Ulcerative colitis Restorative proctocolectomy Ileo pouch anal anastomosis Sexual function Colitis Ulcerosa Proctocolectomie Ileo anale pouch Seksueel functioneren
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female patients; 2. >17 years and pre menopausal; 3. Ulcerative colitis; 4. Scheduled for elective restorative procotocolectomy with IPAA; or; 5. Scheduled for completion proctectomy with IPAA.
Exclusion criteria
Exclusion criteria: 1. Previous bowel resections other than emergency colectomy; 2. Previous surgery on genitalia; ï€3. Non elective surgery; 4. Severe postoperative complications (e.g. anastomotic leakage, abscess, peritonitis); 5. ï€Use of medication that might influence the sexual response (psychopharmaca, antihypertensives); 6. ï€Diabetes Mellitus; 7. ï€Depression (measured by Beck Depression Inventory (BDI)- Scale); 8. ï€History of sexual abuse; 9. ï€Pre-existence of sexual dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study endpoints are the difference in VPA pre- and postoperatively for the close rectal group and the difference in VPA pre- and postoperatively for the close rectal and the TME groups compared. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints are differences in feelings of sexual arousal and estimated lubrication pre- and postoperatively and difference in psychological- and sexual functioning pre- and postoperatively for the close rectal group and for the close rectal and the TME groups compared. These outcomes will be measured by means of the Subjective Self-Assessment Questionnaire (SSAQ), Female Sexual Function Index (FSFI), Female Sexual Distress Scale (FSDS), Short Form-36 (SF-36), Beck Depression Inventory (BDI) and Maudsley Marital Questionnaire (MMQ). Our other study parameters will include age, American Society of Anesthesiologists (ASA) classification, Body Mass Index (BMI), operating time, type of surgery (i.e. IPAA or IPAA with protecting loop ileostomy). | — |
Contacts
Academic Medical Center Department of Surgery Meibergdreef 9