Complications from colon surgery

In April I had surgery for colon cancer. I had about 6 inches removed starting from the upper part on my rectum to my Sigmoid colon. One complication from the surgery was that I had trouble urinating. I had to rely on a Foley catheter. The catheter was removed several times over my 2 months stay at the hospital but always had to be reinserted. I finally was free from the catheter after I was released from the hospital. I urinate OK now but I have another side effect from the surgery that maybe you can help me with.

My sexual function is not the same as it was before the surgery. I do not get as firm as I did before. I also have no actual ejaculation although I do have the sensation of ejaculation. Finally, after sexual relations, the head becomes very sensitive (almost ticklish) and I have to stop contact.

My prostate should be intact and normal so I don

[Kevin Pho, MD]

This is known as neurogenic bladder.  It can certainly be a side effect from the surgery that you had 4 months ago.  However, there may be other considerations as well.  Neurologic damage can also cause trouble urinating.  

Here are some tests that you may want to discuss with your urologist:
- x-rays of the skull and spine
- electroencephalogram (EEG) - a procedure that records the brain's continuous, electrical activity by means of electrodes attached to the scalp
- imaging tests of the bladder and ureters
- tests that involve filling the bladder (to see how much it can hold and checking to see if the bladder empties completely)

Regarding the sexual function - this can also be from the surgery, or nerve damage.  Again, a urological referral would be the most reasonable approach at this time.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[surgeon]

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