Abstract
One hundred women who had undergone proctocolectomy with a continence-preserving procedure (50 Kock pouches, 50 ileoanal anastomoses) for ulcerative colitis or polyposis coli were interviewed regarding their preoperative and postoperative sexual function. Frequency of intercourse increased and the incidence of dyspareunia decreased after operation in both groups. Patients who had a Kock pouch had a greater incidence of persistent postoperative dyspareunia than patients who underwent an ileoanal procedure (38% vs. 18%, p less than 0.02). Only one patient in each group reported a postoperative disturbance in ability to achieve orgasm. Most women reported no change in their menstrual cycle, but patients with a Kock pouch had more episodic vaginal discharge than patients with an ileoanal anastomosis (18% vs. 0%, p less than 0.001). Postoperative fertility was minimally impaired. Overall, the majority of women in this study who underwent proctocolectomy for benign diseases experienced enhanced sexual function after operation, which they attributed mainly to improved health.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bauer J. J., Gelernt I. M., Salky B., Kreel I. Sexual dysfunction following proctocolectomy for benign disease of the colon and rectum. Ann Surg. 1983 Mar;197(3):363–367. doi: 10.1097/00000658-198303000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brouillette J. N., Pryor E., Fox T. A., Jr Evaluation of sexual dysfunction in the female following rectal resection and intestinal stoma. Dis Colon Rectum. 1981 Mar-Apr;24(2):96–102. doi: 10.1007/BF02604296. [DOI] [PubMed] [Google Scholar]
- Burnham W. R., Lennard-Jones J. E., Brooke B. N. Sexual problems among married ileostomists. Survey conducted by The Ileostomy Association of Great Britain and Ireland. Gut. 1977 Aug;18(8):673–677. doi: 10.1136/gut.18.8.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DONOVAN M. J., O'HARA E. T. Sexual function following surgery for ulcerative colitis. N Engl J Med. 1960 Apr 7;262:719–720. doi: 10.1056/NEJM196004072621407. [DOI] [PubMed] [Google Scholar]
- Davis L. P., Jelenko C. Sexual function after abdominoperineal resection. South Med J. 1975 Apr;68(4):422–426. doi: 10.1097/00007611-197504000-00010. [DOI] [PubMed] [Google Scholar]
- Grüner O. P., Naas R., Fretheim B., Gjone E. Marital status and sexual adjustment after colectomy. Results in 178 patients operated on for ulcerative colitis. Scand J Gastroenterol. 1977;12(2):193–197. doi: 10.1203/00006450-199404000-00018. [DOI] [PubMed] [Google Scholar]
- Metcalf A. M., Dozois R. R., Kelly K. A., Beart R. W., Jr, Wolff B. G. Ileal "J" pouch-anal anastomosis. Clinical outcome. Ann Surg. 1985 Dec;202(6):735–739. doi: 10.1097/00000658-198512000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nilsson L. O., Kock N. G., Kylberg F., Myrvold H. E., Palselius I. Sexual adjustment in ileostomy patients before and after conversion to continent ileostomy. Dis Colon Rectum. 1981 May-Jun;24(4):287–290. doi: 10.1007/BF02641879. [DOI] [PubMed] [Google Scholar]
- Rogers B. H., Clark L. M., Kirsner J. B. The epidemiologic and demographic characteristics of inflammatory bowel disease: an analysis of a computerized file of 1400 patients. J Chronic Dis. 1971 Dec;24(12):743–773. doi: 10.1016/0021-9681(71)90087-7. [DOI] [PubMed] [Google Scholar]
- Weinstein M., Roberts M. Sexual potency following surgery for rectal carcinoma. A followup of 44 patients. Ann Surg. 1977 Mar;185(3):295–300. doi: 10.1097/00000658-197703000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yeager E. S., Van Heerden J. A. Sexual dysfunction following proctocolectomy and abdominoperineal resection. Ann Surg. 1980 Feb;191(2):169–170. doi: 10.1097/00000658-198002000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]