source: United Ostomy Associations of America (UOAA)

Many sex problems that male ostomates experience after surgery may stem from psychological factors. It is often difficult to determine the difference between psychological and physical factors. If sexual difficulty should be experienced, careful consideration of any psychological issues may help resolve the cause.

Most of the following concerns apply primarily to the immediate post-operative period.

1. Serious anxiety or fear about one’s ability to perform sexually, the attractiveness of his altered body, the possibility of odor, and the security of his pouch or other stoma covering.
2. Failure because of attempting intercourse before strength returns following the operation.
3. Depression which many patients suffer following major surgery.
4. Medication, sedative or other.