The health of rectal cancer patients in the community.

Surviving rectal cancer patients living in five health districts were identified through cancer registrations. Four hundred and twenty (91%) were interviewed at home by health visitors to assess their physical, social and psychological health. In most respects, the health of rectal cancer patients overall was similar to that of the general population of the same age, sex and social circumstances. However, those with a colostomy (63%) were more likely to be severely depressed, socially isolated and stigmatized. They also suffered more from physical problems, particularly urinary symptoms, flatus and offensive bowel motions. The pressure of a colostomy was associated with reduced sexual capacity, though not with lack of sexual interest. The results confirm the high psychological and social costs of a permanent colostomy.