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Sexual Distress Is Common in Long Term Follow-up After Pelvic Pouch for Ulcerative Colitis: A Cross-Sectional Study
Garrett Johnson1, Tae L Hart2, Mantaj S Brar1
1Department of Surgery, Mount Sinai Hospital and University of Toronto, Toronto, Ontario, Canada.
Diseases of the Colon and Rectum
|June 19, 2026
Summary
Sexual distress is common after pelvic pouch surgery for ulcerative colitis, affecting 39% of patients, especially women. Poor bowel function, anxiety, and depression are significant contributing factors.
Area of Science:
- Gastroenterology
- Urology
- Psychiatry
Background:
- Sexual dysfunction is a frequent complication of pelvic pouch surgery for ulcerative colitis.
- However, the extent of sexual distress experienced by patients remains underexplored.
Purpose of the Study:
- To quantify the prevalence of sexual distress in ulcerative colitis patients post-pelvic pouch surgery.
- To investigate the influence of demographics, bowel function, anxiety, and depression on sexual distress.
Main Methods:
- A cross-sectional survey was distributed to patients who underwent pelvic pouch surgery for ulcerative colitis.
- Validated questionnaires assessed sexual distress, anxiety, depression, and colorectal function.
- Multivariable regression analyzed associations between sexual distress and various patient and operative factors.
Main Results:
- 39% of 497 analyzed patients reported significant sexual distress.
- Women experienced disproportionately higher rates (57.8%).
- Female gender was an independent predictor of sexual distress; poor bowel function, anxiety, and depression were strongly associated.
Conclusions:
- Sexual distress is prevalent after pelvic pouch surgery for ulcerative colitis, particularly in women.
- Bowel dysfunction, anxiety, and depression are key associated factors.
- Holistic pre/postoperative counseling and psychological screening are recommended; further research into mechanisms and interventions is warranted.
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