Technical Notes

There are several ways to complete the operation after abdomino-perineal resection of the rectum:

1. synchronous perineal colostomy and electrostim-ulated graciloplasty with or without a protective ileostomy;

2. synchronous perineal colostomy and deferred electrostimulated graciloplasty with or without a protective ileostomy;

3. deferred perineal colostomy and electrostimulat-ed graciloplasty with or without a protective ileostomy;

4. deferred perineal colostomy and subsequent elec-trostimulated graciloplasty with or without a protective ileostomy.

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Dealing With Erectile Dysfunction

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