Male sex and anterior wall tumor location as risk factors for urinary dysfunction after laparoscopic rectal surgery

  • Hiroki HamamotoEmail author
  • Masashi Yamamoto
  • Shinsuke Masubuchi
  • Masatsugu Ishii
  • Wataru Osumi
  • Keitaro Tanaka
  • Junji Okuda
  • Kazuhisa Uchiyama



Total mesorectal excision (TME) has decreased the local recurrence rate and improved the overall survival of rectal cancer patients. However, urinary dysfunction remains a clinical problem after rectal cancer surgery. The aim was to assess the risk factors for postoperative urinary dysfunction.


This study was a single-center, retrospective analysis of 104 patients who underwent laparoscopic rectal surgery between November 2016 and October 2017. Postoperative urinary dysfunction was defined as the need for urinary catheter re-insertion or the presence of residual urine (≥ 150 mL) postoperatively.


Postoperative urinary dysfunction was seen in 18 patients (17%). Multivariate analysis showed that male sex (odds ratio 3.89, p = 0.034) and anterior wall tumor location (odds ratio = 4.07, p = 0.037) were the predictors of postoperative urinary dysfunction. Compared with patients without risk factors, those with the two risk factors needed longer hospital stays (16 days vs. 30 days, p = 0.0022).


Male sex and anterior wall tumor location were the risk factors for urinary dysfunction after laparoscopic rectal surgery.


Postoperative urinary dysfunction Laparoscopic rectal surgery Pelvic plexus Neurovascular bundle 


Compliance with ethical standards


Drs. Hiroki Hamamoto, Masashi Yamamoto, Shinsuke Masubuchi, Masatsugu Ishii, Wataru Osumi, Keitaro Tanaka, Junji Okuda, and Kazuhisa Uchiyama have no conflicts of interest or financial ties to disclose.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General and Gastroenterological SurgeryOsaka Medical CollegeTakatsukiJapan

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