Male issues of the ileal pouch.

摘要: : Restorative proctocolectomy with ileal pouch-anal anastomosis is the standard surgical treatment modality for patients ulcerative colitis who require colectomy. There are special issues related to male gender. We performed systemic literature review on topic, incorporating experience in our specialized Center Ileal Pouch Disorders, and provide recommendations identification management gender-specific pouches. Chronic pouchitis, particularly ischemic anastomotic leak, presacral sinus more common than their female counterparts. Sexual dysfunction can occur after pouch surgery, those failure. Diagnosis of benign malignant prostate diseases be challenging due altered pelvic anatomy from surgery. Digital rectal examination cancer screening not reliable. Transpouch biopsy may lead fistula or abscess. Pelvic radiation therapy have an adverse impact function. In conclusion, sexual enlarged pouch. The measurement serum prostate-specific antigen a preferred method cancer. If needed, perineal route recommended. risk benefit oncologic survival should carefully balanced.