Many patients who undergo stoma surgery experience erectile dysfunction or dyspareunia after the procedure. The purpose of this study was to evaluate sexual satisfaction and function in stoma patients. Data were collected from 100 stoma patients between March 2015 and 2016 using the International Index of Erectile Function (IIEF), Female Sexual Function Index (FSFI), and Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Statistical analysis was performed using descriptive methods, the Mann–Whitney U test, and Kruskal–Wallis test. GRISS female (n = 24) and male (n = 76) mean scores were 6.20 ± 2.02 and 7.43 ± 1.44, respectively. FSFI mean score was 6.17 ± 8.97 and IIEF mean score was 23.5 ± 18.0. Severe erectile dysfunction was present in 60.5% of males (n = 46). Reportedly, 79.0% of patients had not been informed about possible sexual problems after surgery. Patients shared their experience with sexual problems with a partner (n = 28), medical doctor (n = 9), or no one (n = 20). Statistical significance was found between GRISS female mean scores and education level, marital status, chronic disease and stoma status (permanent/temporary) (p < .05), and between FSFI mean scores and chronic disease and drug use (p < .05). This study suggests that stoma patients experience sexual dissatisfaction and sexual dysfunction, and most patients had not been informed about possible sexual problems and treatment options. Based upon our findings, patients undergoing stoma surgery should receive perioperative sexual counseling conducted by a multidisciplinary team including stomatherapy nurses.
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Vural, F., Harputlu, D., Karayurt, O., et al.: The impact of an ostomy on the sexual lives of persons with stomas: a phenomenological study. J. Wound Ostomy Cont. Nurs. 43(4), 381–384 (2016)
Vural, F., Sütsünbüloğlu, E., Şelimen, D.: Literature review: profile of publications for the patients with stoma in Turkey. Turk. J. Colorectal Dis. 26, 59–70 (2016)
Milbury, K., Cohen, L., Jenkins, R., et al.: The association between psychosocial and medical factors with long-term sexual dysfunction after treatment for colorectal cancer. Support. Care Cancer 21(3), 793–802 (2013)
El-Bahnasawy, M.S., Osman, Y., El-Hefnawy, A., et al.: Radical cystectomy and urinary diversion in women: impact on sexual function. Scand. J. Urol. 45(5), 332–338 (2011)
Dorum, H., Vural, F.: Stomada cinsellik neden önemlidir? DEUHYO ED 5(4), 171–174 (2012)
Flynn, K.E., Reese, J.B., Jeffery, D.D., et al.: Patient experiences with communication about sex during and after treatment for cancer. Psycho-Oncology 21(6), 594–601 (2012)
Attaallah, W., Ertekin, C., Tinay, I., et al.: High rate of sexual dysfunction following surgery for rectal cancer. Ann. Coloproctol. 30(5), 210–215 (2014)
Rust, J., Golombok, S.: The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch. Sex. Behav. 15(2), 157–165 (1986)
Tuğrul, C., Öztan, N., Kabakçı, E.: Golombok-Rust cinsel doyum ölçeği’nin standardizasyon çalışması. Türk Psikiyatri Dergisi 4(2), 83–88 (1993)
Rosen, C., Brown, J., Heiman, S., et al.: The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther. 26(2), 191–208 (2000)
Wiegel, M., Meston, C., Rosen, R.: The Female Sexual Function Index (FSFI): cross-validation and development of clinical cutoff scores. J. Sex Marital Ther. 31(1), 1–20 (2005)
Aygin, D., Aslan, F.E.: Kadın Cinsel İşlev Ölçeği’nin Türkçeye uyarlaması. Turk. Klinikleri J. Med. Sci. 25(3), 393–399 (2005)
Rosen, R.C., Riley, A., Wagner, G., et al.: The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49(6), 822–830 (1997)
