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Erectile dysfunction and surgery

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Posted 5/31/2016 12:29 PM (GMT 0)
Does anyone have any leads to reliable statistics and information relating to the risks of erectile dysfunction following proctocolectomy?

The surgeon mentioned a 1 in 5 chance, which seems high.

Any leads would be much appreciated.
Posted 5/31/2016 1:44 PM (GMT 0)
I can't remember what my surgeon had told me but he did explain about erectile dysfunction and retrograde ejaculation. Did your surgeon mention having a urologist placing stents in during surgery?
Posted 5/31/2016 2:56 PM (GMT 0)
He didn't mention a urologist being there .... I asked about urinary issues after surgery and he did the risks were low. He explained the reason for this was the surgery is close to the bowel - whereas colon cancer surgery is closer to the pelvic wall and carries more risks of urinary issues.

Then he mentioned erectile dysfunction as 1 in 5.

The surgery is planned as laparoscopic - perhaps that prevents stents being out in as opposed to open surgery?
Posted 5/31/2016 5:04 PM (GMT 0)
The urinary stents are to allow the surgeon to "see things" better. We didn't know I was going for open surgery till I was under and he was still planning on the stents for lapro.
Posted 5/31/2016 10:28 PM (GMT 0)
I'm not a guy so can't speak to that part of the discussion but both my resection with loop ostomy and my proctocolectomy were laparoscopic and he had a urologist place stents both times.
Posted 6/12/2016 2:46 AM (GMT 0)
GC4249 - have to watch what data we hear. My surgeon talked about that as well, but he also said, most colectomies are done to patients who had/who have colon cancer and have been through chemo and/or radiation - he stated that causes the nerves to become a bit less elastic, and when they pull the colon out, those nerves that take care of the male parts tend to snap/break/tear. That's what I heard from the surgeon. So, if you haven't had chemo or radiation treatment, your chances are lower than one in five.
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