[Sexual dysfunction after colostomy].
BACKGROUND
Sexual disturbances after colostomy are various. However, they probably remain underestimated in societies where sexuality is still a taboo issue. THE AIM of this prospective study was to evaluate the possible sexual behaviour and the post operative sexual disturbances in patients whome underwent colostomy.


METHODS
The group was devided in 10 male and 11 female patients. Seventeen patients (81%) were married, 3 widowed and 1 unmaried.


RESULTS
Sexual disturbances were found in 47% of patients. There was a lack of interest in sexual relations in 2 women, a resolved premature ejaculation in one case, post operative dysparenia in 2 female patients, a retrograde ejaculation in a 60-year-old man, impotence in a 46 years old patient, and a premature ejaculation in a 36-year-old man. The frequency of sexual disturbances (47%) in our series was close to that reported in the literature (50%).


CONCLUSIONS
The sexual disorders are more common in male patients, the most frequent being ejaculatory dysfunction. In women, dyspareunia is the most common disorder. The particular case of colostomy in homosexuals remains a current issue.
Service de Dermatologie CHU Hédi Chaker, Sfax-Tunisie.
Madiha
M
Mseddi
Mohamed Akram
MA
Mseddi
Sleheddine
S
Marrekchi
Samir
S
Bouassida
Hamida
H
Turki
Mohamed Issam
MI
Beyrouti
Abdelmajid
A
Zahaf
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000009:adverse effects* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology*