Our Summary

This research paper is about comparing the quality of life in rectal cancer patients who have undergone two different types of surgery: colostomy and restorative proctectomy. The study asked patients to describe how their surgery affected their lives and ranked these effects based on the patient’s desire for improvement.

The research included 121 patients, with 39 having a colostomy and 82 undergoing restorative proctectomy. Researchers found that patients with a colostomy generally had a lower quality of life compared to those who had a restorative proctectomy. However, patients with severe bowel dysfunction, regardless of the type of surgery, reported a similar reduction in their quality of life.

Specifically, patients with colostomies reported more issues with sexual function, body image, and sports. Meanwhile, those who underwent restorative proctectomy reported more problems with sleep, transportation, and self-care.

In simple terms, the study found that while a colostomy can often have a more negative impact on a patient’s quality of life, the severity of bowel dysfunction is also a critical factor. Additionally, the type of problems patients face can vary depending on the type of surgery they have undergone.

FAQs

  1. What types of surgeries were compared in this research?
  2. How does the severity of bowel dysfunction affect a patient’s quality of life after surgery?
  3. What specific issues did patients report after undergoing a colostomy and restorative proctectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about proctectomy is to discuss openly and honestly about any concerns or challenges they may be facing post-surgery, whether it be related to bowel function, body image, sexual function, or other aspects of their life. Seeking support from healthcare providers, counselors, and support groups can help patients navigate these challenges and improve their overall quality of life. It’s important for patients to know that they are not alone in their experiences and that there are resources available to help them cope and adjust to life after proctectomy.

Suitable For

Patients who have been diagnosed with rectal cancer and are considering surgery may be recommended a proctectomy if they have severe bowel dysfunction or are experiencing issues with sexual function, body image, sports, sleep, transportation, or self-care. It is important for patients to discuss their specific symptoms and concerns with their healthcare provider in order to determine the most appropriate treatment option for their individual needs.

Timeline

Before proctectomy:

  • Patient is diagnosed with rectal cancer
  • Consultation with a surgeon to discuss treatment options
  • Preoperative tests and evaluations
  • Surgery to remove the rectum and surrounding tissues
  • Recovery period in the hospital

After proctectomy:

  • Adjustment to life with a colostomy or a restorative proctectomy
  • Rehabilitation and physical therapy, if needed
  • Follow-up appointments with healthcare providers
  • Management of potential complications such as bowel dysfunction, sexual dysfunction, or body image issues
  • Ongoing monitoring for recurrence or other complications
  • Gradual improvement in quality of life as the patient adjusts to the changes and receives necessary support and care

What to Ask Your Doctor

When discussing a proctectomy with your doctor, here are some questions you may want to consider asking:

  1. What type of proctectomy surgery do you recommend for me and why?
  2. What are the potential risks and complications associated with the surgery?
  3. How will the surgery impact my daily activities and quality of life?
  4. What can I expect in terms of recovery time and post-operative care?
  5. Will I need to make any changes to my diet or lifestyle after the surgery?
  6. How will the surgery affect my bowel and sexual function?
  7. Are there any alternative treatment options to consider?
  8. How often will I need follow-up appointments after the surgery?
  9. Can you provide me with information on support groups or resources for patients who have undergone a proctectomy?
  10. Are there any specific factors, such as severe bowel dysfunction, that could impact my quality of life after the surgery?

Reference

Authors: Robitaille S, Maalouf MF, Penta R, Joshua TG, Liberman AS, Fiore JF Jr, Feldman LS, Lee L. Journal: Surgery. 2023 Oct;174(4):813-818. doi: 10.1016/j.surg.2023.06.033. Epub 2023 Jul 24. PMID: 37495462