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. 2014 Feb;22(2):461-8.
doi: 10.1007/s00520-013-1998-x. Epub 2013 Oct 5.

Gastrointestinal ostomies and sexual outcomes: a comparison of colorectal cancer patients by ostomy status

J B Reese  1 , P H Finan, J A Haythornthwaite, M Kadan, K R Regan, J M Herman, J Efron, L A Diaz Jr, N S Azad
Affiliations

Gastrointestinal ostomies and sexual outcomes: a comparison of colorectal cancer patients by ostomy status

J B Reese et al. Support Care Cancer. 2014 Feb.

Abstract

Purpose: Research examining effects of ostomy use on sexual outcomes is limited. Patients with colorectal cancer were compared on sexual outcomes and body image based on ostomy status (never, past, and current ostomy). Differences in depression were also examined.

Methods: Patients were prospectively recruited during clinic visits and by tumor registry mailings. Patients with colorectal cancer (N = 141; 18 past ostomy; 25 current ostomy; and 98 no ostomy history) completed surveys assessing sexual outcomes (medical impact on sexual function, Female Sexual Function Index, International Index of Erectile Function), body image distress (Body Image Scale), and depressive symptoms (Center for Epidemiologic Studies Depression Scale-Short Form). Clinical information was obtained through patient validated self-report measures and medical records.

Results: Most participants reported sexual function in the dysfunctional range using established cut-off scores. In analyses adjusting for demographic and medical covariates and depression, significant group differences were found for ostomy status on impact on sexual function (p < .001), female sexual function (p = .01), and body image (p < .001). The current and past ostomy groups reported worse impact on sexual function than those who never had an ostomy (p < .001); similar differences were found for female sexual function. The current ostomy group reported worse body image distress than those who never had an ostomy (p < .001). No differences were found across the groups for depressive symptoms (p = .33) or male sexual or erectile function (p values ≥ .59).

Conclusions: Colorectal cancer treatment puts patients at risk for sexual difficulties and some difficulties may be more pronounced for patients with ostomies as part of their treatment. Clinical information and support should be offered.

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Conflict of interest statement

Conflict of interest The authors have no financial relationship with the organization that sponsored the research or any other conflicts of interest to report. The first author maintains full control of the data and agrees to allow the journal to review the data if requested.

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