Healthcare Providers' Perspectives on Anoreceptive Intercourse in Sexual and Gender Minorities With Ileal Pouch Anal Anastomosis.

INTRODUCTION

Evidence-based recommendations for sexual practices regarding anoreceptive intercourse (ARI) do not exist in patients with inflammatory bowel diseases undergoing restorative proctocolectomy with ileal pouch anal anastomosis (IPAA). This study surveys providers on perspectives and attitudes related to sexual practices after IPAA.

METHODS

We developed a 23-item survey and distributed it to providers caring for patients with inflammatory bowel diseases.

RESULTS

95% of providers believe that it is important to discuss sexual orientation or practices before IPAA, but only 27% routinely discuss this. 50% did not feel comfortable and 74% did not feel confident discussing ARI recommendations with patients who underwent or will undergo IPAA.

DISCUSSION: Future interventions should aim to standardize recommendations regarding feasibility and time line to safe ARI after IPAA.