Sexuality in adult male patients with anorectal malformations
Trovalusci , E1; Eleuteri, S2; Rossato, M3; Gamba, PG4; Midrio, P1
1: Pediatric Surgery, Mother and Child Department, Ca'Foncello Hospital, Treviso, Italy; 2: Department of Psychology, Sapienza University of Rome, Italy; 3: Department of Medicine (DIMED), University of Padua, Italy; 4: Pediatric Surgery, University of Padua, Italya
Objective(s): Patients with anorectal malformation (ARM) are expected to have a normal life span but little is known about their sexual outcome in adulthood. The aim of this study was to collect data about sexuality in adult males with ARM.
Material and Method(s): Twenty-eight patients, aged ≥ 18 male, were interviewed about sexual habits and relationships. Patients were asked to quantify the perceived influence of ARM on their sexual health on a scale from 1 (“not at all”) to 10 (“very high”). IIEF-5 questionnaire for erectile dysfunction was administrated to patients who had sexual intercourses in the past month.
Result(s): Sixteen patients (57,1%) were engaged and seven (25%) reported to have had at least one relationship in their life. Twenty-seven stated to be heterosexual (96,5%). Eighteen (64,3%) reported to have had sexual intercourse (2 of them became fathers) and three (10,5%) experienced sexual activities without penetration. The age of the first sexual activity was delayed compared to controls, with a mean of 18 years for the coitus and of 17 years for the oral sex. Only one patient had erectile dysfunction, thirteen filled in the questionnaire (average rate of 23±1,63), fourteen just answered to the oral questions. The perceived impact of ARM on sexual life was considered overall acceptable (average rate of 4,2±3,3). Eight patients (28.6%) rated >6 due to the concern to communicate their clinical condition to the partner or the fear of soiling during intercourses.
Conclusion(s): The multidisciplinary follow-up of ARM patients, nowadays, should include a psychological support and sexual education in order to allow patients and their partners to achieve a satisfying sentimental and sexual life.
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