Vol. 105 No. 2 (2026), Review paper
Vol. 105 No. 2 (2026)

Sexual and Reproductive Health After Surgical Procedures—The Importance of Multidisciplinary Collaboration

Review paper
Published 2026-02-28
Marek Broul
Sexuologické oddělení, Krajská zdravotní, a.s. – Masarykova nemocnice v Ústí nad Labem, o.z.; Fakulta zdravotnických studií UJEP v Ústí nad Labem
https://orcid.org/0000-0002-5652-1652
Aneta Hujová
Fakulta zdravotnických studií UJEP v Ústí nad Labem
https://orcid.org/0000-0003-3773-2902
Roman Maleček
Chirurgické oddělení, Krajská zdravotní, a.s. – Masarykova nemocnice v Ústí nad Labem, o.z.
Marcel Vančo
Gynekologicko-porodnická klinika FZS UJEP a Krajská zdravotní, a.s. – Masarykova nemocnice v Ústí nad Labem, o.z.
Jaroslava Banýrová
Fakulta tělesné výchovy a sportu, UK, Praha
https://orcid.org/0000-0003-4182-8341
Michaela Liegertová
Přírodovědecká fakulta UJEP v Ústí nad Labem
https://orcid.org/0000-0003-3858-856X
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Keywords

reproductive health
erectile dysfunction
dyspareunia
fertility preservation
postoperative complications

Abstract

Introduction: Sexual and reproductive health remains under-recognized in surgical care despite its decisive impact on quality of life and overall outcomes.

Methods: Narrative synthesis of recent guidance (EAU 2025, AUA 2024, ISSM/ESSM, NCCN/ASCO) and clinical evidence on sexual and reproductive sequelae after colorectal, vascular, and spinal procedures.

Key findings: Core mechanisms include autonomic denervation, vascular/hormonal factors, pain/scarring, and altered body image.  Pelvic oncologic surgeries (low anterior resection, radical prostatectomy/cystectomy) are high-risk procedures. High-value interventions include early penile rehabilitation (PDE5 inhibitors ± vacuum device) and fertility preservation (gamete cryopreservation), local estrogens/lubricants and pelvic-floor physiother­apy in women, and psychosexual support within coordinated multidisciplinary care across both sexes.

Conclusion: Embedding sexual and reproductive health into standard perioperative pathways (six-step algorithm: education, risk stratification, fertility preservation, nerve-sparing, discharge instructions, 6–12-week follow-up) is feasible in Czech practice and improves functional outcomes and patient satisfaction.

 

doi: 10.48095/ccrvch202662

 

PDF (Czech)