title: Sexual activity after ileal pouch-anal anastomosis in Japanese patients with ulcerative colitis.
abstract: OBJECTIVE
  The aim of this study was to evaluate the sexual activity after restorative proctocolectomy with ileal J-pouch-anal anastomosis (ileoanal anastomosis) in Japanese patients with ulcerative colitis.
  
  
  METHODS
  Sixty-one patients who had undergone ileoanal anastomosis and were followed for at least 6 months after surgery were randomly selected. Their quality of life was assessed using the Japanese version of the Inflammatory Bowel Disease Questionnaire. Scores of three or less for the item "Sex life" were predetermined to represent poor sexual activity. The medical staff then asked them the reasons for this using a non-structured interview and open-ended questions.
  
  
  RESULTS
  Overall, 19 patients reported poor sexual activity. There was a significant difference in the scores for "Social functions" other than Sex life between individuals with poor and good sexual activities (21.6 ± 4.6 vs. 24.1 ± 4.2, P = 0.016). Ileoanal anastomosis after the age of 40 (OR 22, P = 0.02) and a total preoperative corticosteroid dose ≥15 g (OR 7.4, P = 0.04) were significant risk factors for poor sexual activity after ileoanal anastomosis.
  
  
  CONCLUSIONS
  Our results suggest that ileoanal anastomosis results in relatively poor sexual activity, which was associated with other social functions, older age and a higher dose of corticosteroids administered to Japanese patients with ulcerative colitis.
authors: Faculty of Medicine, School of Nursing, Mie University, Tsu, Japan.
authors: Kazue
authors: K
authors: Yoshida
authors: Toshimitsu
authors: T
authors: Araki
authors: Keiichi
authors: K
authors: Uchida
authors: Yoshiki
authors: Y
authors: Okita
authors: Hiroyuki
authors: H
authors: Fujikawa
authors: Mikihiro
authors: M
authors: Inoue
authors: Koji
authors: K
authors: Tanaka
authors: Yasuhiro
authors: Y
authors: Inoue
authors: Yasuhiko
authors: Y
authors: Mohri
authors: Masato
authors: M
authors: Kusunoki
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000328:Adult; D000367:Age Factors; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D044466:Asian People; D003093:Colitis, Ulcerative / Q000150:complications / Q000503:physiopathology* / Q000523:psychology / Q000601:surgery*; D039021:Colonic Pouches; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior / Q000187:drug effects / Q000502:physiology*; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000503:physiopathology* / Q000523:psychology; D011795:Surveys and Questionnaires; D014555:Urination Disorders / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones