Rectal resection is associated with a risk of sexual dysfunction even when performed for benign disease, with the most frequent type resulting in retrograde ejaculation due to injury to the hypogastric nerves.
A simple technique to identify and protect these nerves during rectal mobilization.
Exposure of the hypogastric plexus during rectal resection.
Careful identification of the hypogastric nerves during rectal mobilization using the described technique may reduce injury to these nerves and related sexual dysfunction.
Morpurgo E, Combs Hall M, Galandiuk S. A Simple Technique for Identification and Preservation of the Hypogastric Nerves During Rectal Surgery. Arch Surg. 2004;139(10):1106-1109. doi:10.1001/archsurg.139.10.1106