Abstract
To analyze scientific productions about the repercussions of intestinal ostomy on male sexuality and discuss its implications for planning nursing care. Integrative literature review conducted in the databases Scientific Electronic Library Online, Latin American and Caribbean Literature in Health Sciences, Sciverse Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature and National Library of Medicine and National Institutes of Health, with no pre-established time frame and using the descriptors "sexuality," "ostomy," "colostomy," "men" and "nursing." 21 articles were included to compose the interpretative analysis. Studies have shown that intestinal ostomy can affect male sexuality and reflect negatively on biophysiological, psychoemotional, and sociocultural dimensions. Final Considerations: Through education strategies in programs that follow-up ostomized men from preoperative to rehabilitation, the nurse can assist in adapting to reality, as well as in the quality of life.
Highlights
METHODThe intestinal ostomy, known as stoma and ostomy, consists of an artificial opening, produced surgically, whose purpose is to divert the flow of effluents to the external environment
Concerning the male population, the ostomy sometimes has numerous negative repercussions on sexuality, including mourning for the amputated “invisible” limb, loss of self-confidence and control over intestinal eliminations, in addition to “scratches” on masculinity, since fragility and insecurity are synonyms socially conceived for women . [7,8] the surgical procedure for the construction of the ostomy may influence the sexual functioning of men, since intestinal resections and peroneal nerve injuries can result, triggering various physiological problems, such as erectile dysfunction, ejaculatory disorders, and infertility[7,9,10]
Health Sciences Descriptors (DECS) that best fit the question of research were chosen and used in the English language as a way to capture as much as possible studies published in the international scientific community, namely: Sexuality; Ostomy; Colostomy; Men and Nursing
Summary
The intestinal ostomy, known as stoma and ostomy, consists of an artificial opening, produced surgically, whose purpose is to divert the flow of effluents to the external environment Such a condition can impact the lives of affected individuals due to transformations that affect human multi-dimensionality, including negative repercussions involving sexuality[1,2]. The most common conditions that require the placement of an intestinal ostomy include diverticular and inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis, in addition to abdominal trauma, colorectal anomalies and colorectal cancer[5] When it comes to sexuality, it is known that the existence of an intestinal stoma can influence the quality of life of the ostomized person, which is multi-determined by biopsychosocial aspects, covering their biological potential, the emotions and beliefs acquired and modified in the socialization process[6]. Concerning the male population, the ostomy sometimes has numerous negative repercussions on sexuality, including mourning for the amputated “invisible” limb, loss of self-confidence and control over intestinal eliminations, in addition to “scratches” on masculinity, since fragility and insecurity are synonyms socially conceived for women . [7,8] the surgical procedure for the construction of the ostomy may influence the sexual functioning of men, since intestinal resections and peroneal nerve injuries can result, triggering various physiological problems, such as erectile dysfunction, ejaculatory disorders, and infertility[7,9,10]
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