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Published on: October 29, 2014
Sexual function following restorative proctocolectomy in women
M Bambrick1, V W Fazio, T L Hull
1Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio 44195, USA.
Diseases of the Colon and Rectum
|June 1, 1996
Summary
Restorative proctocolectomy in women can lead to sexual dysfunction, including vaginal dryness and painful intercourse. Preoperative counseling is recommended to discuss these potential impacts on sexual health.
Area of Science:
- Gastroenterology
- Gynecology
- Sexual Medicine
Background:
- Restorative proctocolectomy is a surgical procedure for ulcerative colitis and familial adenomatous polyposis.
- Sexual health is an important aspect of quality of life following major abdominal surgery.
Purpose of the Study:
- To determine the incidence and types of sexual dysfunction in women post-restorative proctocolectomy.
- To assess the impact of restorative proctocolectomy on various domains of female sexual function.
Main Methods:
- A questionnaire survey was administered to 262 female patients who underwent restorative proctocolectomy.
- Data were collected from a pelvic pouch database for additional information.
- Mean follow-up duration was 43 months.
Main Results:
- Significant increases in vaginal dryness, dyspareunia, and pain affecting sexual pleasure were reported.
- Concerns about stool leakage were found to limit sexual activity in some patients.
- No significant changes were observed in sexual desire, arousal, sensitivity, intercourse frequency, or relationship satisfaction.
Conclusions:
- Sexual dysfunction is a potential complication following restorative proctocolectomy in women.
- Preoperative counseling should include a discussion of potential sexual health impacts.
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