Abstract

The aim is to assess quality of life post Low Anterior Resection in Cancer rectum patients. A detailed preoperative assessment included careful history-taking and physical examination; with special stress on the urogenital system, followed by routine as well as specific investigations, in order to determine the exact etiology, site and length of the stricture and also the length and degree of spongiofibrosis. Results: All patients were followed up since admission, during operation, upto their discharge and uroflowmetery, retrograde urethrogram with micturating urethrogram was done, both before and after the procedure. Patients who were operated in the previous years and had come for follow up were also included. Conclusion: Urethral strictures have been a reconstructive dilemma for many years due to the high incidence of recurrence as well as less than satisfactory outcomes. A thorough preoperative evaluation, appropriate surgical planning, and adherence to basic surgical principles, even in the hands of the most experienced surgeon, have failed to achieve the desired results. 74.33% of patients were in the age group of 20-45 yrs. Post traumatic strictures had a short average length of 3.4 cms. Post-operative wound infection was the most common complication encountered and most of the complications were associated with TILE type C and those with longer strictures.

Description