{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:54:21Z","timestamp":1789786461055,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015361","name":"ConvaTec","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015361","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stoma formation for inflammatory bowel disease, cancer or trauma can adversely affect sexual function and overall sexual wellbeing. There is a recognised unmet need to address patients' concerns within clinical practice. This study aimed to identify patient\u2010reported sexual wellbeing concerns, explore experiences of discussing these issues within clinical settings and determine patients' priorities regarding their sexual wellbeing needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An international, web\u2010based cross\u2010sectional survey was disseminated via social media across English\u2010speaking countries, in collaboration with local ostomy and inflammatory bowel disease charities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 370 participants completed the anonymous survey between March 2023 and March 2024. Over 61% reported ongoing concerns related to sexual wellbeing, while 68% had not received any information regarding the potential impact of a stoma on their sexual life. Despite this, 89% expressed a desire for such information. When information was provided, surgeons were the most frequently reported source.<\/jats:p>\n                    <jats:p>\n                      Primary concerns identified were body image (32%), appliance\u2010related issues (29.7%), difficulties in intimate relationships (28.1%) and reduced self\u2010confidence (9.9%). Over half of respondents preferred that all health professionals address sexual wellbeing as a routine part of care. Participants also recommended a variety of information resources. Age and time since stoma formation were significantly associated with the extent of concerns (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sexual wellbeing concerns following stoma formation are common and frequently unmet. The lack of information provision contributes to patient distress. The routine integration of sexual wellbeing discussions, supported by accessible and diverse resources, is essential to delivering holistic, patient\u2010centred stoma care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70264","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T05:19:36Z","timestamp":1759814376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u2018And don't say everything will be normal!\u2019: An international cross\u2010sectional survey on the patients\u2019 unmet sexual wellbeing needs after ostomy formation"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-560X","authenticated-orcid":false,"given":"Simona","family":"Fourie","sequence":"first","affiliation":[{"name":"Radcliffe Department of Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Bornschein","sequence":"additional","affiliation":[{"name":"Radcliffe Department of Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Norton","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9889-1248","authenticated-orcid":false,"given":"Wladyslawa","family":"Czuber\u2010Dochan","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2023.2278530"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13018"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCC.0000305695.12873.d5"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCC.0000300162.13639.f5"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000930"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-016-1507-z"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0974150X20120304"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15598"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195-018-9544-x"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15879"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-038953"},{"key":"e_1_2_13_13_1","doi-asserted-by":"crossref","unstructured":"J\u00e4ghultS BelloF AlmerS.Clinical: Diagnosis and Outcome Abstract citation ID: jjad212.0386 P256 Relationship and sexuality in Inflammatory Bowel Disease: results from a patient questionnaire[Internet]. 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