A simple technique for identification and preservation of the hypogastric nerves during rectal surgery.

HYPOTHESIS: 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. DESIGN: A simple technique to identify and protect these nerves during rectal mobilization. SETTING: Exposure of the hypogastric plexus during rectal resection. CONCLUSION: Careful identification of the hypogastric nerves during rectal mobilization using the described technique may reduce injury to these nerves and related sexual dysfunction.