INTRODUCTION: @entity5464 ( @entity5464 ) for radical @entity5 surgery range from 10 to 30  %. In this study, primary endpoint is to prospectively assess their incidence in @entity1 undergoing Laparoscopic Total Mesorectal Excision (LTME) without neoadjuvant chemo-radiation (NCR). Secondary endpoint is to detect the potential lesion site evaluating video-recordings of surgery. @entity1 AND METHODS: A study of 35 consecutive @entity1 treated by LTME for extra-peritoneal @entity5 not subjected to NCR, M:F  =  23:12, median age 70, was evaluated preoperatively by Uroflowmetry and US postvoid residual urine measurement (PVR), International Prostatic Symptoms Score (IPSS), and International Consultation on Incontinence Modular Questionnaire (ICIQ) at 1 and 9  months post-operatively. Evaluation of sexual function was carried out by International Index of Erectile Function (IIEF) in males. Data were analyzed performing Fisher and paired samples t tests. Surgical videos of @entity1 affected by @entity5464 were reviewed to identify lesion sites. RESULTS: Urinary function:IPSS average score: baseline 6.03      5.51, 8.93      6.42 (p  =  .005) at 1  month, and 7.26      5.55 (p  =  .041) at 9  months. ICIQ baseline 2.67      5.42, 4.27      6.19 (p  =  NS) at 1  month, and 3.63      5.23 (p  =  NS) at 9  months. Maximum urine flow rate baseline 15.95      4.78  ml/s, 14.23      5.27 after 1  month (p  =  .041), and 15.22      4.01 after 9  months (p  =  NS). Mean urine flow rate baseline 9.15      2.96  ml/s, 7.99      4.12  ml/s at 1  month (p  =  .044), and 8.54      4.19  ml/s at 9  months (p  =  NS). PVR baseline 59.62      54.49, 64.59      58.71 (p  =  NS) at 1  month, and 68.82      77.72 (p  =  NS) at 9  months. Sexual function: IIEF baseline 19.38      6.25, 14.06      8.65 at 1  month (p  =  .011), and 15.4      8.41 at 9  months, (p  =  NS). Video review of @entity1 with disorders showed potential damage at the site of ligation of IMA (high hypogastric plexus) in 1 case, lateral and posterior mesorectum dissection (hypogastric nerves) in 2 cases, anterior dissection of the Denonvilliers fascia from seminal vesicles in 2 cases. CONCLUSIONS: @entity5464 at 1  month from LTME for @entity5 are significant but improve at 9  months. Surgical video review of @entity1 with @entity5464 provides an important tool for detection of lesion sites.

A prospective video-controlled study of genito-urinary disorders in 35 consecutive laparoscopic TMEs for XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['rectal cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5464 :: ('MESH:D014565', 'Disease') :: ['Genito-urinary disorders', 'GUD']
@entity5 :: (MESH:D009369,Disease) :: ['rectal cancer']
