{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T10:36:03Z","timestamp":1777026963562,"version":"3.51.4"},"reference-count":0,"publisher":"Care Comm","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rozhl Chir"],"published-print":{"date-parts":[[2026,2,28]]},"abstract":"<jats:p>Introduction: Sexual and reproductive health remains under-recognized in surgical care despite its decisive impact on quality of life and overall outcomes.\nMethods: Narrative synthesis of recent guidance (EAU 2025, AUA 2024, ISSM\/ESSM, NCCN\/ASCO) and clinical evidence on sexual and reproductive sequelae after colorectal, vascular, and spinal procedures.\nKey findings: Core mechanisms include autonomic denervation, vascular\/hormonal factors, pain\/scarring, and altered body image.  Pelvic oncologic surgeries (low anterior resection, radical prostatectomy\/cystectomy) are high-risk procedures. High-value interventions include early penile rehabilitation (PDE5 inhibitors \u00b1 vacuum device) and fertility preservation (gamete cryopreservation), local estrogens\/lubricants and pelvic-floor physiother\u00adapy in women, and psychosexual support within coordinated multidisciplinary care across both sexes.\nConclusion: Embedding sexual and reproductive health into standard perioperative pathways (six-step algorithm: education, risk stratification, fertility preservation, nerve-sparing, discharge instructions, 6\u201312-week follow-up) is feasible in Czech practice and improves functional outcomes and patient satisfaction.<\/jats:p>","DOI":"10.48095\/ccrvch202662","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T09:41:23Z","timestamp":1777023683000},"page":"62-67","source":"Crossref","is-referenced-by-count":0,"title":["Sexual and reproductive health after surgical procedures \u2013  the importance of multidisciplinary collaboration"],"prefix":"10.48095","volume":"104","author":[{"given":"Marek","family":"Broul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneta","family":"Hujov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Male\u010dek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel","family":"Van\u010do","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaroslava","family":"Ban\u00fdrov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Liegertov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2026,2,28]]},"container-title":["Rozhledy v chirurgii"],"original-title":["Sexu\u00e1ln\u00ed a reproduk\u010dn\u00ed zdrav\u00ed po chirurgick\u00fdch z\u00e1kroc\u00edch \u2013 v\u00fdznam multioborov\u00e9 spolupr\u00e1ce"],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T09:41:24Z","timestamp":1777023684000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.perspinsurg.com\/rvch\/article\/view\/1222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,28]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,28]]},"published-print":{"date-parts":[[2026,2,28]]}},"URL":"https:\/\/doi.org\/10.48095\/ccrvch202662","relation":{},"ISSN":["0035-9351","1805-4579"],"issn-type":[{"value":"0035-9351","type":"print"},{"value":"1805-4579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,28]]}}}