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[The impact of conventional proctocolectomy on sexual function]

M Scaglia1, E Bronsino, V Canino

  • 1Divisione di Chirurgia Generale, Ospedale Maria Vittoria, Torino.

Minerva Chirurgica
|September 15, 1993
PubMed
Summary

Proctocolectomy for inflammatory bowel disease can lead to significant gynecological issues, including increased vaginal discharge and dyspareunia, and reduced fertility in women. Men may experience sexual dysfunction, though overall sexual satisfaction can improve post-surgery.

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Area of Science:

  • Gastroenterology and Gynecology
  • Surgical Outcomes Research

Background:

  • Inflammatory bowel disease (IBD) management often involves proctocolectomy.
  • The impact of proctocolectomy on gynecological and sexual health requires further investigation.

Purpose of the Study:

  • To assess gynecological problems and fertility in women post-proctocolectomy for ulcerative colitis or Crohn's disease.
  • To evaluate sexual disturbances in men post-proctocolectomy for ulcerative colitis or Crohn's disease.

Main Methods:

  • Follow-up clinic interviews with 71 women and 57 men who underwent proctocolectomy.
  • Assessment of gynecological symptoms, fertility rates, and sexual function before and after surgery.

Main Results:

  • Women experienced increased vaginal discharge (49%) and dyspareunia (27%) post-surgery.

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  • Fertility significantly decreased, with a success rate of 37% post-surgery compared to 72% pre-surgery.
  • Men reported reduced libido and sexual satisfaction, particularly older patients, though overall sexual life and satisfaction improved for many.

    • Conclusions:

    • Proctocolectomy significantly impacts female reproductive health and sexual function.
    • While sexual dysfunction occurs in men, improved general health post-surgery can lead to enhanced sexual satisfaction.