Advantages of transperineal approach for secondary rectal cancer following prior radiotherapy to prostate cancer -video vignette.

Radiotherapy for prostate cancer increases the risk of secondary rectal cancer [1]. The technical challenge for rectal surgery in patients who had previous high-dose pelvic radiation is due to difficulty in defining the anatomy, especially in mobilising the mesorectum with post-radiation changes distorting anatomical structures [2]. Considering the anatomical proximity of the rectum to the prostate, the increased fibrosis caused by prior radiotherapy is crucial during anterior dissection of the rectum. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.