. En-effet and . Szczepkowski, ont montré, de façon générale, que les patients opérés pour un cancer colorectal et ayant eu une stomie souffraient beaucoup plus souvent de dépression, de solitude et même de désespoir en raison d'une faible estime d

. Hendren, 148], a quant à lui utilisé des questionnaires standardisés : FSFI et EORTC QLQ-C30/CR-38 afin d'évaluer l'

. La-présence-d, une stomie a provoqué un changement négatif dans la vie sexuelle des patientes. Les principales causes évoquées étaient : la peur que l'appareillage puisse fuir, la peur que la stomie fasse du bruit, ou encore une image corporelle négative ("gênée, moins spontanée», « je me sens endommagée ")

. La-présence-d, Elle engendre donc des troubles psychologiques et a un impact majeur sur la qualité de vie des patientes. Il faut donc s'efforcer, lorsque cela est possible, à rétablir la continuité digestive, et à réaliser un système urinaire continent (poche de miami, mitrofanoff, monti..). La reconstruction vaginale fait partie intégrante de ce rétablissement de l'image corporelle, p.105

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