The surgical dissection necessary to remove the rectum requires a skilled surgeon to avoid injuring important nerves related to sexual function. A study was conducted here in the Department of Colorectal Surgery to find out if there were any changes in sexual function in female pelvic pouch patients. The close proximity of the rectum to the vagina and the intricate surgery necessary to remove the rectum can result in scar tissue that can cause some discomfort with sexual relations after surgery. The study showed that some patients had an increase in vaginal dryness, painful intercourse and limitations of activity due to concerns about stool leakage. Overall, there was no significant change in sexual desire, arousal, sensitivity, frequency of intercourse or satisfaction with their sexual relationship.
Most female patients find the use of personal lubricants solves the problem of vaginal dryness.
Our female patients have indicated that changing positions usually is helpful in decreasing the discomfort that may occur during intercourse. The concern about leakage during intercourse was more prevalent than the actual occurrence and patients found emptying their pouch before relations, along with time and experience showed them that leakage was unlikely to occur. Abdominal and pelvic surgery can result in scar tissue or adhesions in every patient. Different patients develop different amounts of adhesions, and it is impossible to predict specifics for individual patients. These adhesions can cause bowel obstruction in the future or difficulties in getting pregnant.