Dozois R R, Nelson H, Metcalf A M
Service de Chirurgie Colorectale, Mayo Clinic, Rochester, Minnesota 55905.
Ann Chir. 1993;47(10):1009-13.
After restorative proctocolectomy, both men and women report an improved sexual life primarily because of a better general health. Sexual dysfunction has been reported by a few men who complain of lack of or retrograde ejaculation (2%) or impotence (3%). Sexual dysfunction, especially dyspareunia, can persist in as many as 20% of women after ileoanal anastomosis, but is less severe than preoperatively in most and is less common than after ileostomy, whether continent or not. Women with an ileal pouch-anal anastomosis can conceive, and have had successful deliveries, either vaginally or by cesarean section, without long-term detrimental effects on ileal reservoir function. Indeed, stool frequency increased and continence worsened in a small group of ileoanal anastomosis women but the changes were minimal and returned to predelivery status 3 months after delivery.
在进行结直肠切除术后，男性和女性都表示性生活有所改善，主要原因是整体健康状况更佳。少数男性报告有性功能障碍，抱怨存在射精缺乏或逆行射精（2%）或阳痿（3%）。在回肠肛管吻合术后，多达20%的女性可能会持续性功能障碍，尤其是性交困难，但在大多数情况下，其严重程度低于术前，且比回肠造口术后（无论是否可控）更为少见。行回肠贮袋肛管吻合术的女性能够受孕，并成功分娩，无论是经阴道分娩还是剖宫产，且对回肠贮袋功能无长期不利影响。实际上，一小部分行回肠肛管吻合术的女性在产后大便次数增加且控便能力变差，但变化很小，产后3个月恢复到产前状态。
