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A 55-year-old man undergoes low anterior resection with primary anastomosis for a T2N0 rectal cancer located 9 cm from the anal verge. The splenic flexure was mobilized, the inferior mesenteric artery was divided distal to the take-off of the left colic artery, followed by total mesorectal excision. His recovery is uneventful. He returns to the clinic 3 months after surgery describing normal erections, but he is unable to ejaculate. At which step of the operation is nerve damage most likely to have occurred?
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Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717341/all/Malignancy. Accessed 22 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717341/all/Malignancy. Accessed April 22, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717341/all/Malignancy
[Internet]. In: ASCRS Question Bank. [cited 2026 April 22]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717341/all/Malignancy.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 -
ID - 3717341
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717341/all/Malignancy
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

