{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:15:19Z","timestamp":1780402519583,"version":"3.54.1"},"reference-count":12,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1977,8]]},"abstract":"<jats:p>The Ileostomy Association of Great Britain and Ireland has conducted a survey to assess the incidence and nature of sexual problems among a one in 10 sample of its membership. The analysis was restricted to married ileostomists; of those aged up to 45 years at the time of operation 16% had married and 23% had had children after the operation. The majority had adapted well to the ileostomy, and this appeared true also for the spouse. However, 12% of those who replied ascribed marital tension, unhappiness, or even separation, to the presence of the stoma. There was no evidence of sexual dysfunction from the construction of an ileostomy without rectal excision. After rectal excision nearly one-third of men reported sexual dysfunction, the frequency and severity of which was related to the age at operation. Up to the age of 45, one of 88 men developed complete erectile impotence and 17 partial dysfunction; over this age five of 30 men developed complete and 11 partial erectile impotence. One-third of women reported some dyspareunia after rectal excision.<\/jats:p>","DOI":"10.1136\/gut.18.8.673","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"673-677","source":"Crossref","is-referenced-by-count":104,"title":["Sexual problems among married ileostomists. Survey conducted by The Ileostomy Association of Great Britain and Ireland."],"prefix":"10.1136","volume":"18","author":[{"given":"W R","family":"Burnham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Lennard-Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B N","family":"Brooke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1977,8,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S0140-6736(67)92058-2","article-title":"Ileostomy and excision of the large intestine for ulcerative colitis","volume":"2","author":"Daly, D.W.; Brooke, B.N.","year":"1967","unstructured":"Daly, D. W., and Brooke, B. N. (1967). Ileostomy and excision of the large intestine for ulcerative colitis. Lancet, 2, 62-64.","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1056\/NEJM196004072621407","article-title":"Sexual function following surgery for ulcerative colitis","volume":"262","author":"Donovan, M.J.; O'Hara, E.T.","year":"1960","unstructured":"Donovan, M. J., and O'Hara, E. T. (1960). Sexual function following surgery for ulcerative colitis. New England Journal of Medicine, 262, 719-720.","journal-title":"New England Journal of Medicine"},{"key":"ref_3","first-page":"641646","article-title":"Ileorectal anastomosis in ulcerative colitis","volume":"10","year":"1975","unstructured":"Gruner, 0. P. N., Flatmark, A., Naas, R., Fretheim, B., and Gjone, E. (1975). Ileorectal anastomosis in ulcerative colitis. Scandinavian Journal of Gastroenterology, 10, 641646.","journal-title":"Scandinavian Journal of Gastroenterology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/003591577206500325","article-title":"Ileostomy in pregnancy","volume":"65","author":"Hudson, C.N.","year":"1972","unstructured":"Hudson, C. N. (1972). Ileostomy in pregnancy. Proceedings of the Royal Society of Medicine, 65, 281-283.","journal-title":"Proceedings of the Royal Society of Medicine"},{"key":"ref_5","first-page":"236","article-title":"Sexual Behaviour in the Human Male","author":"Kinsey, A.C.; Pomeroy, W.B.; Martin, C.E.","year":"1948","unstructured":"Kinsey, A. C., Pomeroy, W. B., and Martin, C. E. (1948). Sexual Behaviour in the Human Male, p. 236. Saunders: Philadelphia."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1159\/000394906","article-title":"Continent ileostomy","volume":"12","author":"Kock, N.G.","year":"1973","unstructured":"Kock, N. G. (1973). Continent ileostomy. Progress in Surgery, 12, 180-201.","journal-title":"Progress in Surgery"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/bjs.1800590108","article-title":"Perimuscular excision of the rectum for Crohn's disease and ulcerative colitis","volume":"59","author":"Lee, E.C.G.; Dowling, B.L.","year":"1972","unstructured":"Lee, E. C. G., and Dowling, B. L. (1972). Perimuscular excision of the rectum for Crohn's disease and ulcerative colitis. British Journal of Surgery, 59, 29-32.","journal-title":"British Journal of Surgery"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1001\/archsurg.1973.01350200184038","article-title":"Anatomic relations of pelvic autonomic nerves to pelvic operations","volume":"107","author":"Lee, J.F.; Maurer, V.M.; Block, G.E.","year":"1973","unstructured":"Lee, J. F., Maurer, V. M., and Block, G. E. (1973). Anatomic relations of pelvic autonomic nerves to pelvic operations. Archives of Surgery, 107, 324-328.","journal-title":"Archives of Surgery"},{"key":"ref_9","first-page":"392","article-title":"Intersphincteric excision of the rectum in benign inflammatory conditions","volume":"17","author":"Lyttle, J.A.; Parks, A.G.","year":"1976","unstructured":"Lyttle, J. A., and Parks, A. G. (1976). Intersphincteric excision of the rectum in benign inflammatory conditions. Gut, 17, 392.","journal-title":"Gut"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/bjs.1800530106","article-title":"Sexual dysfunction following rectal excision for ulcerative colitis","volume":"53","author":"May, R.E.","year":"1966","unstructured":"May, R. E. (1966). Sexual dysfunction following rectal excision for ulcerative colitis. British Journal of Surgery, 53, 29-30.","journal-title":"British Journal of Surgery"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1056\/NEJM195810302591806","article-title":"Influence on sexual function of abdominoperineal resection for ulcerative colitis","volume":"259","author":"Stahlgren, L.H.; Ferguson, L.K.","year":"1958","unstructured":"Stahlgren, L. H., and Ferguson, L. K. (1958). Influence on sexual function of abdominoperineal resection for ulcerative colitis. New England Journal of Medicine, 259, 873-875.","journal-title":"New England Journal of Medicine"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1002\/bjs.1800531203","article-title":"Long-term complications and prognosis following major surgery for ulcerative colitis","volume":"53","author":"Watts, J.McK; de Dombal, F.T.; Goligher, J.C.","year":"1966","unstructured":"Watts, J. McK., de Dombal, F. T., and Goligher, J. C. (1966). Long-term complications and prognosis following major surgery for ulcerative colitis. British Journal of Surgery, 53, 1014-1023.","journal-title":"British Journal of Surgery"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.18.8.673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T08:25:24Z","timestamp":1765614324000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.18.8.673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1977,8]]},"references-count":12,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1977,8,1]]},"published-print":{"date-parts":[[1977,8]]}},"alternative-id":["10.1136\/gut.18.8.673"],"URL":"https:\/\/doi.org\/10.1136\/gut.18.8.673","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"value":"0017-5749","type":"print"},{"value":"1468-3288","type":"electronic"}],"subject":[],"published":{"date-parts":[[1977,8]]}}}