Proctocolectomy and ileal pouch anal anastomosis has become the gold standard surgical therapy for the majority of patients with mucosal ulcerative colitis.
However, sexual functional disturbances after this procedure can be a concern for patients.
Dr Gorgun and colleagues determined the outcome of sexual-function related quality of life in male patients after restorative proctocolectomy.
The researchers evaluated 122 male patients who underwent restorative proctocolectomy with ileal pouch anal anastomosis between 1995 and 2000.
The investigative team used the validated International Index of Erectile Function scoring instrument.
This index scale examines sexual function in 5 categories.
The categories include erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction.
The scoring instrument was administered after surgery.
The team evaluated and compared the scores before and after proctocolectomy and ileal pouch anal anastomosis.
|A significant improvement was shown in 4 of 5 categories of sexual function |
Age at the time of the surgery, type of surgery, type of anastomotic technique and septic complications on sexual functional outcome were also investigated.
The team reported that the mean age of the patients at the time of the surgery was 40 years.
The mean follow-up period was 4 years.
The investigators found a statistically significant improvement in 4 of 5 categories of sexual function.
Patients had improved scores after surgery for the categories of erectile function, sexual desire, intercourse satisfaction, and overall satisfaction.
The mean erectile function score increased pre to post surgery by 2 points, which indicates better sexual results.
The investigators observed that anastomotic technique and septic complication did not influence the results, however, older age had a negative impact on results.
Dr Gorgun's team concludes, “Despite some adverse sexual functions, male patients who undergo proctocolectomy and ileal pouch anal anastomosis for the surgical management of their colitis may preserve or improve their overall sexual functional outcome.”