title: Permanent stoma not only affects patients' quality of life but also that of their spouses.
abstract: BACKGROUND
  Living with a permanent colostomy can significantly diminish a patient's quality of life. However, little is known about the effects on the patient's spouse. Therefore, the aim of the present study was to evaluate the quality of life of spouses whose partners had undergone sphincter-sacrificing surgery for rectal carcinoma.
  
  
  METHODS
  We studied 56 couples after one partner underwent sphincter-sacrificing surgery for rectal carcinoma: female spouses (n = 30) and male spouses (n = 26). To identify how surgery affected the life standards of the spousal population, questionnaires were constructed by the Department of Public Health, General Surgery and Psychology at the University of Ankara.
  
  
  RESULTS
  Sixteen of 26 male spouses increased time spent at home, whereas 10 of 30 female spouses increased time spent at home (p < 0.05, male spouses versus female spouses). All of the spouses had been sexually active before their partners' operation; however 20 of 26 male spouses and 10 of 30 female spouses were sexually inactive afterward (p < 0.05, male spouses versus female spouses). Ten male patients and 3 female patients wanted their colostomy care to be managed by their spouses (p < 0.01, female spouses versus male spouses).
  
  
  CONCLUSIONS
  In a patient with a colostomy, the social and sexual aspects of the life of the patient's spouse are affected. This observation needs to be taken into account when patients are preoperatively counseled. Therefore, preoperative counseling regarding the possible problems after surgery should not only include the patient but also the spouse.
authors: Department of Surgery, Ankara University School of Medicine, Ankara, Turkey.
authors: Atıl
authors: A
authors: Cakmak
authors: Gökçe
authors: G
authors: Aylaz
authors: M Ayhan
authors: MA
authors: Kuzu
mesh_terms: D000368:Aged; D003125:Colostomy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000601:surgery*; D012725:Sexual Behavior / Q000523:psychology*; D018454:Spouses / Q000523:psychology*; D054047:Surgical Stomas