ABSTRACT
BACKGROUND: Sexual disturbances after colostomy are various. However, they probably remain underestimated in societies where sexuality is still a taboo issue. THE AIM of this prospective study was to evaluate the possible sexual behaviour and the post operative sexual disturbances in patients whome underwent colostomy. METHODS: The group was devided in 10 male and 11 female patients. Seventeen patients (81%) were married, 3 widowed and 1 unmaried. RESULTS: Sexual disturbances were found in 47% of patients. There was a lack of interest in sexual relations in 2 women, a resolved premature ejaculation in one case, post operative dysparenia in 2 female patients, a retrograde ejaculation in a 60-year-old man, impotence in a 46 years old patient, and a premature ejaculation in a 36-year-old man. The frequency of sexual disturbances (47%) in our series was close to that reported in the literature (50%). CONCLUSION: The sexual disorders are more common in male patients, the most frequent being ejaculatory dysfunction. In women, dyspareunia is the most common disorder. The particular case of colostomy in homosexuals remains a current issue.
Subject(s)
Colostomy/adverse effects , Sexual Dysfunction, Physiological/etiology , Sexual Dysfunctions, Psychological/etiology , Adult , Aged , Aged, 80 and over , Colostomy/psychology , Female , Humans , Male , Middle Aged , Prospective StudiesABSTRACT
The Peutz jeghers syndrome is a familial affection with dominant autosomic transmission characterized by a hamartoma digestive polyposis and a cutaneous mucous lentiginosis with periorifice predominance. This affection represented 3 into 10% for the familial polyps. The digestive polyps constitute the must important part of the pentz jeghers syndrome because they determined to only the clinic manifestation and the disease prognostic with there complications: intestinal invaginations, haemorrhage. In this work, we report two observations of patients presented a Peurtz Jeghers syndrome, and we determine, after literature review the epidemiologic, pathogenic, clinic, anatomy pathologic, prognosis and therapeutics of this effection.
Subject(s)
Intestinal Polyps/etiology , Peutz-Jeghers Syndrome/pathology , Adolescent , Adult , Female , Gastrointestinal Hemorrhage/etiology , Humans , Intestinal Polyps/complications , Peutz-Jeghers Syndrome/complications , PrognosisABSTRACT
The anterior hernia or the fissure of Larrey and Bochdalek hernia are exceptional in adult. We present 6 cases of congenital diaphragmatic hernia revealed in adult. Three hernia of the fissure of Larrey and three Bochdalek hernia. We discuss the different clinical, radiological, and therapeutic aspects of these hernia. We insist on the gravity of strangulated hernia and their surgical treatment.
