A — Yes. Randomized and prospective studies demonstrate that pelvic intraoperative neuromonitoring during open total mesorectal excision significantly reduces postoperative urinary, sexual and anorectal dysfunction compared with standard surgery without monitoring, indicating a better functional outcome [Kneist et al., 2023, PMID 36177851; Kauff et al., 2020, PMID 31941505].