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Sexual dysfunction following proctocolectomy.

S Fasth, S Filipsson, R Hellberg

    Annales Chirurgiae Et Gynaecologiae
    |January 1, 1978
    PubMed
    Summary

    Proctocolectomy surgery rarely impairs sexual function, with most patients reporting unchanged or improved sexual relationships. However, some men experience impotence or loss of ejaculation, and women may develop dyspareunia or orgasm difficulties.

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    Area of Science:

    • Gastroenterology
    • Urology
    • Gynecology

    Background:

    • Proctocolectomy is a surgical procedure involving the removal of the rectum and colon.
    • Sexual function changes after proctocolectomy are not well-documented.

    Purpose of the Study:

    • To assess the impact of proctocolectomy on male and female sexual function.
    • To identify potential causes and contributing factors to sexual dysfunction post-surgery.

    Main Methods:

    • A detailed questionnaire was administered to 122 patients (66 men, 56 women) who underwent proctocolectomy.
    • Patients were interviewed regarding changes in their sexual function.

    Main Results:

    • The majority of patients (70% of men, 87% of women) reported unchanged or enhanced sexual function.
    • Impaired sexual function was reported by 29% of men and 12% of women.
    • Male dysfunction included impotence (5 cases, 25% in men >40) and loss of ejaculation (7-15%).
    • Female dysfunction included dyspareunia and/or inability to achieve orgasm.

    Conclusions:

    • Impotence is unlikely caused by operative trauma alone; presacral nerve injury may cause ejaculatory disorders.
    • Postoperative sexual dysfunction, particularly impotence, might be improved with medical information and encouragement.
    • Surgical precautions and proper wound care may reduce ejaculatory disorders and dyspareunia.

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