Complications and Management

Aside from the complications inherent to abdominal procedures in general, several complications are relatively specific to this operation including sexual dysfunction, nonhealing of the perineal wound, and complications related to the ileostomy stoma itself. Sexual dysfunction (erectile dysfunction or retrograde ejaculation in men and dyspareunia in women) has been reported in up to 11% of men undergoing proctectomy for inflammatory bowel disease (9) and up to 50% of women (10). Even with the use of intersphincteric proctectomy, nonhealing of the perineal wound remains a significant problem, occurring in 11% of patients operated on for ulcerative colitis and 33% of those operated on for Crohn's disease (11). Complications related to the ileostomy are reviewed earlier.

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