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P157 Assessment of sexual function among perianal Crohn’s disease

N. Elleuch1, A. Nakhli2, M. Sabbah2, H. Jlassi2, D. Trad2, N. Bibani2, H. Elloumi2, A. Ouakaa*2, D. Gargouri2

1Medecine Faculty of Tunis, Tunis, Tunisia, 2Medecine Faculty of Tunis, Gastroenterology department of Habib Thameur Hospital (Tunisia), Tunis, Tunisia

Background

Sexuality is a major determinant of quality of life; especially in young patients with perianal Crohn’s disease (PCD). The primary aim of our study was to assess the prevalence of sexual dysfunction in PCD and to evaluate the impact of PCD on this prevalence.

Methods

A prospective cross-sectional study including all consecutive Crohn’s disease and sexually active patients followed in the gastroenterology department of Habib Thameur Hospital (Tunisia) seen from January to June 2018. Patients included were invited to fulfil a validated questionnaire on their sexual function: Female Sexual Index Function (FSIF) for women and International Index of Erectile Function (IIEF) for men. The prevalence of sexual dysfunction was compared according to the presence or absence of perianal manifestations.

Results

Thirty patients were included. Mean age was 45 years [range 18–65 years] and sex ratio was 0.875 [M/F = 14/16]. Active PCD was found in 9 patients (30% of cases). PCD presented as complex perianal productive fistulas in 8 cases and anal stenosis in 1 case. Seven men (50%) had an erectile dysfunction. In women, a sexual dysfunction (FSFI score >26, 55) was reported by 100% of cases. By comparing the prevalence of sexual disorders according to the presence of active anoperineal lesions, we did not find any significant difference.

Conclusion

Sexual dysfunction is common during Crohn’s disease and probably under diagnosed. It affects half of the men and women in our study. However, the presence of perianal manifestations does not seem to affect the occurrence of these disorders.