Providing sexual information to ostomy patients

Abstract
Forty patients with a permanent colostomy, ileostomy or ileal conduit were interviewed. Besides changes in sexual performance postoperatively, an attempt was made to specifically determine answers to other sexual variables, such as attractiveness, appliance problems and partner reactions. The extent of information provided to patients on sexuality prior to the permanent ostomy was also examined. There was a significant but predictable incidence of male impotence and female dyspareunia after surgery. Despite innumerable sexual variables, other than performance, which these patients faced postoperatively, 42% received no information regarding sexuality at the time of ostomy surgery. Most patients (97.5%) stated that sexuality, including variables other than performance, should be discussed primarily by the surgeon prior to permanent ostomy surgery. The enterostomal therapist has an important role in the total patient adjustment in the long-term postoperative period.