Background: Intubation of the pouch is required by some patients with failure of spontaneous defaecation after ileal pouch-anal anastomosis (IPAA). We assessed function, social, work and dietary restrictions, and quality of life (QOL) in patients who were using a Medina catheter to evacuate. The Cleveland global quality of life score (CGQOL) has been reported to be 0.8 in the global IPAA population.Method: 31 IPAA patients prescribed a Medina catheter were identified from the pouch database and were sent a questionnaire by post. CGQOL and data on function, social, work and dietary restrictions were recorded. Results: 23 (74%) of 31 patients [median age 56 years; male 15(68%)] returned the questionnaire.. Pouch configurations were: J:8, W:10, S:5. The median duration of catheter usage was 9 (0.5-30) years. 22 (71%) patients reported improved QOL after starting regular intubation. Median 24hr bowel frequency was 4 (range 2-14). 16 (48%) of patients used the catheter for every defaecation, 8 (26%) experienced social or work-life restriction, 7 (22%) reported catheter blockage and 12 (52%) reported dietary restriction. The median CQOL score was 0.72. Conclusion: Medina catheter usage is tolerated in the long term and is associated with satisfactory quality of life of IPAA patients with outflow obstruction. Frequency of defaecation and CGQOL scores are comparable with the global IPAA population.