[Sexual function after ileo-anal anastomosis].
After restorative proctocolectomy, both men and women report an improved sexual life primarily because of a better general health. Sexual dysfunction has been reported by a few men who complain of lack of or retrograde ejaculation (2%) or impotence (3%). Sexual dysfunction, especially dyspareunia, can persist in as many as 20% of women after ileoanal anastomosis, but is less severe than preoperatively in most and is less common than after ileostomy, whether continent or not. Women with an ileal pouch-anal anastomosis can conceive, and have had successful deliveries, either vaginally or by cesarean section, without long-term detrimental effects on ileal reservoir function. Indeed, stool frequency increased and continence worsened in a small group of ileoanal anastomosis women but the changes were minimal and returned to predelivery status 3 months after delivery.
Dozois
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RR
Service de Chirurgie Colorectale, Mayo Clinic, Rochester, Minnesota 55905.
Nelson
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H
Metcalf
A M
AM
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000601:surgery*; D007172:Erectile Dysfunction / Q000209:etiology*; D005242:Fecal Incontinence / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D012725:Sexual Behavior
Fonction sexuelle après anastomose ilêo-anale.