Anorectal carcinoma involving the female genital tract: the morbidity and implications for sexual function

Abstract

Background: Carcinoma of the colon and anorectum affect a younger age group in Africans, and patients often present late with advanced disease.


Method: A retrospective review of 22 females treated for anorectal carcinoma.


Results: Fourteen females had genital tract involvement; their mean age was 33.8 years. Thirteen patients had abdominoperineal resection. The other patient had a divided colostomy. Adjuvant chemotherapy was given to 12 patients. Wound infection occurred in 3 patients, and wound dehiscence in one patient. Five patients resumed sexual activity 6 months after surgery. One patient died of pneumonia 23 days after surgery.


Conclusion: Anerectal carcinoma causes morbidity related to the genital tract and sexual function in females.


(Nig J Surg Res 2003; 5: 38 – 42)


Key words: Anorectum, carcinoma, female, sexual function