Sexual function and continence after ileo pouch anal anastomosis: a comparison between a meta-analysis and a questionnaire survey

Abstract

This study underlines that the operation itself, freeing patients of their disease, provides the major satisfaction and improvement of quality of life, even when patients have pouch-related complications such as sexual dysfunction and some degree of fecal incontinence.

Sexual Function, Body Image, and Quality of Life after Laparoscopic and Open Ileal Pouch-Anal Anastomosis

“…Sexual dysfunction affects fertility adversely. 33 Dozois et al and Hueting et al 27,28 have suggested that women are at the most risk. Although these studies measured sexual function using nonstandardized techniques, our results, using validated instruments, indicate that women do indeed experience abnormal function postoperatively.…”

“…Dozois et al 27 described the negative impact on female sexual function caused by pelvic dissection during open IPAA. More recently, Hueting et al 28 found sexual function abnormalities after open IPAA.…”

A Prospective Evaluation of Sexual Function and Quality of Life After Ileal Pouch-Anal Anastomosis

“…5,12,13 However, these studies did not use validated instruments to assess sexual function. Gorgun et al 14 used the IIEF to assess sexual function in 122 patients who had IPAA and found an improvement overall after IPAA but preoperative sexual function was not assessed prospectively, rather that patients were asked to recall their preoperative sexual function often many years after surgery.…”

Septic Complications after Restorative Proctocolectomy do not Impair Functional Outcome: Long-Term Follow-Up from a Specialty Center

“…However, after RPC patients generally have increased bowel frequency, decreased stool consistency, and potentially daytime and nighttime incontinence. [3][4][5] The reported overall postoperative complication rate is 29 to 63 percent. 3,6 One of the most feared complications after RPC is sepsis caused by failure of a pouch or anastomotic suture or staple line.…”