This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Rectum and anal canal, Subject name: Surgery
All are true about Total Mesorectal Excision for CA rectum except: 
Select and explain. 
A. Decreases local recurrence, B. Decreases incidence of impotence, C. Decreases incidence of bladder dysfunction, D. Lesser Leakage rate and higher stoma rate
D: Lesser Leakage rate and higher stoma rate
Answer: D: Lesser Leakage rate and higher stoma rate 
Explanation: Total Mesorectal Excision Advantages Disadvantages Significant increase in 5-year survival rates Decrease in local recurrence rate Decrease in the incidence of impotence and bladder dysfunction. TME is a more complex operation Associated with a longer operating time, more blood loss, longer hospital stay Higher leakage rate, higher stoma rate.