Sexuality and Sexual Relations Ostomy surgery may have altered some aspects of your body, but it has not altered you as a person. After you have recovered from your operation, you will experience the same sexual feelings and desires you felt before you became ill. Usually you can return to your previous sexual activities with a few minor adjustments.
It is important that you empty and clean your appliance before having sex— or before any physical activity. This prevents accidents. You may wish to camouflage the appliance with a pouch cover or wear a small cummerbund to secure it. A frilly half slip or crotchless panties are other suggestions that may help.
For people who have had extensive surgery—such as an abdominal perineal resection , where the rectum and anus are removed, or a cystectomy, where the bladder is removed—there may be some alteration in sexual feelings and sexual functioning. Your doctor or nurse will discuss this with you.
Remember, this is a time of adjustment for both you and your partner. Experiment to find what you feel comfortable with in your relationship, and share your feelings and concerns.
Activity An ostomy should not affect your ability to resume an active lifestyle. Most people find they can continue all activities they enjoyed before their illness and surgery. Many people with ostomies are distance runners, swimmers, skiers, skydivers, scuba divers, hockey players, football players . . .
Avoid any direct blow to the stoma area. If you are involved in rough contact sports, protection such as foam padding can be used to prevent injury.
