{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T04:54:03Z","timestamp":1769921643037,"version":"3.49.0"},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Colorectal surgery for benign indications affects patients' sexual health. LGBTQ+ patients often face discrimination, resulting in unmet health needs. We aimed to investigate how colorectal surgery for benign disease affects LGBTQ+ individuals' sexual health, and which barriers exist to access healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Embase, Web of Science, Scopus, PsychINFO, Google Scholar, CINHAL, ProQuest, Cochrane library and Joanna Briggs Institute were systematically searched. Screening and data extraction were performed independently by two researchers. Inclusion criteria were adult patients who self\u2010identified as LGBTQ+; colorectal or anal procedures for benign disease; outcomes of sexual health\/wellbeing\/pleasure. Exclusion criteria were appendicectomy, transrectal procedures or gender\u2010affirming surgery and &gt;50% of patients treated for malignancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 719 records, eight articles were selected: one prospective cohort study, three mixed\u2010methods surveys and four literature reviews. Ten main themes were identified: sexual function\/activity and pain, anoreceptive intercourse (ARI), sexual satisfaction and pleasure, mental health and body image, obstacles and coping strategies, dating and relationships, partner response and inclusion, experience with healthcare providers, information sources, stigma and discrimination. Colorectal surgery negatively impacts sexual health and relationships. LGBTQ+ patients reported challenges in accessing care and information regarding sexual health after colorectal surgery, whilst facing discrimination and stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Colorectal surgery for benign disease affects LGBTQ+ patients' sexual health. Literature is scarce, with limited data stratification for sexual orientation or gender identity. Healthcare providers need to be educated about LGBTQ+ needs relating to sexual health and surgery, and inclusive clinical guidelines should be developed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70327","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T04:09:01Z","timestamp":1765339741000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual health of\n                    <scp>LGBTQ<\/scp>\n                    + patients undergoing colorectal surgery for benign disease and their experience with healthcare: A scoping review"],"prefix":"10.1111","volume":"27","author":[{"given":"Zoe","family":"Marangoni","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Ghent University Hospital  Ghent Belgium"},{"name":"Department of Human Structure and Repair Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Onghena","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Pediatrics, Hepatology Research Unit Ghent University  Ghent Belgium"},{"name":"General and Hepatobiliary Surgery, AZ St. Lucas Ghent  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maddalena","family":"Giacomozzi","sequence":"additional","affiliation":[{"name":"Research Team, Treat it Queer Foundation  Nijmegen Netherlands"},{"name":"Department of Obstetrics and Gynaecology Radboud University Medical Center  Nijmegen Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"van Nieuwenhove","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Ghent University Hospital  Ghent Belgium"},{"name":"Department of Human Structure and Repair Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9127-8782","authenticated-orcid":false,"given":"Eva","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University Centre for Nursing and Midwifery Ghent University  Ghent Belgium"},{"name":"Cancer Center Ghent University Hospital  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle H.","family":"van Ramshorst","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Ghent University Hospital  Ghent Belgium"},{"name":"Department of Human Structure and Repair Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Organization WH.Sexual health.2006. Available from:https:\/\/www.who.int\/teams\/sexual\u2010and\u2010reproductive\u2010health\u2010and\u2010research\u2010(srh)\/areas\u2010of\u2010work\/sexual\u2010health"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2019.04.001"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-012-0890-x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21090"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15598"},{"key":"e_1_2_13_7_1","unstructured":"MorrisBJ.A brief history of lesbian gay bisexual and transgender social movements: American Psychological Association.2017. Available from:https:\/\/www.apa.org\/topics\/lgbtq\/history"},{"key":"e_1_2_13_8_1","unstructured":"C. J. Ipsos.LGBT+ PRIDE 2021 Global Survey 2021."},{"key":"e_1_2_13_9_1","unstructured":"C. J. Ipsos.Pride month 2023: 9% of adults identify as LGBT+.2023."},{"issue":"77","key":"e_1_2_13_10_1","first-page":"1","article-title":"Sexual orientation and health among U.S. adults: National Health Interview Survey, 2013","volume":"2014","author":"Ward BW","year":"2014","journal-title":"Natl Health Stat Rep"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13229"},{"key":"e_1_2_13_12_1","unstructured":"Rights EUAfF.LGBTIQ equality at a crossroads\u2014Progress and challenges.2024."},{"issue":"7","key":"e_1_2_13_13_1","first-page":"467","article-title":"Chapter\u00a011: scoping reviews","volume":"169","author":"Peters M","year":"2020","journal-title":"JBI Manual Evid Synth"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_13_15_1","unstructured":"MarangoniZVRG PapeE GiacomozziM OnghenaLGFK.Experiences of LGBTQ+ patients undergoing colorectal surgery for benign disease with a focus on sexuality: a scoping review. OSF 2024.https:\/\/doi.org\/10.17605\/OSF.IO\/E5TNQ"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.2174\/1574887116666210526125202"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izad106"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.12968\/gasn.2014.12.6.19"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1995.4.17.1009"},{"issue":"3","key":"e_1_2_13_20_1","first-page":"118","article-title":"Sexuality and the homosexual person with a stoma","volume":"15","author":"Smith DB","year":"1988","journal-title":"J Enterostomal Ther"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-023-08253-0"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izac229"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14986"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.12.014"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000257"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEG.S359367"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2009.37"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-012-0700-2"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9248-x"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NURSE.0000432916.59376.1c"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000236"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-013-1749-y"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjad212.1377"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.11.003"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2019.1643499"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2015.0124"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.05.020"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306335"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2017.11.002"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70327","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70327","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T16:19:09Z","timestamp":1769876349000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":38,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/codi.70327"],"URL":"https:\/\/doi.org\/10.1111\/codi.70327","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70327"}}