A male client will be having an ileoanal anastomosis for the treatment of chronic ulcerative colitis. What is the benefit to this client of having this procedure rather than a total colectomy? Select all that apply

Question

A) Maintains bowel continence
B) Unlikely to experience bladder dysfunction
C) Unlikely to experience erectile dysfunction
D) Unlikely to experience infertility
E) Able to have the procedure as an outpatient

Answer 1

A, B, C, D
Feedback:
The ileoanal reservoir, also called an ileoanal anastomosis, is a procedure that maintains bowel continence. It is performed on selected clients who have chronic ulcerative colitis or whose disease does not affect the anorectal sphincter. Besides allowing the client to control bowel elimination, this procedure, as opposed to a conventional ileostomy with total colectomy, preserves innervation to the male genitalia. Subsequently, the male client is unlikely to experience bladder dysfunction, erectile dysfunction, or infertility. The client will not be able to have this surgery done on an outpatient basis; they require postoperative care for a longer duration.