7. Fertility
The patient is able to discuss concerns regarding pregnancy and fertility following the pelvic pouch procedure.
For Women
Some women may experience increased fertility due to removal of the inflamed colon. Unfortunately, others may have decreased fertility from adhesions or scar tissue that develops after the removal of the rectum. Additionally, with pregnancy, the method of delivery remains controversial (C-section versus a vaginal delivery) because any injury to the anal sphincter (control) muscles may lead to the inability to control stool. It is important to inform the obstetrician of the changes in anatomy as a result of the pouch so he/she can perform a C-section should any problems arise during the vaginal delivery.
For Men
Impotency and retrograde ejaculation (the sperm going into the bladder instead of out the end of the penis with ejaculation) are serious but relatively rare occurrences. It is essential that your surgeon be aware of any difficulties with intercourse following pelvic pouch surgery.