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Pouch procedure tied to impaired sexual function.(Gynecology)
PHILADELPHIA -- Women who underwent an ileal pouch/anal anastomosis procedure for ulcerative colitis reported impaired sexual function, compared with historic, normal controls, Laura H. Goetz, M.D., said at the annual meeting of the American Society of Colon and Rectal Surgeons.
The etiology of worsened sexual function, found in a survey of 92 patients, is unclear. It might be caused by nerve damage during proctectomy, inadequate pouch function, or aging, said Dr. Goetz, a colon and rectal surgeon at the University of California, San Francisco.
A questionnaire was used to assess sexual function in women who had undergone the ileal pouch/anal anastomosis procedure. The questionnaire included the modified Female Sexual Functioning Index (FSFI), the Fecal Incontinence Severity Index, and additional questions about pouch function. The questionnaire was sent to 167 women who had surgery for ulcerative colitis during 1990-2004 at UCSF. Of those, 92 women returned completed surveys. Their mean age was 39.5 years, with a range of 19-61 years. The questions were answered a mean of 6 years after surgery, with a range of 1-14 years.
The average ...
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