{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T11:19:31Z","timestamp":1758626371841,"version":"3.44.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>We aimed to examine long\u2010term changes in urinary dysfunction (UD) after rectal cancer surgery, using the three validated assessments: residual urine volume (RUV), International Prostate Symptom Score (IPSS), and International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective multicenter observational study was conducted in eight hospitals, and a total of 103 patients, who underwent radical resection for rectal cancer, were included. UD was evaluated at baseline and at 6, 12, and 24 months postoperatively. Quality of life (QoL) was assessed using the European Organization for Research and Treatment Cancer (EORTC) quality of life questionnaire\u2010core 30 (QLQ\u2010C30).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of patients with UD based on RUV values decreased from 19.3% at baseline to 7.6% at 24 months (<jats:italic>p<\/jats:italic>\u2009=\u20090.022). However, UD, based on IPSS remained relatively constant (33.4% to 29.0%, <jats:italic>p<\/jats:italic>\u2009=\u20090.398), whereas UD based on ICIQ\u2010SF score increased significantly from 17.5% to 29.0% (<jats:italic>p<\/jats:italic>\u2009=\u20090.019). Patients with UD, based on both IPSS and ICIQ\u2010SF, had lower QoL scores at 24 months (mean differences \u221210.3; <jats:italic>p<\/jats:italic>\u2009=\u20090.028 and \u221215.4; <jats:italic>p<\/jats:italic>\u2009=\u20090.001, respectively), whereas RUV values showed no correlation with QoL scores after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RUV values gradually improved postoperatively. However, the impact of higher RUV values on long\u2010term QoL was limited. UD, based on both IPSS and ICIQ\u2010SF, persisted after surgery, and negatively affected long\u2010term QoL.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.70033","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T09:40:12Z","timestamp":1751881212000},"page":"556-564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Urinary Dysfunction and Impact on Quality of Life After Rectal Cancer Surgery: A Prospective Multicenter Observational Study"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0870-2950","authenticated-orcid":false,"given":"Kohei","family":"Ueno","sequence":"first","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7171-8971","authenticated-orcid":false,"given":"Nobuaki","family":"Hoshino","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koya","family":"Hida","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinari","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Surgery Japanese Red Cross Osaka Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Shiota","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Kobe City Nishi\u2010Kobe Medical Cente Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Surgery Shiga General Hospital Moriyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Okamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Itatani","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suguru","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Fukuoka University Hospital Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazutaka","family":"Obama","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto University Hospital Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1007\/s00595-023-02671-3","article-title":"The Urinary and Sexual Outcomes of Robot\u2010Assisted Versus Laparoscopic Rectal Cancer Surgery: A Systematic Review and Meta\u2010Analysis","volume":"54","author":"Yang H.","year":"2024","journal-title":"Surgery Today"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1007\/s00384-021-04073-8","article-title":"Functional Outcomes After Lateral Pelvic Lymph Node Dissection for Rectal Cancer: A Systematic Review and Meta\u2010Analysis","volume":"37","author":"Cribb B. 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