Stoma surgery and sexual problems in ostomates

Abstract
Stomas have a significant physical, emotional and psychological effect on bodily functions. Careful preoperative counselling, siting and construction of stomas can alleviate some of these problems. A holistic approach to care, combined with early recognition and management of surgery-related complications, proper reassurance, encouragement, education and easy access to a multidisciplinary team consisting of stoma nurses, surgeons, sex therapists and psychologists goes a long way to minimising morbidity in even the most troubled patient.