IPAA and Pelvic Anatomy

As we will soon see, most studies show a reduction in fertility after RP-IPAA. One hypothesis to explain this phenomenon is the presence of postoperative adhesions. Oresland [41] observed that, even if 20/21

women who underwent RP-IPAA had a normal physical examination, a hysterosalpingography showed some anomalies in 67% of subjects (14/21). Finding such as tubes adhered to the pelvis (48%) or bilateral tubal occlusion (10%) may certainly explain the decreased fertility, as recently emphasised by Diamond [44]. An important bias in this work, however, is the lack of performance of an examination before surgery, making the comparison between the pre-and postoperative situation impossible. Also, a study by Sjogren [45] showed an altered endopelvic status with reduced uterine mobility in 47% of women after RP-IPAA or the presence of adnexal tenderness in 13%.

Was this article helpful?

0 0
Mole Removal

Mole Removal

Moles, warts, and other unsightly irregularities of the skin can be bothersome and even embarrassing. They can be removed naturally... Removing Warts and Moles Naturally! If you have moles, warts, and other skin irregularities that you cannot cover up affecting the way you look, you can have them removed. Doctors can be extremely expensive. Learn the natural ways you can remove these irregularities in the comfort of your own home.

Get My Free Ebook


Post a comment