(PM-45) Unusual sexual practices and ostomy: insights and implications

Abstract Introduction/Objective Ostomy often impacts self-image, causing shame and sexual avoidance. Research and questionnaires focus on these issues, covering most sexual health concerns. Based on our clinical experience, we report that many patients incorporate ostomy into their sexual practices—an area rarely explored in scientific literature—and aim to highlight this overlooked aspect. Materials and Methods This is a combination of experiential accounts and literature review. During medical rounds, stories of patients refusing reconstructive surgery until widowed are common, often shared with curiosity or humor. Although frequent among clinicians, such reports seldom appear in scientific journals. Our goal is to encourage future research on this important topic. Results Unconventional sexual preferences may not be captured by standard questionnaire. Some report that ostomy may be part of sexual satisfaction. However, kink behaviors may pose risks of injury or complications, often unreported due to fear of judgment. The lack of guidelines about safe sexual use of stomas hampers guidance; questions remain about mucosal injury, vascular compromise, or stoma detachment, and safe timing post-surgery. Conclusion Unusual sexual practices can arise unexpectedly and remain invisible. Understanding motivations, consent, and risks is crucial. Healthcare professionals need to address this topic respectfully, fostering open communication. The scarcity of research and guidelines may result in patient disengagement from medical care, emphasizing the need for further study and education to promote safe, inclusive sexual health for stoma patients. Financing No conflict.