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Sexuality and Disability

, Volume 37, Issue 4, pp 571–586 | Cite as

Sexuality in People With Ostomies: A Literature Review

  • Mauricio Medina-RicoEmail author
  • Ana M. Zárate-Velasco
  • Andrés Quiñonez
  • Hugo López-Ramos
Original Paper
  • 69 Downloads

Abstract

Ostomies have shown to compromise different components of an individual’s quality of life, particularly their sexuality. Although some elements that can affect sexuality have been described in this population like body image or lifestyle changes, being a necessity to understand these difficulties, as well as to know the strategies the same patients have used to improve their sexual life. A review of the literature was performed using the following databases: Medline, Central, Embase, Scopus, Lilacs and Psycinfo. The include studies required a qualitative or mixed method approach with the purpose of investigating the sexual issues of people with ostomies along with their strategies to improve their sexual life. A total of 1039 articles were reviewed by title and abstract. Among these, 17 references were selected for full-text review. Based on these, an ostomy seems to compromise three individual aspects: physical, emotional and social. The physical aspect is associated with the mechanical difficulties caused by the ostomy, such as the act of coitus. The emotional aspect is related to self-esteem alterations due to changes in an individual’s physical appearance. Lastly, the social aspect is related to the perception of their partner, their family and other peers. The sexuality of people with ostomies should be approached before and after the surgery. Partners of the individuals should be involved throughout the explanation of the process in order to help the patient recover faster and, therefore, avoid hampering their sexual lives.

