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Does Proctologic Surgery Really Influence Sexual Behaviors?
Alessandro Sturiale1, Bernardina Fabiani1, Raad Dowais1
1Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy.
Reviews on Recent Clinical Trials
|May 27, 2021
Summary
Proctologic surgery significantly impacts anal intercourse (AI) rates, with over half of patients abandoning the practice post-operation. Surgeons must counsel patients on potential sexual function changes after these procedures.
Area of Science:
- Proctology
- Sexual Health
- Surgical Outcomes
Background:
- Anal intercourse (AI) is practiced by a significant portion of the population, including heterosexual and LGBTQ+ individuals.
- Limited data exists on the effects of proctologic surgery on sexual behavior, particularly AI.
Purpose of the Study:
- To assess the impact of proctologic surgery on anal intercourse (AI) practices in both men and women.
- To evaluate postoperative sexual behavior changes following proctologic interventions.
Main Methods:
- An anonymous questionnaire was administered to 929 patients over 18 who underwent proctologic surgery.
- Data collection occurred between March 2016 and February 2018, excluding patients with incomplete healing or less than 3 months follow-up.
Main Results:
- Preoperative AI prevalence was 22.5% overall (16.7% men, 28.9% women).
- Postoperative AI rate dropped to 11.8% overall.
- Among those practicing AI preoperatively, 52.6% abandoned it post-surgery, reporting pain, stiffness, and partner discomfort.
Conclusions:
- Proctologic surgery leads to a statistically significant abandonment rate of anal intercourse (AI).
- Surgeons have an ethical obligation to inform patients about potential impacts on AI and sexual function.
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