Which statement about IPAA (ileal pouch-anal anastomosis) is incorrect?

• A. Combination of 1-3 procedures
• B. Performed 8-12 weeks apart
• C. Patient able to resume control of defecation at the anal sphincter once completed
• D. Does not involve colectomy

Answer: (D)

IPAA requires removing the diseased colon (colectomy) and making an ileal pouch that is attached to the anal canal, so stool is routed through the natural outlet. It’s typically done in stages, often two or three surgeries separated by several weeks, commonly around 8–12 weeks between stages. The pouch serves as a reservoir and, after healing and time for adaptation, many patients regain control of defecation through the anal sphincter.

The statement that IPAA does not involve colectomy is incorrect because removing the colon is a fundamental part of the procedure. The other statements—that IPAA can involve 1–3 procedures, is often staged with 8–12 week intervals, and aims for continence via the anal sphincter—fit standard practice.