Complications and Management

Complications following abdomino-perineal resection have been reported as high as 61% (8). Most of these can generally be prevented by appropriate pre-operative evaluation and careful operative technique. Postoperative sexual dysfunction can occur in both men and women, including a significant percentage of men with impotence. These complications are more common with advancing age and are somewhat unavoidable. Management, when indicated, can consist of counseling, medication, and implantation of prosthetic devices, or reconstructive surgery. The problems of colostomy management are discussed in detail in Chapter 15.

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