Female sexual dysfunction after ileal pouch–anal anastomosis

Ogilvie, James W.; Goetz, Lianna; Baxter, Nancy N.; Park, J.; Minami, Shigeki; Madoff, Robert D.

doi:10.1002/bjs.6072

Cited by 44 publications

(47 citation statements)

References 22 publications

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“…Therefore the International Index for Erectile Function [IIEF] for males and the Female Sexual Function Index [FSFI] for femaleswere used in the majority of the studies. 7,8,11,13,14,15,16,17,19,20 The majority of the studies examined sexual function in both males and females and thus the results are not presented based on sex. Instead the results are presented based on participant selection.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of the studies showed an impaired sexual function among IBD patients, with female patients more adversely affected compared with males. 9,12,13,14 Furthermore, depression was identified as the most consistent negative predictive factor of sexual function across studies, which could be attributed to the chronic course of the disease. 9,10,11,14 It has been reported that the relationship between chronic conditions and depression or anxiety can be experienced as independent or inter-related [with either one causing the other].…”

Section: Discussionmentioning

confidence: 99%

“…Thus six studies examined the sexual function among male and/or female patients with IBD registered on various national database or presented in a clinical setting, 7,8,9,10,11,12 whereas eight studies included only male and/or female patients who had undergone a surgery and examined their sexual function. 13,14,15,16,17,18,19,20 Potentially relevant studies identi ed through the initial search of the literature: n=165…”

Section: Resultsmentioning

confidence: 99%

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Inflammatory Bowel Disease and Sexual Function in Male and Female Patients: An Update on Evidence in the Past Ten Years

Mantzouranis

Fafliora

Glanztounis

et al. 2015

ECCOJC

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Background and Aims: Inflammatory bowel diseases [IBD] are a group of chronic, debilitating inflammatory intestinal conditions. The aim of this review was to assess the recent data regarding the impact of IBD in sexual function of male and female patients. Methods: A literature search was conducted on MEDLINE using, among others, the following search terms or their combinations: ulcerative colitis; Crohn's disease; sexual function; sexual health; relationship status; erectile dysfunction; surgery. All English-language studies published in the past 10 years which provided data evaluating the sexual function in IBD patients were included. Results: Fourteen studies were identified; six included IBD patients registered on a national database or presented in a clinical setting, whereas eight evaluated sexual function after a surgical intervention for IBD. The majority of the studies used the validated for general populations International Index for Erectile Function [IIEF] and the Female Sexual Function Index [FSFI] for the assessment of sexual function among males and females, respectively. An impaired sexual function has been reported in general cohorts of IBD patients; females seemed to experience worse sexual dysfunction than males. Furthermore, depression was a consistent negative predictive factor across studies. Surgery did not seem to affect sexual function in the majority of studies, except a prospective one which reported a significant improvement in male sexual function [IIEF, p < 0.05] but not female [FSFI, p = 0.6]. Conclusions: Sexual function among IBD patients may be impaired, thus more studies are needed in order to develop the appropriate instruments and proper and effective management strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Inflammatory Bowel Disease and Sexual Function in Male and Female Patients: An Update on Evidence in the Past Ten Years

Mantzouranis

Fafliora

Glanztounis

et al. 2015

ECCOJC

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“…26 Both instruments have been used in previous studies on patients with IPAA. 13,14,19,20 Hormonal replacement therapy (HRT) for women and injection or oral therapy for erectile dysfunction for men were also recorded. 27,28 Body image was assessed using a 10-item scale, the Body Image Scale (BIS), consisting of affective items (e.g.…”

Section: Sexual Functionmentioning

confidence: 99%

“…impotence, impaired lubrication, pain during intercourse and desire, vary. [8][9][10][11][12][13][14][15][16][17][18][19][20][21] This aspect of quality of life is poorly considered in standard instruments. Reported improvement of sexual function may be an effect of excision of the source of chronic inflammation and a better general health status.…”

Section: Introductionmentioning

confidence: 99%

Sexual function after failed ileal pouch-anal anastomosis

Bengtsson¹,

Lindholm²,

Nordgren³

et al. 2011

Journal of Crohn's and Colitis

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Background and Aims: Failure of ileal pouch-anal anastomosis (IPAA) occurs in around 10% of the patients. Compared to patients with functioning pouches, health related quality of life is deteriorated after failure. Sexual function in patients with pouch failure is however poorly studied. The aim was to study sexual function in patients with pelvic pouch failure; patients with functioning pouches were used as controls. The hypothesis was that patients with pouch failure have worse sexual function. Methods: 36 patients with pouch failure were compared with 72 age and sex-matched controls with ulcerative colitis and functioning pouches. The patients answered a set of questionnaires concerning sexual function (Female Sexual Function Index [FSFI] and International Index of Erectile Function [IIEF]), body image (BIS-scale) and health-related quality of life (SF-36). Results: Both women and men with pouch failure scored lower than controls in the FSFI and IIEF questionnaires. However, none of the observations were statistically significant. The scores in the failure group (for both sexes) were below the cut-off level for sexual dysfunction. Scores for the BIS instrument were significantly lower for both sexes in the failure group. Women and men in the failure group scored lower than the controls in all domains of the SF-36, however statistically significant only for the social function domain in men. Conclusions: The hypothesis, that a failed IPAA is associated with worse sexual function, was not confirmed. Compared to patients with functioning pouches, patients with pouch failure have inferior body image.

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