What is the effect of abdominal colectomy with ileal pouch/anal anastomosis (IPAA) for inflammatory bowel disease (IBD) on fertility?

Updated: Oct 17, 2017
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Answer

Other concerns that have been raised include the potential reduction of fertility with total abdominal colectomy with ileal pouch/anal anastomosis (IPAA) surgery (primarily because of adhesions). [121, 122] This possibility can likely be avoided by using a laparoscopic approach, and if infertility occurs, fertility can often be normalized by lysis of adhesions.


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