Sexual dysfunction after rectal surgery varies widely in the literature. Prevalence of sexual dysfunction before surgery and desire of patient to treat this condition is also not well established.

Objectives of this prospective cohort study were to determine prevalence of sexual dysfunction with a questionnaire before and after surgery. Patient's satisfaction and quality of life were also collected regarding preoperative information given.

Inclusion Criteria:

• Male between 18 and 65 years old

• Will undergo one of the following surgeries in the 12 months after the initial visit:

  • Low anterior resection
  • Abdominoperineal resection with end colostomy
  • Total proctocolectomy with ileostomy
  • Total proctocolectomy with ileoanal reservoir
  • Proctectomy

• Having had a sexual intercourse in the 4 weeks prior to the initial visit

• Having the desire to maintain sexual activities in the post-operative period

Exclusion Criteria:

• Tadalafil allergy/hypersensitivity
• Having received treatment for erectile dysfunction or medical treatment in the 4 weeks prior to the initial visit
• Active consumption of nitrate derivatives (NO)
• History of non-arteritic ischemic optic neuropathy
• Severe renal or hepatic insufficiency
• Stroke in the last 6 months
• Myocardial infarction in the last 3 months
• Unstable angina pectoris or angina pectoris during sexual relations
• Cardiac insufficiency Class ≥ 2 in the last 6 months
• Uncontrolled arrhythmia, hypotension or hypertension

gender identity

Male patients between 18 and 65 years who will have a rectal surgery at the Centre Hospitalier Universitaire de Sherbrooke