Pelvic Exenteration with Preservation of Urinary and Anal Sphincter Functions.

Anal Sphincter Electromyogram for Dysfunction of Lower Urinary Tract and Pelvic Floor

Laparoscopic anterior pelvic exenteration for locoregionally advanced rectal cancer directly invading the urinary bladder: A case report of low anterior resection with en bloc cystectomy for sphincter preservation

Laparoscopic multi-visceral resection in patients with T4 colorectal cancer remains controversial. A 73-year-old man was admitted to the hospital for rectosigmoid cancer directly invading the urinary bladder trigone without distant metastasis. We successfully performed complete resection by laparoscopic anterior pelvic exenteration while preserving the anus. After laparoscopic mobilization of t...

Pelvic Exenteration: Surgical Approaches

Although the incidence of local recurrence after curative resection of rectal cancer has decreased due to the understanding of the anatomy of pelvic structures and the adoption of total mesorectal excision, local recurrence in the pelvis still remains a significant and troublesome complication. While surgery for recurrent rectal cancer may offer a chance for a cure, conservative management, inc...

Total Pelvic Exenteration

expanded in the last years. Published data has demonstrated the feasibility and safety of this technique for several several gynecologic oncology procedures. Main advantages when compared to open approach are less blood loss, decreased morbidity, shorter hospital stay, and earlier recovery. Tumor dissemination and port site implantation have been described for patients undergoing operative lapa...

Anal Incontinence and Obstetric Anal Sphincter Tears

PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphi...