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 17 January 2018

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News

Sexuality before and after restorative proctocolectomy

Ulcerative colitis patients find their sexual life normalizes considerably after ileal-pouch anal anastomosis, report researchers in the latest issue of the Scandinavian Journal of Gastroenterology.

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In this study, researchers from Sweden assessed sexuality in patients with ulcerative colitis (UC) both before and 1 year after an ileal-pouch anal anastomosis (IPAA).

Patients were divided into 2 groups. Group 1 included 14 medically treated patients, and group 2 included 29 patients operated with colectomy and ileostomy, with preservation of the rectum.

The team interviewed patients about desire, excitement and general sexual satisfaction before and 1 year after the IPAA operation.

The team found that most of the patients restarted sexual activity 3 months after surgery.
A third of patients were dissatisfied with their sexual life before surgery.
Scandinavian Journal of Gastroenterology

Patients reported that sexual desire and desire for intercourse had not changed from before the IPAA operation.

The researchers found that 1 woman in group 1 suffered from dyspareunia both before and after IPAA.

While, in group 2, 3 women had dyspareunia before IPAA and 4 after.

The team found that erection and ejaculation were normal in all men before IPAA; afterwards 1 man in group 1 and 2 in group 2 had loss of ejaculation.

They found that 10 of 14 patients in group 1 were satisfied with their sexual life both before and after the IPAA. In group 2, 15 of 28 were satisfied before IPAA and 22 after IPAA surgery.

Dr Berndtsson and colleagues concluded, "A third of the patients stated that they were dissatisfied with their sexual life before IPAA".

"Although a few patients experienced sexual imperfections such as loss of ejaculation and dyspareunia, the majority of patients in both groups considered that the overall general satisfaction with their sexual life had normalized considerably after surgery".

Scand J Gastroenterol 2004; 39(4): 374-9
06 April 2004

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