Keywords

Sexuality Sex education Ostomy Colombia 

Notes

Compliance with Ethical Standard

Conflict of interest

All authors declare they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    Hausegger, K.A., Portugaller, H.R.: Percutaneous nephrostomy and antegrade ureteral stenting: technique—indications—complications. Eur. Radiol. 16(9), 2016–2030 (2006)CrossRefGoogle Scholar
  2. 2.
    Martin, S.T., Vogel, J.D.: Intestinal stomas: indications, management, and complications. Adv. Surg. 46, 19–49 (2012)CrossRefGoogle Scholar
  3. 3.
    Pachler J, Wille-Jørgensen P. Quality of life after rectal resection for cancer, with or without permanent colostomy. The Cochrane Database of Systematic Reviews, Issue. Art. No.: CD004323.  https://doi.org/10.1002/14651858.cd004323.pub2
  4. 4.
    Danielsen, A.K.: Life after stoma creation. Dan. Med. J. 60(10), B4732 (2013)PubMedGoogle Scholar
  5. 5.
    Sun, V., Grant, M., Wendel, C.S., McMullen, C.K., Bulkely, J.E., Herrinton, L.J., et al.: Sexual function and health-related quality of life in long-term rectal cancer survivors. J. Sex Med. 13(7), 1071–1079 (2016)CrossRefGoogle Scholar
  6. 6.
    Girgin, C., Oder, M., Sahin, M.O., Sezer, A., Berkmen, S., Aydin, R., Dincel, C.: Erection- and ejaculation-preserving cystectomy with orthotopic urinary diversion: is it feasible? J. Androl. 27(2), 263–267 (2013)CrossRefGoogle Scholar
  7. 7.
    Weerakoon, P.: sexuality and the patient with a stoma. Sex. Disabil. 19(2), 121–129 (2001)CrossRefGoogle Scholar
  8. 8.
    Rights. C of O. International Ostomy Association. 2007Google Scholar
  9. 9.
    Pinzon, A.: Percepción de calidad de vida en el paciente colostomizado permanente que asiste a la Asociación Colombiana de Ostomizados. Pontificia Universidad Javeriana, Bogotá (2009)Google Scholar
  10. 10.
    Symms, M.R., Rawl, S.M., Grant, M., Wendel, C.S., Coons, S.J., Hickey, S., et al.: Sexual health and quality of life among male veterans with intestinal ostomies. Clin Nurse Spec. 22(1), 30–40 (2008)CrossRefGoogle Scholar
  11. 11.
    Kimura, C.A., Guilhem, D.B., Kamada, I., de Abreu, B.S., Fortes, R.C.: Oncology ostomized patients’ perception regarding sexual relationship as an important dimension in quality of life. J. Coloproctol. 37(3), 199–204 (2017)CrossRefGoogle Scholar
  12. 12.
    Ramirez, M., McMullen, C., Grant, M., Altschuler, A., Hornbrook, M.C., Krouse, R.S.: Figuring out sex in a reconfigured body: experiences of female colorectal cancer survivors with ostomies. Women Health 49(8), 608–624 (2009)CrossRefGoogle Scholar
  13. 13.
    Kandemir, D., Oskay, Ü.: Sexual problems of patients with urostomy: a qualitative study. Sex. Disabil. 35(3), 331–340 (2017)CrossRefGoogle Scholar
  14. 14.
    Dabirian, A., Yaghmaei, F., Rassouli, M., Tafreshi, M.Z.: Quality of life in ostomy patients: a qualitative study. Patient Prefer Adher. 5, 1–5 (2010)Google Scholar
  15. 15.
    Smith, J.A., Spiers, J., Simpson, P., Nicholls, A.R.: The psychological challenges of living with an ileostomy: an interpretative phenomenological analysis. Health Psychol. 36(2), 143–151 (2017)CrossRefGoogle Scholar
  16. 16.
    Shaffy, S.K., Das, K., Gupta, R., Atma Singh, S.: Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: a qualitative study. Nurs. Midwifery Res. J. 8(3), 210–222 (2012)Google Scholar
  17. 17.
    Gloeckner, M.R., Starling, J.R.: Providing sexual information to ostomy patients. Dis. Colon Rectum. 25(6), 575–579 (1982)CrossRefGoogle Scholar
  18. 18.
    de Paula, M.A.B., Takahashi, R.F., de Paula, P.R.: Experiencing sexuality after intestinal stoma. J. Coloproctol. (Rio Janeiro) 32(2), 163–174 (2012)CrossRefGoogle Scholar
  19. 19.
    Cardoso, D.B.R., Almeida, C.E., Santana, M.E., de Carvalho, D.S., Sonobe, H.M., Sawada, N.O.: Sexuality of people with intestinal ostomy. Rev da Rede Enferm do Nord. Rev. Rene 16(4), 576–585 (2015)Google Scholar
  20. 20.
    Vural, F., Harputlu, D., Karayurt, O., Suler, G., Edeer, A.D., Ucer, C., et al.: The impact of an ostomy on the sexual lives of persons with stomas: a phenomenological study. J Wound Ostomy Cont. Nurs. Off Publ. Wound Ostomy Cont. Nurses Soc. 43(4), 381–384 (2016)CrossRefGoogle Scholar
  21. 21.
    Sarabi, N., Navipour, H., Mohammadi, E.: Sexual performance and reproductive health of patients with an ostomy: a qualitative content analysis. Sex. Disabil. 35(2), 171–183 (2017)CrossRefGoogle Scholar
  22. 22.
    Altschuler, A., Ramirez, M., Grant, M., Wendel, C., Hornbrook, M.C., Herrinton, L., et al.: The influence of husbands’ or male partners’ support on women’s psychosocial adjustment to having an ostomy resulting from colorectal cancer. J Wound Ostomy Cont. Nurs. Off Publ. Wound Ostomy Cont. Nurses Soc. 36(3), 299–305 (2009)CrossRefGoogle Scholar
  23. 23.
    Neuman, H.B., Park, J., Fuzesi, S., Temple, L.K.: Rectal cancer patients’ quality of life with a temporary stoma: shifting perspectives. Dis. Colon Rectum. 55(11), 1117–1124 (2012)CrossRefGoogle Scholar
  24. 24.
    Popek, S., Grant, M., Gemmill, R., Wendel, C., Mohler, M., Rawl, S., et al.: Overcoming challenges: life with an ostomy. Am. J. Surg. 200(5), 640–645 (2010)CrossRefGoogle Scholar
  25. 25.
    Villa, G., Manara, D.F., Brancato, T., Rocco, G., Stievano, A., Vellone, E., et al.: Life with a urostomy: a phenomenological study. Appl. Nurs. Res. 39, 46–52 (2018)CrossRefGoogle Scholar
  26. 26.
    Vonk-Klaassen, S.M., de Vocht, H.M., den Ouden, M.E.M., Eddes, E.H., Schuurmans, M.J.: Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual. Life Res. 25(1), 125–133 (2016)CrossRefGoogle Scholar
  27. 27.
    Brown, H., Randle, J.: Living with a stoma: a review of the literature. J. Clin. Nurs. 14(1), 74–81 (2005)CrossRefGoogle Scholar
  28. 28.
    Prieto, L., Thorsen, H., Juul, K.: Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy. Health Qual. Life Outcomes 3, 62 (2005)CrossRefGoogle Scholar
  29. 29.
    Baxter, N.N., Novotmy, P.J., Jabosnon, T., Maidl, L.J., Young-Fadok, : A stoma quality of life scale. Dis. Colon Rectum. 49(2), 205–212 (2006)CrossRefGoogle Scholar
  30. 30.
    Grant, M., Ferrell, B.R., Dean, G., Uman, G., Chu, D., Krouse, R.: Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Measurement Instrument Database for the Social Science. Retrieved from www.midss.ie (2012)
  31. 31.
    Bryant, R.A.: Ostomy patient management: care that engenders adaptation. Cancer Invest. 11(5), 565–577 (1993)CrossRefGoogle Scholar
  32. 32.
    Danielsen, A.K., Burcharth, J., Rosenberg, J.: Patient education has a positive effect in patients with a stoma: a systematic review. Color Dis. 15(6), e276–e283 (2013)CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Clinical Epidemiology and Biostatistics DepartmentPontificia Universidad JaverianaBogotáColombia
  2. 2.Pontificia Universidad JaverianaBogotáColombia
  3. 3.Urology DepartmentPontificia Universidad JaverianaBogotáColombia

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