Sexual function, urinary function and quality of life in patients after total proctocolectomy and ileal pouch anal anastomosis
10.3760/cma.j.issn.1007-631X.2019.11.014
- VernacularTitle: 全结直肠切除及回肠储袋肛管吻合术后性功能、排尿功能及生活质量的研究
- Author:
Baoxiang CHEN
1
;
Kongliang SUN
1
;
Yuntian HONG
1
;
Bo LIU
1
;
Xueqiao YU
1
;
Zhao DING
1
;
Qun QIAN
1
;
Congqing JIANG
1
;
Qiu ZHAO
1
;
Meifang HUANG
1
;
Mei YE
1
;
Tongzhi YIN
2
;
Hui YE
3
Author Information
1. Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071 China
2. Qianjiang Central Hospital, Qianjiang 433100 China
3. Jingzhou Central Hospital, Jingzhou, 434000 China
- Publication Type:Journal Article
- Keywords:
Sexual dysfunction, physiological;
Urination disorders;
Anastomosis, surgical
- From:
Chinese Journal of General Surgery
2019;34(11):959-963
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To 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).
Methods:The 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.
Results:There 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).
Conclusions:Compared with open surgery, laparoscopic TPC-IPAA patients had better postoperative sexual function and urination function.
