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Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease.

Publication ,  Journal Article
Wang, JY; Hart, SL; Wilkowski, KSY; Lee, JW; Delmotte, EC; del Rosario, KM; del Rosario, AS; Varma, MG
Published in: Dis Colon Rectum
January 2011

BACKGROUND: Significant concern exists regarding the effect of proctectomy on sexual function in patients with IBD. Little is known about gender-specific differences. OBJECTIVE: This study aimed to examine sexual function and quality of life in men and women with IBD before and after proctectomy. DESIGN: This is a prospective cohort study. SETTING: The study was conducted at a colorectal surgery center. PATIENTS: The patients included in this study have IBD and underwent proctectomy or proctocolectomy. INTERVENTION: The treatment provided was proctectomy or proctocolectomy. MAIN OUTCOME MEASURES: Validated questionnaires were used to assess sexual function, quality of life, bowel habits, and urinary symptoms, and were completed before and 6 months after surgery. RESULTS: Sixty-six participants (41 men and 25 women) were evaluated at baseline and 6 months after proctocolectomy or completion proctectomy. A total of 48 IPAAs (31 men and 17 women) and 18 end ileostomies (10 men and 8 women) were created. Men reported improved scores on the International Index of Erectile Function (P = .003), a modified Sexual Function Questionnaire (P = .001), Inflammatory Bowel Disease Quality of Life (P < .001), and SF-36 (Mental Component Summary, P = .003; Physical Component Summary, P = .001) after surgery. Women had improvement in the desire subscale of the Female Sexual Function Index (P = .03), Inflammatory Bowel Disease Quality of Life scores (P = .04), and SF-36 (Mental Component Summary, P = .02; Physical Component Summary, P = .02). There was no gender difference in the magnitude of change in scores before and after surgery for any of the measures. LIMITATIONS: Small sample size and sexually inactivity in 50% of cohort may have had an impact on our findings. CONCLUSIONS: Both men and women reported improvements in general and IBD-specific quality of life after surgery, but only men demonstrated several areas of improved sexual function. Women reported improved sexual desire but no other sexual function improvement. The postsurgical gender difference in sexual function, despite similar improvements in quality of life, may be accounted for by unexamined aspects of female sexual function.

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Published In

Dis Colon Rectum

DOI

EISSN

1530-0358

Publication Date

January 2011

Volume

54

Issue

1

Start / End Page

66 / 76

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surveys and Questionnaires
  • Surgery
  • Statistics, Nonparametric
  • Sexual Dysfunction, Physiological
  • Sex Factors
  • Risk Factors
  • Quality of Life
  • Prospective Studies
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Wang, J. Y., Hart, S. L., Wilkowski, K. S. Y., Lee, J. W., Delmotte, E. C., del Rosario, K. M., … Varma, M. G. (2011). Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease. Dis Colon Rectum, 54(1), 66–76. https://doi.org/10.1007/DCR.0b013e3181fd48d2
Wang, Jennifer Y., Stacey L. Hart, Kathrin S. Y. Wilkowski, Janet W. Lee, Emily C. Delmotte, Karina M. del Rosario, Amanda S. del Rosario, and Madhulika G. Varma. “Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease.Dis Colon Rectum 54, no. 1 (January 2011): 66–76. https://doi.org/10.1007/DCR.0b013e3181fd48d2.
Wang JY, Hart SL, Wilkowski KSY, Lee JW, Delmotte EC, del Rosario KM, et al. Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease. Dis Colon Rectum. 2011 Jan;54(1):66–76.
Wang, Jennifer Y., et al. “Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease.Dis Colon Rectum, vol. 54, no. 1, Jan. 2011, pp. 66–76. Pubmed, doi:10.1007/DCR.0b013e3181fd48d2.
Wang JY, Hart SL, Wilkowski KSY, Lee JW, Delmotte EC, del Rosario KM, del Rosario AS, Varma MG. Gender-specific differences in pelvic organ function after proctectomy for inflammatory bowel disease. Dis Colon Rectum. 2011 Jan;54(1):66–76.

Published In

Dis Colon Rectum

DOI

EISSN

1530-0358

Publication Date

January 2011

Volume

54

Issue

1

Start / End Page

66 / 76

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surveys and Questionnaires
  • Surgery
  • Statistics, Nonparametric
  • Sexual Dysfunction, Physiological
  • Sex Factors
  • Risk Factors
  • Quality of Life
  • Prospective Studies
  • Male