Female reproductive health after ileal pouch anal anastomosis for ulcerative colitis

被引：23

作者：

Wax, JR ^{[1
]}

Pinette, MG ^{[1
]}

Cartin, A ^{[1
]}

Blackstone, J ^{[1
]}

机构：

[1] Maine Med Ctr, Div Maternal Fetal Med, Portland, ME 04102 USA

来源：

OBSTETRICAL & GYNECOLOGICAL SURVEY | 2003年 / 58卷 / 04期

关键词：

D O I：

10.1097/00006254-200304000-00023

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Ileal pouch anal anastomosis is the surgical treatment of choice for ulcerative colitis, offering intestinal, continuity and fecal continence. IPAA does not seem to affect menstrual function or gynecologic symptoms. Overall sexual satisfaction may be improved with surgery, although ability to experience orgasm and coital frequency remain essentially unchanged. However, dyspareunia seems to increase postoperatively. Fertility is also adversely affected by IPAA, possibly a result of pelvic adhesions. Pregnancy is characterized by a transient increase in day and night stool frequency and incontinence that resolves after delivery. The ideal route of delivery has not been determined but vaginal delivery seems safe and does not directly cause pouch dysfunction.

引用

页码：270 / 274

页数：5

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