Experiences of anorectal surgery among gay and bisexual men: a mixed methods study

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Abstract
Background: The experiences of gay, bisexual, and other men who have sex with men (GBMSM) receiving anorectal surgery are not well understood, including their interaction with surgeons and the impact of surgery on receptive anal intercourse. This pilot exploratory study aimed to understand the experiences of GBMSM who recently received anorectal surgery. Methods: This mixed methods study utilized surveys and semi‐structured interviews with gay and bisexual men who received operative treatment by a general or colorectal surgeon for a benign anorectal condition within Australia. Descriptive and qualitative thematic analysis was employed to assess the impact of anorectal surgery and the experience of the surgical encounter. Results: Participants reported impaired sexual function and reduced overall well‐being after anorectal surgery. They expected surgeons to inquire about their sexual practices and provide additional support and post‐operative education, which most often did not occur. Participants perceived their surgeon to lack understanding regarding their sexual orientation and well‐being. Conclusions: Anorectal surgery has a significant impact on the sexual and overall well‐being of GBMSM. Surgeons should inquire about sexual practices and offer adequate counselling about sexual practices accordingly. Surgeons may require education and training to help improve outcomes for GBMSM patients.

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