{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:51:59Z","timestamp":1790391119809,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The effect of laparoscopic surgery on sexual function in patients with ultra\u2010low rectal cancer remains unexplored. This multicentre study evaluated postoperative sexual function in male patients with rectal cancer located within 5\u2009cm of the anal verge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 139 male patients aged \u226470\u2009years with clinical T1\u20102N0M0 rectal cancer underwent laparoscopic surgery between January 2014 and March 2017 at 47 institutions. Sexual function was assessed using the International Index of Erectile Function (IIEF\u201015) and an ejaculation questionnaire preoperatively and at 3, 6, and 12\u2009months postoperatively. Univariate and multivariate analyses were performed to examine risk factors for sexual dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The IIEF\u201015 scores showed a significant decrease at 3\u2009months postoperatively, with partial recovery observed at 12\u2009months; however, the scores remained below baseline levels. Age\u2009\u2265\u200956\u2009years was identified as a significant risk factor for postoperative erectile dysfunction. Although ejaculatory function exhibited some improvement over 12\u2009months, it did not return to preoperative levels. However, the orgasmic function, sexual desire, and overall satisfaction domains recovered close to their preoperative levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Laparoscopic surgery for ultra\u2010low rectal cancer significantly affects male sexual function, particularly in older patients. These findings highlight the necessity for thorough preoperative counselling and targeted postoperative management to address sexual dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70092","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T22:57:26Z","timestamp":1745017046000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Longitudinal follow\u2010up of sexual function after surgery for ultra\u2010low rectal cancers located within 5\u2009cm of the anal verge: A multicentre collaborative study"],"prefix":"10.1111","volume":"27","author":[{"given":"Yasuhiro","family":"Ishiyama","sequence":"first","affiliation":[{"name":"Division of Gastroenterological Surgery Saitama Medical University International Medical Centre  Saitama 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6397-0907","authenticated-orcid":false,"given":"Yosuke","family":"Fukunaga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Cancer Institute Hospital, Japanese Foundation of Cancer Research  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Coloproctological Surgery Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2294-4673","authenticated-orcid":false,"given":"Hiroki","family":"Hamamoto","sequence":"additional","affiliation":[{"name":"Department of General and Gastroenterological Surgery Osaka Medical and Pharmaceutical University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Yoshimitsu","sequence":"additional","affiliation":[{"name":"Department of Surgery Hiroshima City North Medical Centre Asa Citizens Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5907-4050","authenticated-orcid":false,"given":"Hisanaga","family":"Horie","sequence":"additional","affiliation":[{"name":"Department of Surgery Jichi Medical University  Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhisa","family":"Matsuhashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Pediatric Surgery Gifu University, Graduate School of Medicine  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Kuriu","sequence":"additional","affiliation":[{"name":"Department of Surgery Kyoto Prefectural University of Medicine  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