caa a22 4500 465762549 CHVBK 20180323111903.0 cr unu---uuuuu 170327e19900301xx s 000 0 eng 10.1007/BF00496151 doi (NATIONALLICENCE)springer-10.1007/BF00496151 Gynaecological problems related to anatomical changes after conventional proctocolectomy and ileostomy [Elektronische Daten] [M. Wikland, I. Jansson, M. Asztély, Inger Palselius, G. Svaninger, O. Magnusson, L. Hultén] Seventy-one women who had a proctocolectomy for ulcerative colitis (n=41) or Crohn's disease (n=30) were interviewed in the follow-up clinic about gynaecological problems and fertility. All women were examined by an independent gynaecologist and abnormalities of the internal genital tract were registered. Forty-nine per cent (35/71) of the women had a distressing vaginal discharge after proctocolectomy, compared with 9% (6/71) before surgery. At the gynaecological examination 45% (32/71) had a heavy vaginal secretion with-out any signs of an acute vaginal infection. In 68% (30/44) fluid retention in the vagina was associated with a caudally firmly fixed and dilatated posterior vaginal fornix. Twelve per cent (8/66) of the women reported dyspareunia before surgery. After surgery, 27% (18/66) complained of this symptom. Fertility was significantly reduced after surgery since only 37% (10/27) of the women who attempted to become pregnant succeeded within 5 years follow-up. The corresponding figure before surgery was 72% (39/54). Those who conceived went through pregnancy and parturition without any incident, 6 of 21 delivered by caesarean incision. In conclusion, conventional proctocolectomy in women will result in distressing vaginal discharge, and dyspareunia in a considerable proportion of the patients. The operation also seems to decrease their chances of becoming pregnant. Springer-Verlag, 1990 Wikland M. Department of Obstetrics and Gynecology, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Jansson I. Department of Obstetrics and Gynecology, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Asztély M. Department of Radiology Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Palselius Inger Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Svaninger G. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Magnusson O. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut Hultén L. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 49-52 0179-1958 5:1<49 1990 5 384 https://doi.org/10.1007/BF00496151 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00496151 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wikland M. Department of Obstetrics and Gynecology, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Jansson I. Department of Obstetrics and Gynecology, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Asztély M. Department of Radiology Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Palselius Inger Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Svaninger G. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Magnusson O. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 700 1- Hultén L. Department of Surgery II, Sahlgrens' Hospital, University of Göteborg, Göteborg, Sweden aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 49-52 0179-1958 5:1<49 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer