"Near-TME": proposed standardisation of the technique for proctectomy in male patients with ulcerative colitis.

ABSTRACT:

Background

The aim of the present study was to describe in detail an approach to proctectomy in ulcerative colitis (UC), which can be standardized; near-total mesorectal excision (near-TME), to prevent injuries to autonomic pelvic nerves and subsequent sexual dysfunction.

Methods

We demonstrate the technique ex vivo on a cadaver from a male patient in lithotomy position and on a sagittal section of a male pelvis. We also demonstrate the technique in vivo in two male patients diagnosed with UC, with no history of sexual dysfunction or bowel neoplasia. The study was performed at the Human Embryology and Anatomy Department. University of Valencia, Spain.

Results

The posterolateral dissection during a near-TME is similar to that of an oncologic TME, whereas the anterolate

SUBMITTER: Garcia-Granero A 

PROVIDER: S-EPMC8857132 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature