Doctor insights on:
Total Proctocolectomy And Ileal Anal Pouch
Not necessaroty: While this type of surgery can lead to erectile dysfunction, usually the surgery is performed to preserve the nerves and preserve erectile function. If the surgery is for colon-rectal cancer, then there may be radiation treatments before or after the surgery that could also affect erectile function. ...Read more
Can you explain if it's possible to ask your doctor to get a proctocolectomy because you feel it will make your life easier?
Very effective: In order to potentially cure a colorectal carcinoma by surgery, one must resect the bowel, the mesocolon/mesorectum and get proximal and distal margins around the tumor. If the lesion is very low in the rectum or rectosigmoid and getting below the lesion virtually compromises the levator ani sphinctor muscles then procto colectomy is employed. ...Read more
I had a total proctocolectomy with j pouch ileostomy about 5 years ago, and ever since I've had a huge increase in flatulence. How do I control this?
With food: I am sure you were provided of a list of food that is good for you, and the one that are not so good. I know you are supposed to eat enything you want, but not without consequences. stay away frommilk,and milk product, stay away from red meat, fry greassy food, and row vegetables,eat multiple small meals,chew your food well, eat slowly. ...Read moreSee 1 more doctor answer
What are the biggest complications of having a ileal anal pouch operation (internal pouch) for a woman?
Puritis Ani: Most likely this is a condition called puritis ani which is primarily caused from scratching. Scratching the area only keeps it going. Many people do this scratching out of habit or due to stress but the best treatment is to stop scratching. Try soaking in warm water or even rubbing the area with ice which helps reduce itching. It also possible to have pinworms that your doctor can check for. ...Read more