Cavallaro et al reported a scoring system for bowel dysfunction after ileoanal pouch reconstruction. The system scores symptoms and consequences separately. The authors are from the Patient-Reported Outcomes after Pouch Surgery (PROPS) Scientific Committee.
Patient selection: status post ileoanal pouch anal anastomosis (IPAA), most often performed for ulcerative colitis
Symptoms:
(1) accidental leakage
(2) soiling
(3) urgency
(4) frequent or unpredictable bowel movements
(5) need to return to the bathroom
(6) excess toilet time
(7) perianal discomfort
(8) nocturnal symptoms
Parameter
Finding
Points
accidental leakage
never
0
less than once per week
3
once per week or more
4
soiling
never
0
less than once per week
1
once per week or more
5
urgency
never
0
less than once per week
3
once per week or more
9
frequent bowel movements
never
0
less than once per week
6
once per week or more
7
return to bathroom
never
0
less than once per week
3
once per week or more
5
excess toilet time
never
0
less than once per week
2
once per week or more
4
perianal discomfort
never
0
less than once per week
3
once per week or more
7
nocturnal symptoms
never
0
less than once per week
4
once per week or more
5
subscore for symptoms =
= SUM(points for all of the symptoms)
Interpretation:
• minimum subscore: 0
• maximum subscore: 46
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