This study aims to evaluate whether IMA sparing may represent an advantage in terms of reduced incidence and severity of sexual dysfunctions after colorectal resections for diverticular disease (DD).
Enrolled patients were randomly divided into 2 treatment groups. In the first group (IMAP) the IMA was preserved sectioning the sigmoid arteries near colonic wall while, in the second group (IMAS) the IMA was sectioned immediately below the origin of the left colic artery. Incidence and severity of sexual dysfunction and QoL were assessed by four validated questionnaire administered 6,12 months and 5 and 8 years after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
300
Performing left hemicolectomy the IMA was preserved ligating close to the colonic wall the sigmoids arteries.
Performing left hemicolectomy the IMA is ligated and sectioned after the origin of left colic artery
Azienda Ospedaliera Sant'Andrea
Rome, Italy
Sexual disfunction 1
Presence of sexual disfunction ( defined through the evaluation of sexual desire ,arousal, lubrication , orgasmic function, overall satisfaction, pain, intercourse satisfaction , erectile function)
Time frame: 12 months after surgery
Sexual disfunction 2
Presence of sexual disfunction ( defined through the evaluation of sexual desire ,arousal, lubrication , orgasmic function, overall satisfaction, pain, intercourse satisfaction , erectile function)
Time frame: 6 years after surgery
Sexual Function Male 1
assess the patients' sexual disorders with International Index of Erectile Function (IIEF) 15-items test
Time frame: 12 month after surgery
Sexual Function Male 2
assess the patients' sexual disorders with International Index of Erectile Function (IIEF) 15-items test
Time frame: 6 years after surgery
Sexual Function Female 1
assess the patients' sexual disorders withFemale Sexual Function Index (FSFI) a 19-item test (score below 26.55 indicates the presence of sexual dysfunctions)
Time frame: 12 months after surgery
Sexual Function Female 2
assess the patient's sexual disorders with Female Sexual Function Index (FSFI) 19-item test (score below 26.55 indicates the presence of sexual dysfunctions)
Time frame: 6 years after surgery
Quality of Life 1
The impact of sexual disorders in QoL was evaluated using EORTC QLQ-30 ( European organisation for research and treatment of cancer- quality of life questionnaire)
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Time frame: 12 months after surgery
Quality of Life 2
The impact of sexual disorders in QoL was evaluated using EORTC QLQ-30( European organisation for research and treatment of cancer- quality of life questionnaire)
Time frame: 6 years after surgery
Quality of life SF-36 1
The impact of sexual disorders in QoL was evaluated using SF-36 score (Short Form Health Survey 36)
Time frame: 12 months after surgery
Quality of life SF-36 2
The impact of sexual disorders in QoL was evaluated using SF- 36 score ( Short Form Health Survey 36 )
Time frame: 6 years after surgery