ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2019
Sexual function after proctectomy in patients with inflammatory bowel disease: A prospective study.
Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 25 citations in OpenAlex.
- When nothing else matters: proctectomy for complex perianal Crohn's disease-indications, timing, techniques, and outcomes.Techniques in coloproctology · 2026Review
- Addressing Factors that Impact Sexual Well-Being and Intimacy in IBD Patients.Current gastroenterology reports · 2025Review
- Long-Term Complications of Proctectomy for Refractory Perianal Crohn's Disease: A Narrative Review.Journal of clinical medicine · 2025Review
- Psychosocial factors associated with j-pouch surgery for patients with IBD: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Patient-Reported Outcomes in Colorectal Surgery.Clinics in colon and rectal surgery · 2023Review
- Ileo-Anal Pouch Anastomosis and New Remedial Approaches for Ulcerative Colitis: A Review Article.Cureus · 2023Review
- Surgical treatment of colonic Crohn's disease: a national snapshot study.Langenbeck's archives of surgery · 2021Article
- Inflammatory Bowel Disease Nurse-Practical Messages.Nursing reports (Pavia, Italy) · 2021Review
- Timing and Holistic Measure of Sexual Function in Patients with IBD After Proctectomy.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsInflammatory bowel diseases (IBD), Crohn's disease (CD) and ulcerative colitis (UC) show a multifactorial impact on patients' quality of life, including sexual function (SF). The need for surgical intervention remains high, whereas proctectomy is frequently required in these patients. We tried to evaluate the impact of pelvic dissection during proctectomy in IBD patients' SF. MATERIALS AND
methodsWe conducted a prospective study, examining the pre- and postoperative (at 6 months) SF of 57 IBD patients that underwent proctectomy in our surgical department, in the period between 2010 and 2016. The 5-item International Index of Erectile Function (IIEF-5) and the Female Sexual Function Index were our research tools for men and women, respectively. We tried to evaluate the impact of gender, age, type of the disease, and surgical procedure on postoperative outcome.
resultsIleal pouch-anal anastomosis (IPAA) was offered to 45 patients, whereas 12 patients underwent total proctocolectomy with permanent end ileostomy (TPC). Men showed a non-significant improvement in median IIEF-5 score after proctectomy (22.0 vs 23.0, p=0.152). The majority of men had no erectile dysfunction either before (56.4%) or after (51.3%) surgery (p=0.599). Changes remained insignificant for subgroup analysis according to age, disease and surgical procedure. Female patients had also a non-significant improvement in overall median score (23.0 vs 24.1, p=0.856). Women's score remained below the cut-off value of 26.5 for almost every subgroup analyzed.
conclusionsProctectomy did not affect SF of IBD patents six months after surgery. Female patients seem to face more frequently a poor SF compared to men.
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