The risk of sexual dysfunction is also thought to be greater with IPAA as compared to IRA, mainly due to the increased handling of the pelvic floor and therefore risk of nerve damage . Other factors that affect a patient's the quality life are restrictions to their social activities (including occupation), and changes to their diet in order to maintain manageable bowel function . Scoring systems such as the "Short Form-36 Health Survey questionnaire" and "European Organisation for Research and Treatment of Cancer QoL questionnaire" have been used to compare IPAA and IRA for FAP, with inconclusive results , whilst other systems have suggested better results following IPAA for FAP .
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