Anal Function During Pregnancy and Postpartum After Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Kitayama, Taku; Funayama, Yuji; Fukushima, Kouhei; Shibata, Chikashi; Takahashi, Ken; Ogawa, Hitoshi; Ueno, Takayoshi; Hashimoto, Akihiko; Sasaki, Iwao

doi:10.1007/s00595-004-2926-y

Cited by 29 publications

(17 citation statements)

References 22 publications

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“…Up to 30% of women in the general population undergoing vaginal delivery develop occult anal sphincter damage and pelvic floor denervation, particularly after frequent or prolonged and complicated childbirths [15]. Although some reports claimed that no modification of pouch function occurs after vaginal delivery and that IPAA patients should therefore not be advised against vaginal delivery, the experience on this subject is at variance with such a view [16][17][18]. For these reasons, there is not an absolute indication to caesarean section and it seems that the method of delivery should be decided only by obstetrical considerations.…”

Section: Sexual Function and Reproductive Healthmentioning

confidence: 97%

The ileoanal pouch procedure in the long–term perspective: a critical review

et al. 2005

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An ileo-pouch anal anastomosis (IPAA) has become the gold standard procedure for ulcerative colitis and familial adenomatous polyposis. Clinical results on the pelvic pouch procedure have often been encouraging; when confronted with the different surgical options, the majority of patients select IPAA as the best operation. However, even if IPAA is a great innovation, it is by no means the first choice for all patients. For patients old enough to join in a responsible discussion, the pros and cons of the various operations must be carefully described; the choice of surgical procedure must meet the patient's wishes and appear soundly based to the surgeon. The young age of most patients has to be considered and a long follow-up time is required to establish whether and, if so, to what extent the operation may adversely impact the patient's continence, sex life, fertility, and quality of life. The risk of cancer transformation in the residual rectal mucosa in the muscular or columnar cuff is another important factor that may influence the eventual decision. This article critically reviews our experience and the literature.

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Section: Sexual Function and Reproductive Healthmentioning

confidence: 97%

The ileoanal pouch procedure in the long–term perspective: a critical review

et al. 2005

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“…However, there are studies showing vaginal delivery is safe for those with a pouch in disease remission, with possible altered sphincter dysfunction during late pregnancy and postpartum usually returning to normal within 3 months of delivery without increased risk of fissure or anal sphincter injury [44,45]. In general, mode of delivery should be made on an individual basis with risks and benefits clearly discussed with the patient and providers involved.…”

Section: Mode Of Delivery In Ibdmentioning

confidence: 99%

Management of inflammatory bowel disease in pregnancy

Ng¹,

2013

Expert Review of Clinical Immunology

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“…The preferred surgical intervention for ulcerative colitis is the ileal pouch anal anastomosis, which offers intestinal continuity and fecal continence. For those women who do have an ileal pouch anal anastomosis, pregnancy is safe and there are no contraindications to vaginal delivery [68]. Women with ulcerative colitis who are planning to conceive should therefore, if possible, defer a colectomy until they have established their family.…”

Section: Fertilitymentioning

confidence: 99%