Document Detail

A prospective evaluation of sexual function and quality of life after ileal pouch-anal anastomosis.
MedLine Citation:
PMID:  18454295     Owner:  NLM     Status:  MEDLINE    
PURPOSE: This study was designed to assess the effect of ileal pouch-anal anastomosis on sexual function and quality of life in men and women. METHODS: Sexual function of patients undergoing ileal pouch-anal anastomosis from February 2005 to June 2006 was prospectively evaluated using the International Index of Erectile Function in men and Female Sexual Function Index in women. Quality of life was assessed using the Short Inflammatory Bowel Disease Questionnaire. Preoperative scores were compared with scores at 6 and 12 months postoperatively. RESULTS: Of 110 patients eligible for inclusion, 59 (53.6 percent) agreed to participate. Male sexual function and erectile function scores remained high 12 months after surgery (mean International Index of Erectile Function score 51.7 preoperative vs. 58.3 at 12 months postoperative; P = not significant (NS)). Abnormal sexual function decreased from 33.3 percent before surgery to 22.7 percent 12 months after surgery (P = NS). Female sexual function improved 12 months after surgery (mean Female Sexual Function Index score 19.2 preoperative vs. 27 at 12 months postoperative; P = 0.031). Abnormal sexual function decreased from 73.1 percent before surgery to 25 percent 12 months after surgery (P = 0.001). Quality of life significantly improved after ileal pouch-anal anastomosis in both sexes. CONCLUSIONS: In men, ileal pouch-anal anastomosis does not have an adverse effect on sexual function, whereas sexual function in women seems to improve 12 months after surgery.
R Justin Davies; Brenda I O'Connor; Charles Victor; Helen M MacRae; Zane Cohen; Robin S McLeod
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-05-03
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  51     ISSN:  1530-0358     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-03     Completed Date:  2008-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1032-5     Citation Subset:  IM    
Department of Surgery, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.
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MeSH Terms
Adenomatous Polyposis Coli / physiopathology,  psychology,  surgery*
Anal Canal / surgery*
Anastomosis, Surgical / methods,  psychology
Body Image
Colitis, Ulcerative / physiopathology,  psychology,  surgery*
Colonic Pouches*
Follow-Up Studies
Patient Satisfaction
Postoperative Period
Proctocolectomy, Restorative / methods*,  psychology
Prospective Studies
Quality of Life*
Sexuality / physiology*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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