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Laparoscopic rectal dissection preserves erectile function after ileal pouch-anal anastomosis: a two-centre study
Olivier Picaud1,2, Laura Beyer-Berjot1, Yann Parc2
1Department of Gastrointestinal Surgery, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France.
Summary
Ileal pouch-anal anastomosis (IPAA) may impact erectile function, with older age and open surgery being risk factors. However, male fertility is not negatively affected by IPAA.
Area of Science:
- Gastroenterology
- Urology
- Reproductive Health
Background:
- Erectile function and male fertility post-ileal pouch-anal anastomosis (IPAA) are understudied.
- Assessing these outcomes is crucial for male patients undergoing IPAA.
Purpose of the Study:
- To evaluate the impact of IPAA on erectile function.
- To assess the effect of IPAA on male fertility.
Main Methods:
- A cohort of male patients (<=70 years) undergoing IPAA between 2003-2017 were assessed.
- Erectile function (IIEF, Jorge-Wexner) and fertility questionnaires were administered.
- Fertility outcomes were compared to a control group undergoing appendectomy.
Main Results:
- 33% of IPAA patients experienced erectile dysfunction (ED), with age >50 and open rectal dissection as risk factors.
- No significant difference in infertility rates was observed between IPAA patients and controls.
- Paternity desire was similar between IPAA patients and controls.
Conclusions:
- A laparoscopic approach for rectal dissection in IPAA may help preserve erectile function.
- IPAA does not appear to impair male fertility.
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