Katrine J Emmertsen

Impact of bowel and stoma dysfunction on female sexuality after treatment for rectal cancer

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Impact of bowel and stoma dysfunction on female sexuality after treatment for rectal cancer. / Thyø, A.; Laurberg, S.; Emmertsen, K. J.

I: Colorectal Disease, Bind 22, Nr. 8, 2020, s. 894-905.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{976a1255b63e4dcbaced421398c65cfa,
title = "Impact of bowel and stoma dysfunction on female sexuality after treatment for rectal cancer",
abstract = "Aim: The aim of this study was to measure the impact of bowel dysfunction and a poorly functioning stoma on the risk of sexual inactivity and sexual dysfunction in female patients. Method: In a population-based cross-sectional study, Danish rectal cancer patients diagnosed between 2001 and 2014 were invited to answer a comprehensive questionnaire regarding cancer- and treatment-related late side effects after rectal cancer treatment. Bowel function was assessed using the Low Anterior Resection score and stoma function using the Colostomy Impact score. Female sexuality was measured by sexual activity, overall sexual dysfunction (the Rectal Cancer Female Sexuality score) and by different domains of sexual dysfunction (Sexual Vaginal Changes questionnaire). Results: Eight-hundred and thirteen female patients completed the questionnaire (response rate 49.2%). Major bowel dysfunction did not significantly increase the risk of sexual inactivity (OR 1.39, 95% CI 0.93–2.07) but clearly increased the risk of sexual dysfunction (OR 3.03, 95% CI 1.67–5.51). The most distinct problems were dyspareunia and inability to complete intercourse. On the contrary, poor stoma function increased the risk sexual inactivity (OR 2.26, 95% CI 1.16–4.40) but not the risk of sexual dysfunction (OR 0.74, 95% CI 0.27–1.99). The most distinct problem was dissatisfaction with own physical appearance. Conclusions: Both bowel dysfunction and stoma dysfunction negatively, but differently, affect sexuality. After restorative surgery, bowel dysfunction was primarily associated with sexual dysfunction while poor stoma function after abdominoperineal excision was associated with sexual inactivity.",
keywords = "bowel dysfunction, female sexuality, Rectal cancer, stoma dysfunction",
author = "A. Thy{\o} and S. Laurberg and Emmertsen, {K. J.}",
year = "2020",
doi = "10.1111/codi.14987",
language = "English",
volume = "22",
pages = "894--905",
journal = "Colorectal Disease",
issn = "1462-8910",
publisher = "Wiley-Blackwell Publishing Ltd.",
number = "8",

}

RIS

TY - JOUR

T1 - Impact of bowel and stoma dysfunction on female sexuality after treatment for rectal cancer

AU - Thyø, A.

AU - Laurberg, S.

AU - Emmertsen, K. J.

PY - 2020

Y1 - 2020

N2 - Aim: The aim of this study was to measure the impact of bowel dysfunction and a poorly functioning stoma on the risk of sexual inactivity and sexual dysfunction in female patients. Method: In a population-based cross-sectional study, Danish rectal cancer patients diagnosed between 2001 and 2014 were invited to answer a comprehensive questionnaire regarding cancer- and treatment-related late side effects after rectal cancer treatment. Bowel function was assessed using the Low Anterior Resection score and stoma function using the Colostomy Impact score. Female sexuality was measured by sexual activity, overall sexual dysfunction (the Rectal Cancer Female Sexuality score) and by different domains of sexual dysfunction (Sexual Vaginal Changes questionnaire). Results: Eight-hundred and thirteen female patients completed the questionnaire (response rate 49.2%). Major bowel dysfunction did not significantly increase the risk of sexual inactivity (OR 1.39, 95% CI 0.93–2.07) but clearly increased the risk of sexual dysfunction (OR 3.03, 95% CI 1.67–5.51). The most distinct problems were dyspareunia and inability to complete intercourse. On the contrary, poor stoma function increased the risk sexual inactivity (OR 2.26, 95% CI 1.16–4.40) but not the risk of sexual dysfunction (OR 0.74, 95% CI 0.27–1.99). The most distinct problem was dissatisfaction with own physical appearance. Conclusions: Both bowel dysfunction and stoma dysfunction negatively, but differently, affect sexuality. After restorative surgery, bowel dysfunction was primarily associated with sexual dysfunction while poor stoma function after abdominoperineal excision was associated with sexual inactivity.

AB - Aim: The aim of this study was to measure the impact of bowel dysfunction and a poorly functioning stoma on the risk of sexual inactivity and sexual dysfunction in female patients. Method: In a population-based cross-sectional study, Danish rectal cancer patients diagnosed between 2001 and 2014 were invited to answer a comprehensive questionnaire regarding cancer- and treatment-related late side effects after rectal cancer treatment. Bowel function was assessed using the Low Anterior Resection score and stoma function using the Colostomy Impact score. Female sexuality was measured by sexual activity, overall sexual dysfunction (the Rectal Cancer Female Sexuality score) and by different domains of sexual dysfunction (Sexual Vaginal Changes questionnaire). Results: Eight-hundred and thirteen female patients completed the questionnaire (response rate 49.2%). Major bowel dysfunction did not significantly increase the risk of sexual inactivity (OR 1.39, 95% CI 0.93–2.07) but clearly increased the risk of sexual dysfunction (OR 3.03, 95% CI 1.67–5.51). The most distinct problems were dyspareunia and inability to complete intercourse. On the contrary, poor stoma function increased the risk sexual inactivity (OR 2.26, 95% CI 1.16–4.40) but not the risk of sexual dysfunction (OR 0.74, 95% CI 0.27–1.99). The most distinct problem was dissatisfaction with own physical appearance. Conclusions: Both bowel dysfunction and stoma dysfunction negatively, but differently, affect sexuality. After restorative surgery, bowel dysfunction was primarily associated with sexual dysfunction while poor stoma function after abdominoperineal excision was associated with sexual inactivity.

KW - bowel dysfunction

KW - female sexuality

KW - Rectal cancer

KW - stoma dysfunction

UR - http://www.scopus.com/inward/record.url?scp=85079376418&partnerID=8YFLogxK

U2 - 10.1111/codi.14987

DO - 10.1111/codi.14987

M3 - Journal article

C2 - 31985130

AN - SCOPUS:85079376418

VL - 22

SP - 894

EP - 905

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 8

ER -