Original Article
Sexual function, urinary function and quality of life in patients after total proctocolectomy and ileal pouch anal anastomosis
Chen Baoxiang, Sun Kongliang, Hong Yuntian, Liu Bo, Yu Xueqiao, Ding Zhao, Qian Qun, Jiang Congqing, Zhao Qiu, Huang Meifang, Ye Mei, Yin Tongzhi, Ye Hui
Published 2019-11-25
Cite as Chin J Gen Surg, 2019,34(11): 959-963. DOI: 10.3760/cma.j.issn.1007-631X.2019.11.014
Abstract
ObjectiveTo investigate the sexual function, urinary function and quality of life in patients of ulcerative colitis(UC) and familial adenomatous polyposis(FAP) after total proctocolectomy and ileal pouch anal anastomosis (IPAA).
MethodsThe clinical data of patients with UC and FAP undergoing IPAA at Zhongnan Hospital of Wuhan University from Jan 2006 to Sep 2018 were reviewed , postoperative sexual function, urinary function, and long-term quality of life were assessed.
ResultsThere were 45 patients with median age of 35 years , median follow-up time of 31 months. 18 were UC, 27 were FAP, 5 did 1-stage surgery, 37 did 2-stage surgery, 3 for 3-stage surgery, 13 underwent open surgery, and 32 underwent laparoscopic surgery. 7 patients suffered sexual dysfunction after IPAA, and there was no statistical difference between male and female (P=0.992), UC and FAP (P=0.153), 1-stage , 2-stage , and 3-stage surgery (P=0.363) , with statistically significant difference between the open group and the laparoscopic group (P=0.025). 6 patients complicated with urinary dysfunction after IPAA , and there was no statistical difference between male and female (P=0.562), UC and FAP (P=0.325), 1-stage, 2-stage, and 3-stage surgery (P=0.286) , with statistically significant difference between the open group and the laparoscopic group (P=0.007). The Cleveland Global Quality of Life (CGQL) score after IPAA was 0.696±0.085. There were no statistical difference on CGQL scores in males and females (P=0.635), UC and FAP (P=0.664), 1-stage, 2-stage, and 3-stage (P>0.05), open group and laparoscopic group (P=0.205), postoperative long-term QOL was significantly associated only with age at the time of surgery (P=0.001).
ConclusionsCompared with open surgery, laparoscopic TPC-IPAA patients had better postoperative sexual function and urination function.
Key words:
Sexual dysfunction, physiological; Urination disorders; Anastomosis, surgical
Contributor Information
Chen Baoxiang
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Sun Kongliang
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Hong Yuntian
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Liu Bo
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Yu Xueqiao
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Ding Zhao
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Qian Qun
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Jiang Congqing
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Zhao Qiu
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Huang Meifang
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Ye Mei
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
Yin Tongzhi
Qianjiang Central Hospital, Qianjiang 433100 China
Ye Hui
Jingzhou Central Hospital, Jingzhou, 434000 China
