang Pei-Pei Wang Kai-Wen Xu Jiao-Lin Zhou Hui-Zhong Qiu Bin Wu |
| author_facet | Chen Lin Zi-Yan Wang Pei-Pei Wang Kai-Wen Xu Jiao-Lin Zhou Hui-Zhong Qiu Bin Wu |
| author_sort | Chen Lin |
| collection | DOAJ |
| description | Background: Presacral cysts are rare congenital lesions predominantly affecting females. Surgery is often recommended after diagnosis due to the risk of malignant transformation and complications associated with cyst enlargement. Laparoscopic excision is increasingly favored due to its enhanced visualization and precision. Aim: To assess long-term urinary, sexual function outcomes and quality of life in female patients undergoing laparoscopic resection of presacral cysts. Methods: We conducted a retrospective review of female patients who underwent laparoscopic resection of presacral cysts between August 2012 and May 2020. Patient demographics, surgical outcomes, and postoperative complications were analyzed. The urinary function was assessed using the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Module (ICIQ-FLUTS), the sexual function was evaluated using the Female Sexual Function Index (FSFI), and quality of life was assessed using the 36-item Short-Form Health Survey (SF-36). Results: Among the 32 female patients included, 10 experienced postoperative urinary incontinence, predominantly of the mixed type. The risk factors for urinary incontinence included abdominal distension and the proximity of the cyst to the rectum. Notably, urinary incontinence significantly impacted the overall lower urinary tract symptoms and quality of life. Additionally, seven patients reported postoperative sexual dysfunction, with previous abdominal or pelvic surgery and cyst location under S3 identified as risk factors, affecting the mental health aspects of their quality of life. Conclusion: Laparoscopic cyst resection in females poses risks of urinary and sexual dysfunction, potentially impacting quality of life. Thus, tailored management approaches are crucial. |
| format | Article |
| id | doaj-art-072c7ecc4dd44dc39cedd672d3dbc505 |
| institution | OA Journals |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-072c7ecc4dd44dc39cedd672d3dbc5052025-08-20T02:13:59ZengElsevierHeliyon2405-84402024-10-011020e3875610.1016/j.heliyon.2024.e38756Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesionsChen Lin0Zi-Yan Wang1Pei-Pei Wang2Kai-Wen Xu3Jiao-Lin Zhou4Hui-Zhong Qiu5Bin Wu6Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaCorresponding author. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan Road, Wangfujing, Dongcheng District, Beijing, 100730, China.; Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, ChinaBackground: Presacral cysts are rare congenital lesions predominantly affecting females. Surgery is often recommended after diagnosis due to the risk of malignant transformation and complications associated with cyst enlargement. Laparoscopic excision is increasingly favored due to its enhanced visualization and precision. Aim: To assess long-term urinary, sexual function outcomes and quality of life in female patients undergoing laparoscopic resection of presacral cysts. Methods: We conducted a retrospective review of female patients who underwent laparoscopic resection of presacral cysts between August 2012 and May 2020. Patient demographics, surgical outcomes, and postoperative complications were analyzed. The urinary function was assessed using the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Module (ICIQ-FLUTS), the sexual function was evaluated using the Female Sexual Function Index (FSFI), and quality of life was assessed using the 36-item Short-Form Health Survey (SF-36). Results: Among the 32 female patients included, 10 experienced postoperative urinary incontinence, predominantly of the mixed type. The risk factors for urinary incontinence included abdominal distension and the proximity of the cyst to the rectum. Notably, urinary incontinence significantly impacted the overall lower urinary tract symptoms and quality of life. Additionally, seven patients reported postoperative sexual dysfunction, with previous abdominal or pelvic surgery and cyst location under S3 identified as risk factors, affecting the mental health aspects of their quality of life. Conclusion: Laparoscopic cyst resection in females poses risks of urinary and sexual dysfunction, potentially impacting quality of life. Thus, tailored management approaches are crucial.http://www.sciencedirect.com/science/article/pii/S2405844024147871Laparoscopic resectionPresacral cystsUrinary function impairmentSexual function impairmentRisk factorsQuality of life |
| spellingShingle | Chen Lin Zi-Yan Wang Pei-Pei Wang Kai-Wen Xu Jiao-Lin Zhou Hui-Zhong Qiu Bin Wu Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions Heliyon Laparoscopic resection Presacral cysts Urinary function impairment Sexual function impairment Risk factors Quality of life |
| title | Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| title_full | Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| title_fullStr | Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| title_full_unstemmed | Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| title_short | Risk factors for long-term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| title_sort | risk factors for long term urination and sexual function impairment following laparoscopic resection of presacral lesions |
| topic | Laparoscopic resection Presacral cysts Urinary function impairment Sexual function impairment Risk factors Quality of life |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024147871 |
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