Ozturk, O., Yalcin, B.M., Unal, M., et al.: Sexual dysfunction among patients having undergone colostomy and its relationship with self-esteem. J. Fam. Med. Community Health 2(1), 1028 (2015)
Mahjoubi, B., Mirzaei, R., Azizi, R., et al.: A cross-sectional survey of quality of life in colostomates: a report from Iran. Health Qual. Life Outcomes 10(1), 136 (2012)
Duran, E., Tanriseven, M., Ersoz, N., et al.: Urinary and sexual dysfunction rates and risk factors following rectal cancer surgery. Int. J. Colorectal Dis. 30(11), 1547–1555 (2015)
Sendur, M.A.N., Aksoy, S., Ozdemir, N.Y., et al.: Evaluation of erectile dysfunction risk factors in young male survivors of colorectal cancer. JBUON 19(1), 115–123 (2014)
Asgari, M.A., Safarinejad, M.R., Shakhssalim, N., et al.: Sexual function after non-nerve-sparing radical cystoprostatectomy: a comparison between ileal conduit urinary diversion and orthotopic ileal neobladder substitution. Int. Braz. J. Urol. 39(4), 474–483 (2013)
Culha, İ., Kosgeroglu, N., Boluk, O.: Effectiveness of self-care education on patients with stomas. IOSR-JNHS 5(2), 70–76 (2016)
Taylan, S., Akıl, Y., Kadıoğlu, A., et al.: Stomalı hastaların bilgilendirme konusundaki beklentileri. 3. Çukurova Kolo-Proktoloji ve Stoma—Terapi Sempozyumu Özet Kitabı. Adana. s: 108 (2007)
Harputlu, D., Terzi, C., Eşrefgil, G., et al.: Kolostomi ve ileostomili bireylerde benlik saygısı. Kolon Rektum Hastalık. Derg. 17, 178–185 (2007)
Üstündağ, H., Demir, N., Zengin, N., et al.: Stomalı hastalarda beden imajı ve benlik saygısı. Turk. Klinikleri J. Med. Sci. 27, 522–527 (2007)
Gozuyesil, E., Taylan, S., Manav, Aİ., Akil, Y.: The evaluation of self-esteem and sexual satisfaction of patients with bowel stoma in turkey self-esteem sexual satisfaction in patients with bowel stoma. Sex. Disabil. 35, 1–10 (2016)
Silva, A.L., Shimizu, H.E.: The meaning of the new way of life of individuals with permanent intestinal ostomy. Rev. Lat. Am. Enferm. 14(4), 483–490 (2006)
Doğan, S.: Cinsel işlev bozuklukları, depresyon ve antidepresanlar. JMOOD 1(2), 81–86 (2011)
Fucini, C., Gattai, R., Urena, C., et al.: Quality of life among five-year survivors after treatment for very low rectal cancer with or without a permanent abdominal stoma. Ann. Surg. Oncol. 15(4), 1099–1106 (2008)
Akgul, B., Karadag, A.: The effect of colostomy and ileostomy on acts of worship in the Islamic faith. J Wound Ostomy Cont. Nurs. 43(4), 392–397 (2016)
Karadag, A., Karabulut, H., Baykara, Z.G., et al.: A prospective, multicentered study to assess social adjustment in patients with an intestinal stoma in Turkey. Ostomy Wound Manag. 61(10), 16–29 (2015)
Konanz, J., Herrle, F., Weiss, C., et al.: Quality of life of patients after low anterior, intersphincteric, and abdominoperineal resection for rectal cancer—a matched-pair analysis. Int. J. Colorectal Dis. 28(5), 679–688 (2013)
Kuzu, M.A., Topcu, Ö., Ucar, K., et al.: Effect of sphincter-sacrificing surgery for rectal carcinoma on quality of life in Muslim patients. Dis. Colon Rectum 45(10), 1359–1366 (2002)
Balcı, M., Aslan, Y., Aydın, A.O., et al.: Türk erkeklerinde cinsel fonksiyon bozukluğu taraması: anket çalışması. Ortadoğu Tıp Derg. 4(3), 108–113 (2012)
Ege, E., Akın, B., Arslan, S.Y., et al.: Sağlıklı kadınlarda cinsel fonksiyon bozukluğu sıklığı ve risk faktörleri. TÜBAV Bilim 3(1), 137–144 (2010)
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Sutsunbuloglu, E., Vural, F. Evaluation of Sexual Satisfaction and Function in Patients Following Stoma Surgery: A Descriptive Study. Sex Disabil 36, 349–361 (2018). https://doi.org/10.1007/s11195-018-9544-x
- Sexual dissatisfaction
- Sexual dysfunction