{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T12:22:30Z","timestamp":1768998150444,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T00:00:00Z","timestamp":1610496000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Increasing attention has been given to postoperative gastrointestinal functional outcome and quality of life after sigmoid resection for diverticulitis. Conversely, very little has been described about postoperative urogenital functional outcome and even less about its potential relationship to the type of vascular approach. The aim of this study was to evaluate whether central ligation of the inferior mesenteric artery (IMA) compared with peripheral dissection could impair urinary and sexual function in the long term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients undergoing elective laparoscopic sigmoid resection for diverticulitis from 2004 to 2017 were retrospectively analysed. They were asked to complete the American Urological Association Symptom Index (AUASI) questionnaire. Men received the five\u2010item version of the International Index of Erectile Function (IIEF\u20105) questionnaire. Patients were then divided according to the type of vascular resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A response rate of the 36.4% to the AUASI and 43.8% to the IIEF\u20105 questionnaires was achieved. Three hundred and twenty four patients with a mean age of 62\u00a0\u00b1\u00a09.85\u00a0years were analysed for their urinary function (IMA preserved <jats:italic>n<\/jats:italic>\u00a0=\u00a0217; IMA resected <jats:italic>n<\/jats:italic>\u00a0=\u00a0107) in a median follow\u2010up of 87\u00a0months. Furthermore, 115 men with a mean age of 60\u00a0\u00b1\u00a08.97\u00a0years were investigated for their sexual function (IMA preserved <jats:italic>n<\/jats:italic>\u00a0=\u00a080; IMA resected <jats:italic>n<\/jats:italic>\u00a0=\u00a035) in a median follow\u2010up of 89\u00a0months. No difference (AUASI: 8\u00a0\u00b1\u00a06.32 IMA preserved vs. 7\u00a0\u00b1\u00a06.26 IMA resected, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.204; IIEF\u20105: 15\u00a0\u00b1\u00a07.67 IMA preserved vs. 15\u00a0\u00b1\u00a08.61 IMA resected, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.674) was found regarding the type of vascular approach during sigmoid resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No association was found between the type of vascular approach and the long\u2010term urogenital functional outcome in patients undergoing sigmoid resection for diverticulitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15458","type":"journal-article","created":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T09:33:09Z","timestamp":1606555989000},"page":"911-922","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010term urogenital assessment after elective laparoscopic sigmoid resection for diverticulitis: a comparison between central and peripheral vascular resection"],"prefix":"10.1111","volume":"23","author":[{"given":"Alberto","family":"Posabella","sequence":"first","affiliation":[{"name":"University Center of Gastrointestinal and Liver Diseases \u2013 Clarunis Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadshathra","family":"Varathan","sequence":"additional","affiliation":[{"name":"University Center of Gastrointestinal and Liver Diseases \u2013 Clarunis Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Christian","family":"Steinemann","sequence":"additional","affiliation":[{"name":"University Center of Gastrointestinal and Liver Diseases \u2013 Clarunis Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selin","family":"G\u00f6ksu Ay\u00e7i\u00e7ek","sequence":"additional","affiliation":[{"name":"University Center of 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