Evaluación comparativa en calidad de vida de pacientes con RAUB, RAUBIE vs RAP por cáncer de recto. Informe preliminar

Sexual Dysfunction in Ostomized Patients: A Systematized Review

“…According to the US Agency for Healthcare Research and Quality, the level of evidence of the most of the articles was IIb [ 7 , 8 , 9 , 10 , 11 , 12 , 13 ], followed by level III [ 14 , 15 , 16 , 17 ]. The rest of them were level IIa [ 18 , 19 , 20 ] and Ib [ 21 , 22 , 23 ]. The countries of the articles were: Turkey (n = 5) [ 7 , 12 , 13 , 15 , 21 ], Brazil (n = 4) [ 8 , 10 , 18 , 20 ], Netherlands (n = 3) [ 14 , 17 , 23 ], United States (n = 3) [ 9 , 11 , 22 ], Chile (n = 1) [ 19 ] and Ireland (n = 1) [ 16 ].…”

“…The rest of them were level IIa [ 18 , 19 , 20 ] and Ib [ 21 , 22 , 23 ]. The countries of the articles were: Turkey (n = 5) [ 7 , 12 , 13 , 15 , 21 ], Brazil (n = 4) [ 8 , 10 , 18 , 20 ], Netherlands (n = 3) [ 14 , 17 , 23 ], United States (n = 3) [ 9 , 11 , 22 ], Chile (n = 1) [ 19 ] and Ireland (n = 1) [ 16 ]. The type of stoma was mostly the colostomy, being the main cause for its realization the colorectal cancer.…”

“…One author used the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) to assess sexual dysfunction [ 21 ]. The anxiety, self-esteem, the quality of life or depression were also evaluated by some authors [ 9 , 13 , 14 , 15 , 16 , 17 , 19 , 20 , 22 , 23 ]. Only 2 articles studied the sexual (dys) function from the point of view of the spouse [ 7 , 18 ] ( Table 2 ).…”

“…In men, the most common sexual dysfunction were erectile dysfunction and ejaculatory disorders [ 10 , 12 , 13 , 14 , 15 , 16 , 23 ], while in women were the dyspareunia and vaginal dryness [ 11 , 12 , 14 , 15 , 23 ]. Differences are also found according to the type of surgery [ 19 ] and treatment received [ 23 ]. In this sense, ostomy patients report a greater impact on their sex life than those who have had their anal sphincter preserved, who report a greater impact on their quality of life due to bowel dysfunction (diarrhea, incontinence) [ 19 ].…”

“…Differences are also found according to the type of surgery [ 19 ] and treatment received [ 23 ]. In this sense, ostomy patients report a greater impact on their sex life than those who have had their anal sphincter preserved, who report a greater impact on their quality of life due to bowel dysfunction (diarrhea, incontinence) [ 19 ]. In terms of treatment, Wiltink’s study found that patients who underwent radiotherapy reported more erectile difficulties, more pain during intercourse and less sexual enjoyment [ 23 ].…”