Does IRA result in lower postoperative fecal incontinence scores compared with end ileostomy in patients with UC

What is known

- The sphincter-saving cohort tabulated quality-of-life and functional outcomes (pads, urgency, bowel-movement number) across IRA, IPAA and TPC+EI, but reported incontinence as a functional item rather than a comparative continence score for the end-ileostomy arm. ¹ - TPC+EI tended toward worse quality-of-life scores than the sphincter-saving groups in that three-way comparison. ¹ - Fecal incontinence scoring (Jorge/Wexner) in the retrieved corpus is applied to anastomosis-based reconstructions after stoma closure, not to permanent end ileostomy. ²

What is unknown / caveats

- No excerpt reports a direct IRA-vs-end-ileostomy fecal incontinence score - End ileostomy lacks an anal continence mechanism, so incontinence scores are not a comparable endpoint - The CRUISE prospective comparison in the corpus is IRA vs IPAA, not IRA vs end ileostomy - The question presupposes a comparison the retrieved evidence does not make and that is not a standard endpoint for end ileostomy.

## References

1. Li Y, Stocchi L, Mu X, Cherla D, Remzi FH. Long-term Outcomes of Sphincter-Saving Procedures for Diffuse Crohn's Disease of the Large Bowel. Dis Colon Rectum. 2016;59(12):1183-1190. PMID: 27824704.

2. [No authors listed]. Long-term functional results from a randomized clinical study of transverse coloplasty compared with colon J-pouch after low anterior resection for rectal cancer. Surgery. 2013;153:383-92. PMID: 22981362.

For educational use only, not a substitute for clinical judgement or medical advice. Consult qualified clinicians for diagnosis and treatment decisions. This tool may contain errors; use the flag button below to report inaccurate or harmful content.

---

_Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct._