A prospective evaluation of sexual function and quality of life after ileal pouch-anal anastomosis.
OBJECTIVE
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.
Davies
R Justin
RJ
Department of Surgery, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, M5G 1X5, Canada.
O'Connor
Brenda I
BI
Victor
Charles
C
MacRae
Helen M
HM
Cohen
Zane
Z
McLeod
Robin S
RS
D011125:Adenomatous Polyposis Coli / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods / Q000523:psychology; D001828:Body Image; D003093:Colitis, Ulcerative / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D039021:Colonic Pouches; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011184:Postoperative Period; D016737:Proctocolectomy, Restorative / Q000379:methods* / Q000523:psychology; D011446:Prospective Studies; D011788:Quality of Life; D019529:Sexuality / Q000502:physiology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome