G. M. Nordström, DrMedSci, RNT, ET.
Male and Female Sexual Function and Activity Following Ileal Conduit Urinary Diversion
Article first published online: 26 NOV 2008
© 1992 British Journal of Urology
British Journal of Urology
Volume 70, Issue 1, pages 33–39, July 1992
How to Cite
NORDSTRÖM, G. M. and NYMAN, C. R. (1992), Male and Female Sexual Function and Activity Following Ileal Conduit Urinary Diversion. British Journal of Urology, 70: 33–39. doi: 10.1111/j.1464-410X.1992.tb15660.x
- Issue published online: 26 NOV 2008
- Article first published online: 26 NOV 2008
- Accepted for publication 7 August 1991
Summary— A group of 66 patients (40 males, 26 females) underwent an ileal conduit urinary diversion because of bladder cancer (44 patients) or incontinence/bladder dysfunction (22). They were questioned about pre-and post-operative sexual function and activity and it was found that 90% of the males (26/29) who were sexually active before surgery lost the ability to achieve erection following radical cystectomy. Although they were unable to achieve penile erection, 41% were able to experience orgasm by means of masturbation. Five of the 29 males received penile implants. Five of the 6 females treated by cystectomy, who were sexually active before the operation, reported either a decrease or cessation of sexual activity (i.e. coitus) post-operatively.
The main problems were a decrease in sexual desire, dyspareunia and vaginal dryness. One women reported the inability to experience orgasm after surgery. Compared with women with bladder cancer, those with incontinence/bladder dysfunction were more likely to have an active sexual life after urostomy surgery. Seven females in this group, of whom 4 were sexually inactive before surgery, increased their sexual activity after the operation. For these women the conduit operation removed the need to use incontinence pads or indwelling catheters.