Proctocolectomy and ileo-anal anastomosis with a J-pouch.

Of 188 patients having a total proctocolectomy and ileo-anal anastomosis, 95% had a successful procedure and are satisfied with their quality of life. Mortality was zero, and mean hospital stay was 14 days after colectomy and 10 days after closure of the stoma. Pelvic sepsis and small bowel obstruction remained clinical problems in the postoperative period. No male patients were impotent.