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Sexual and bladder dysfunction after total mesorectal excision for benign diseases
F J Slors1, P P van Zuijlen, G J van Dijk
1Dept. of Surgery and Sexology, Academic Medical Center, G6-254, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Scandinavian Journal of Gastroenterology. Supplement
|March 10, 2001
Summary
Proctocolectomy with total mesorectal excision (TME) and ileal pouch-anal anastomosis (IPAA) resulted in few severe sexual or bladder issues. Postoperative quality of life (QoL) significantly improved despite common minor dysfunctions.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Urology
Background:
- Proctocolectomy with total mesorectal excision (TME) and ileal pouch-anal anastomosis (IPAA) is a surgical option for benign anorectal diseases.
- Assessing long-term functional outcomes, including sexual and bladder function, is crucial for patient well-being.
Purpose of the Study:
- To evaluate sexual and bladder dysfunction after proctocolectomy with TME and IPAA.
- To assess the impact of this surgery on patients' quality of life (QoL).
Main Methods:
- A questionnaire was sent to 94 patients who underwent proctocolectomy with TME and IPAA between 1989 and 1994.
- Seventy-six patients (81% response rate) with a mean follow-up of 33 months completed the survey.
Main Results:
- Sexual function was better preserved in males than females; severe dysfunction was rare (2 males, 1 female).
- No severe bladder dysfunction was observed, though minor incontinence was frequent.
- Quality of life (QoL) significantly increased post-surgery, independent of sexual or bladder dysfunction.
Conclusions:
- Proctocolectomy with TME and IPAA has a low incidence of severe sexual and bladder dysfunction.
- Minor functional impairments are common, but postoperative QoL is significantly enhanced.