Anne-Françoise Spinoit1, Mieke Waterschoot2, Céline Sinatti2, Tariq Abbas3, Nina Callens4, Martine Cools5, Rizwan Hamid6,7, Moneer K Hanna8, Pankaj Joshi9, Rosalia Misseri10, Joao Luiz Pippi Salle11, Joshua Roth12, Lloyd J W Tack13, Gunter De Win14,15. 1. Department of Urology, Ghent University Hospital, Ghent, Belgium. afspinoit@hotmail.com. 2. Department of Urology, Ghent University Hospital, Ghent, Belgium. 3. Pediatric Urology, Sidra Hospital, Doha, Qatar. 4. Centre for Research on Culture and Gender, Department of Languages and Cultures, Ghent University, Ghent, Belgium. 5. Department of Paediatric and Adolescent Endocrinology and Diabetology, Ghent University Hospital, Ghent, Belgium. 6. Department of Neuro-Urology, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK. 7. University College London Hospitals, London, UK. 8. New York Presbyterian/Weill Cornell Medical Center, New York, USA. 9. Kulkarni Reconstructive Urology Centre, Pune, India. 10. Pediatric Urology, Riley Hospital for Children at Indiana University Health, Indiana University School of Medicine, Indianapolis, IN, USA. 11. Division of Urology, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar. 12. Paediatric Urology, Riley Hospital for Children, Indiana University Health, Indianapolis, IN, USA. 13. Division of Paediatric Endocrinology, Department of Internal Medicine and Paediatrics, Ghent University Hospital, Ghent, Belgium. 14. Faculty of Medicine and Health Science, University of Antwerp, University Hospital Antwerp, Antwerp, Belgium. 15. Department of Urology, University of College London Hospitals, London, UK.
Abstract
PURPOSE: To review existing literature about fertility and sexuality of boys born with complex congenital genitourinary anomalies. METHODS: A Pubmed review was performed in December 2018 to identify the most relevant original manuscripts regarding male complex congenital conditions affecting the urogenital system in male patients including spina bifida (SB), bladder exstrophy-epispadias complex (BEEC) and hypospadias. A comprehensive review was drafted exploring sexual dysfunction from a medical, psychosexual, surgical and reproductive point of view during transition from childhood (or adolescence) to adulthood. RESULTS: About 75% of men with SB have erectile dysfunction (ED) (Gamé et al. in Urology 67(3):566-570, 2006; Diamond et al. in 58(4):434-435, 1986). Most SB patients have impaired sexual development mainly due to diminished self-esteem, dependence on caregivers and lack of privacy (Blum et al. in Pediatrics 88(2):280-285, 1991). Men with BEEC have fewer intimate relationships than women because of the greater difficulties with issues regarding their genitalia and sexual activities (Deans et al. in Am J Obstet Gynecol 206(6):496.e1-496.e6, 2012). However, a good quality of life is achievable with the effective use of coping strategies (Deng et al. in Transl Androl Urol 7:941, 2018; Rikken et al. in BMC Womens Health 18(1):163, 2018; Friedler et al. in Reprod Biomed Online 32(1):54-61, 2016). Chordee occurs in 25% of all hypospadias patients. More severe hypospadias is related to a greater risk for complications. The long-term sexual quality of life (QoL) in men who underwent hypospadias surgery is influenced by a lot of factors. Therefore, an interactive and dynamic biopsychosocial model of sexual QoL was proposed. CONCLUSIONS: The care of patients with congenital urologic conditions becomes a challenge especially in the period of 'transition'. The goal of follow-up is a holistic management viewed from a medical, psychosexual, surgical end reproductive point. All patients should be asked for specific urinary, fecal or sexual concerns.
PURPOSE: To review existing literature about fertility and sexuality of boys born with complex congenital genitourinary anomalies. METHODS: A Pubmed review was performed in December 2018 to identify the most relevant original manuscripts regarding male complex congenital conditions affecting the urogenital system in male patients including spina bifida (SB), bladder exstrophy-epispadias complex (BEEC) and hypospadias. A comprehensive review was drafted exploring sexual dysfunction from a medical, psychosexual, surgical and reproductive point of view during transition from childhood (or adolescence) to adulthood. RESULTS: About 75% of men with SB have erectile dysfunction (ED) (Gamé et al. in Urology 67(3):566-570, 2006; Diamond et al. in 58(4):434-435, 1986). Most SBpatients have impaired sexual development mainly due to diminished self-esteem, dependence on caregivers and lack of privacy (Blum et al. in Pediatrics 88(2):280-285, 1991). Men with BEEC have fewer intimate relationships than women because of the greater difficulties with issues regarding their genitalia and sexual activities (Deans et al. in Am J Obstet Gynecol 206(6):496.e1-496.e6, 2012). However, a good quality of life is achievable with the effective use of coping strategies (Deng et al. in Transl Androl Urol 7:941, 2018; Rikken et al. in BMC Womens Health 18(1):163, 2018; Friedler et al. in Reprod Biomed Online 32(1):54-61, 2016). Chordee occurs in 25% of all hypospadiaspatients. More severe hypospadias is related to a greater risk for complications. The long-term sexual quality of life (QoL) in men who underwent hypospadias surgery is influenced by a lot of factors. Therefore, an interactive and dynamic biopsychosocial model of sexual QoL was proposed. CONCLUSIONS: The care of patients with congenital urologic conditions becomes a challenge especially in the period of 'transition'. The goal of follow-up is a holistic management viewed from a medical, psychosexual, surgical end reproductive point. All patients should be asked for specific urinary, fecal or sexual concerns.
Authors: Sheree L Boulet; Quanhe Yang; Cara Mai; Russell S Kirby; Julianne S Collins; James M Robbins; Robert Meyer; Mark A Canfield; Joe Mulinare Journal: Birth Defects Res A Clin Mol Teratol Date: 2008-07
Authors: Nanfu Deng; Nannan Thirumavalavan; Jonathan A Beilan; Alexander J Tatem; Mark S Hockenberry; Alexander W Pastuszak; Larry I Lipshultz Journal: Transl Androl Urol Date: 2018-12