Sexual Counseling: The Forgotten Aspect of Ostomy Rehabilitation

Turnbull, Gwen B

doi:10.1080/01614576.2001.11074413

Cited by 9 publications

(12 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other researchers have found that many patients with fecal and urinary ostomies who experience a negative body image tend to avoid exposing their body to their spouses. 14,[34][35][36][37][38] In contrast to these findings, we observed that most of our subjects (95.8%) reported that they did not hesitate to show their body to their spouses postoperatively and 87.5% indicated that their spouses accepted this change in their appearance and urinary elimination functions. Nevertheless, more than half of our respondents indicated that their urostomy negatively affected their relationships with their spouses (58.3%) and 100% reported sexual problems (Table 3).…”

Section: ■ Conclusioncontrasting

confidence: 81%

“…The most frequent sexual disorders were erectile and ejaculatory dysfunction; this finding is supported by results of multiple prior studies. [8][9][10][11]14,15 Findings from this study and others 14,35,36 also suggest that sexual function is negatively influenced by anxiety related to the appearance of the urostomy and associated odors.…”

Section: ■ Conclusionmentioning

confidence: 55%

See 1 more Smart Citation

Health-Related Quality of Life in Persons Living With a Urostomy

Pazar

Yava

Başal

2015

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

Section: ■ Conclusioncontrasting

confidence: 81%

Section: ■ Conclusionmentioning

confidence: 55%

Health-Related Quality of Life in Persons Living With a Urostomy

Pazar

Yava

Başal

2015

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

“…This can restrict sexual activity for many people, especially gay men. There seems to be little research in this area, with one author mentioning this challenge in passing in a longer piece about sexuality following ostomy surgery (Turnbull, 2001). Future researchers may consider exploring further the experiences of gay men with ileostomies.…”

Section: Discussionmentioning

confidence: 99%

The psychological challenges of living with an ileostomy: An interpretative phenomenological analysis.

Smith¹,

Spiers²,

Simpson³

et al. 2017

Health Psychology

View full text Add to dashboard Cite

CHALLENGES FOR PERSONS WITH AN ILEOSTOMY 2The psychological challenges of living with an ileostomy:an interpretative phenomenological analysis Abstract Objectives: Ileostomy, in which the small intestine is re-directed out of an abdominal wall so that waste is collected using a bag, is used to treat conditions including Inflammatory Bowel Disease and colorectal cancer. This paper reports an in depth idiographic analysis of the experience of living with an ileostomy. Methods: 21 participants took part in semi-structured interviews about their lives and relationships. Those interviews were transcribed verbatim and analysed using the experiential qualitative methodology Interpretative Phenomenological Analysis (IPA). Results: Two super-ordinate themes arose from the data: Ileostomy's intrapersonal impact; the impact of ileostomy on relationships with others. We found that ileostomy may destabilise the sense of self, disrupt body image, and alter experience of age and sexuality. Other participants were able to employ their illness to positively reframe the self. Disclosure of ileostomy status was difficult for some. Intimate and friend relationships were often challenged by stoma status, whilst other family relationships were largely characterised as supportive. Conclusions: Ileostomy may impact upon both intra and interpersonal aspects of the lives of those who live with it, in both negative and positive ways. Consequently, the sense of self can appear challenged, and relationships with partners, family members and friendships could be causes of distress. On the other hand, some partners were supportive, and children were found to be sources of comfort.Keywords: Ileostomy; phenomenology; qualitative; relationships; selfThe psychological challenges of living with an ileostomy:an interpretative phenomenological analysis Ileostomies, in which the small intestine is re-directed out of an opening in the abdominal wall so that waste is collected in a bag, treat various conditions including Crohn's disease, ulcerative colitis, and bowel cancer. It is estimated that nearly 40,000 ileostomies are performed in the US every year, (Husain & Cataldo, 2008), while more than 9,000 ileostomy operations are carried out in the UK annually (NHS, 2014).Prior research has explored life with a range of related procedures: ileostomies, colostomies, and urostomies, collectively known as stomas (eg. Bray, Callery, & Kirk, 2012).The confluence of elements that lead to and follow stoma surgery, which often includes severe pre-and occasionally post-operative illness can be psychologically challenging groups. They contacted the second author if they wanted to take part, and were sent an information sheet giving the details of the study. Twenty-one people living with an ileostomy were interviewed. We recruited a purposive stratified sample to ensure a balanced representation of age and gender and thus we have a relatively large sample for an IPA study.Ethics and Data collection. The study was given ethical clearance by the relevant university b...

show abstract

“…Having a stoma and an external colostomy pouch (for collection of stool) may lead to particular sexual problems including poor body image (Ronson & Body, 2002; White, 2000), loss of spontaneity, and difficulties created by GI symptoms such as gas or ostomy leakage during sexual activity (Manderson, 2005). Couples also can face significant challenges in their relationships, such as feeling as though their roles have shifted from lovers to patient/caregiver, difficulties with communicating about sex due to the embarrassing topics of feces or odor in the sexual domain, and avoidance of sexual activity (Manderson, 2005; Turnbull, 2001). Yet, surprisingly, to our knowledge, there are no interventions that address the sexual concerns and problems experienced by colorectal cancer patients and their partners.…”

Section: Introductionmentioning

confidence: 99%

Pilot Feasibility Study of a Telephone-Based Couples Intervention for Physical Intimacy and Sexual Concerns in Colorectal Cancer

Reese

Porter

Somers

et al. 2012

Journal of Sex & Marital Therapy

View full text Add to dashboard Cite

No studies have tested interventions addressing the sexual concerns of colorectal cancer patients and their partners. We report findings from a pilot feasibility study of a novel telephone-based Intimacy Enhancement protocol that addresses the intimacy and sexual concerns of couples facing colorectal cancer. Based on a flexible coping model (Reese, Keefe, Somers, & Abernethy, 2010), the intervention was designed to help couples make cognitive and behavioral shifts in their intimate relationships. Eighteen individuals (9 dyads) completed the intervention and completed measures of feasibility (frequency, ease of use, and helpfulness of skills, ratings of rapport), program evaluations, and measures of sexual and relationship functioning. Most participants reported that the intervention was “quite a bit” or “extremely helpful” and that they had used the skills taught within the past week. The skills most commonly practiced and perceived as most helpful tended to be behavioral (e.g., trying a new sexual activity). The largest effect sizes (≥ .60) were found for sexual distress, sexual function (female), and sexual communication. Findings from this pilot study suggest that the Intimacy Enhancement protocol is feasible and holds promise for improving sexual and intimacy outcomes in colorectal cancer patients and their partners. Research and clinical implications are discussed.

show abstract

Sexual Counseling: The Forgotten Aspect of Ostomy Rehabilitation

Cited by 9 publications

References 7 publications

Health-Related Quality of Life in Persons Living With a Urostomy

Health-Related Quality of Life in Persons Living With a Urostomy

The psychological challenges of living with an ileostomy: An interpretative phenomenological analysis.

Pilot Feasibility Study of a Telephone-Based Couples Intervention for Physical Intimacy and Sexual Concerns in Colorectal Cancer

Contact Info

Product

Resources

About