[Expert consensus on the prevention, treatment and rehabilitation of pelvic organ dysfunction after rectal cancer surgery(2026 version)].
With the remarkable improvement in the survival rate of patients after sphincter-preserving radical resection for rectal cancer, pelvic organ dysfunction has become a core issue affecting patients' quality of life. However, in clinical practice, there is a lack of standardized assessment of pelvic organ function and systematic rehabilitation strategies. To address this issue, the Colorectal Cancer Committee of the Chinese Medical Doctor Association, the Colorectal Cancer Committee of the Chinese Anti-Cancer Association, the Neuromodulation Committee of the Chinese Medical Doctor Association, and the Colorectal and Anal Functional Surgery Branch of the Chinese Society of Andrology jointly initiated the formulation of this consensus. They organized domestic experts engaged in the diagnosis and treatment of rectal cancer and related fields, systematically reviewed relevant domestic and international studies, and combined clinical practice. Centering on the incidence, risk factors, assessment methods, prevention, treatment and rehabilitation of postoperative organ dysfunction in rectal cancer, under the guidance of the integrated concept of "prevention-treatment-rehabilitation", and integrating the multidisciplinary wisdom of gastrointestinal surgery, urology, sexual medicine, rehabilitation medicine and other disciplines, the experts standardized the pelvic organ function assessment strategies, surgical techniques and dysfunction rehabilitation strategies in three stages of "preoperative assessment - intraoperative protection - postoperative rehabilitation", put forward recommendations, and conducted discussions and voting, thus formulating « Expert consensus on the prevention, treatment and rehabilitation of pelvic organ dysfunction after rectal cancer surgery (2026 version) ». This consensus aims to raise the awareness of domestic clinicians regarding organ function protection during the treatment of rectal cancer, standardize the implementation of organ function assessment and surgical methods, develop a rehabilitation strategy for recto-vesical-sexual dysfunction after sphincter-preserving rectal cancer surgery suitable for national conditions to reduce the incidence of organ dysfunction, and provide solutions for the rehabilitation of pelvic organ dysfunction in patients while ensuring the curative effect of radical rectal cancer treatment.