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Sexual function and continence after ileo pouch anal anastomosis: a comparison between a meta-analysis and a questionnaire survey

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background and aims

Ileo pouch anal anastomosis (IPAA) is the standard restorative procedure for patients with ulcerative colitis and familial adenomatous polyposis, but its pros and cons have not been explored in depth. This study analyzed the long-term complications such as incontinence and sexual dysfunction after IPAA.

Patients and methods

Netherlands Society for Crohn’s disease and Ulcerative Colitis) A questionnaire on complications, sexual dysfunction, and continence was sent to all 137 members of the Netherlands Society for Crohn’s disease and Ulcerative Colitis who had IPAA; the questionnaire was returned by 111. Results of the questionnaire were compared with those of a meta-analysis on pooled incidences of complications after IPAA, as previously performed and reported.

Results

Pelvic sepsis was reported by 15.3% of respondents. The reported incidence of sexual dysfunction (19.8%), passive incontinence (23.4%), and soiling (39.3%) was significantly higher than that in the meta-analysis. Nevertheless, 90% of the population was satisfied with the results of the IPAA.

Conclusion

This study underlines that the operation itself, freeing patients of their disease, provides the major satisfaction and improvement of quality of life, even when patients have pouch-related complications such as sexual dysfunction and some degree of fecal incontinence.

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Reference

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Acknowledgements

The authors are indebted to Erik Buskens, MD, of the Julius Center for General Practice and Patient-Oriented Research, for his critical comments and suggestions on the statistical analysis.

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Authors and Affiliations

  1. Department of Surgery, University Medical Center, Heidelberglaan 100, 3508 GA, Utrecht, The Netherlands

    W. E. Hueting & H. G. Gooszen

  2. Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands

    C. J. H. M. van Laarhoven

Authors
  1. W. E. Hueting
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  2. H. G. Gooszen
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  3. C. J. H. M. van Laarhoven
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Corresponding author

Correspondence to W. E. Hueting.

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Hueting, W.E., Gooszen, H.G. & van Laarhoven, C.J.H.M. Sexual function and continence after ileo pouch anal anastomosis: a comparison between a meta-analysis and a questionnaire survey. Int J Colorectal Dis 19, 215–218 (2004). https://doi.org/10.1007/s00384-003-0543-7

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  • DOI: https://doi.org/10.1007/s00384-003-0543-7

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