Table 2. Studies summarizing operations and sexual dysfunction in patients with IBD.
| Type of operation | Studies evaluating sexual dysfunction & infertility |
|---|---|
| IPAA | • 3% of men with UC [29] |
| - Retrograde or no ejaculation 10 years after IPAA | |
| • 12% of men with UC [30] | |
| - Ejaculatory dysfunction | |
| • Meta-analysis of 21 studies [31] | |
| - 3.6% of 5,112 patients evaluated | |
| - Sexual dysfunction such as Retrograde ejaculation, erection disorder, and dyspareunia | |
| • Patients with IBD aged ≥50 years [32] | |
| - 3.8% impotence rate | |
| • Young patients (median age 18 years) who underwent IPAA surgery [33] | |
| - No impotence or retrograde ejaculation | |
| • 122 men who underwent IPAA surgery [34] | |
| - 2.12 point increase in the erectile function score (better sexual results) | |
| - No significant difference between pre- and postoperative erectile dysfunction (p=0.29) | |
| Total proctocolectomy with end-ileostomy | • Patients with UC [36] |
| - Lower sexuality and body image scores | |
| Stoma | • 280 men with IBD [16] |
| - Erectile dysfunction and decreased Sexual satisfaction |
UC: ulcerative colitis, IPAA: ileal pouch-anal anastomosis, IBD: inflammatory bowel disease.