Sexual dysfunction and infertility in the male spina bifida patient

Deng, Nanfu; Thirumavalavan, Nannan; Beilan, Jonathan; Tatem, Alexander J.; Hockenberry, Mark; Pastuszak, Alexander W.; Lipshultz, Larry I.

doi:10.21037/tau.2018.10.08

Cited by 16 publications

(10 citation statements)

References 47 publications

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“…Regarding fertility, subfertility is common concern, despite the fact that testosterone levels have been reported to be normal, there seems to be a failure on the level of Sertoli Cells or germinal cells [ 30 , 8 ].…”

Section: Specific Male Concerns On Anejaculation And/or Erectile Dysfunctionmentioning

confidence: 99%

“…Bladder and bowel management are part of the main measures towards not only preserving the renal and bladder function but also achieving a better quality of life (QoL) in this group of patients [ 4 ]. Maximizing continence care is essential for reaching higher rates of urinary continence, infection-free rates, independency, and a better self-esteem [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Sexual function in adult patients who have undergone augmentation surgery in childhood: what is really important?

et al. 2020

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Problems relating to the development of a healthy approach to sex and intimacy during puberty, after augmentation cystoplasty, are scarcely discussed in literature. Therefore, this may suggest that such issues are insufficiently addressed by pediatric urologists. We gathered four experts in the field as well as an experienced leader of a patient group and mother of a girl with spina bifida and asked questions relevant to the following areas of care: (a) diversion, urinary incontinence, and sexual life; (b) impact of a stoma on body image perception and self-esteem; (c) specific female concerns with regard to fertility and recurrent urinary infections; (d) specific male concerns on anejaculation and erectile dysfunction. Their answers are discussed in view of the available literature. All experts and the patient group representative agreed that most of these patients will experience: lack of self-confidence as the most frequent obstacle to starting a relationship and incontinence as a barrier to sexual activity. The cosmesis of the stoma and abdominal scars might influence self-esteem and therefore the sexual activity, however it appears to be a less common concern in males than females. Our results outline the importance and influence that the body image, self-esteem, and confidence present for the individual expectations of the patients related to sex life and sexual activity. Physicians should be encouraged to ask all postpubertal patients about their sexual concerns at every visit. Further studies and exchange of information between clinicians are needed to provide meaningful and analyzable patient-related outcome measures (PROMs).

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Section: Specific Male Concerns On Anejaculation And/or Erectile Dysfunctionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual function in adult patients who have undergone augmentation surgery in childhood: what is really important?

et al. 2020

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“…Moreover, further improvements have been made with advances in bowel dysfunction management and spinal column and lower limb transformation techniques. With these recent improvements, medical personnel and researchers have focused on the QOL of spina bifida patients …”

Section: Discussionmentioning

confidence: 99%

A Japanese man with spina bifida who successfully fathered a child following fertility treatment

et al. 2020

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Introduction Spina bifida is a congenital anomaly caused by a neural tube closure defect that may result in sexual dysfunction. Sexual dysfunction and infertility are prevalent in spina bifida patients but have been scarcely reported. Case presentation We report the case of a 36‐year‐old man with spina bifida and mild‐moderate erectile dysfunction. He could experience erection and ejaculation. He got married at the age of 28 years, but his wife was unable to conceive for 2 years thereafter. Semen analyses revealed that semen volume, sperm density, and sperm motility rate were below normal levels. It was concluded that natural conception would be difficult, and assisted reproductive strategies were planned. After 4 years, his wife conceived through intracytoplasmic sperm injection and gave birth to a healthy baby. Conclusion Fertility treatment, including intracytoplasmic sperm injection, is a useful therapeutic method for male patients with spina bifida who desire to father a child.

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“…82 Men with spina bifida or spinal cord injury tend to have altered fertility. 84 In addition, the performance of sexual intercourse may be hindered by erectile dysfunction, including an inability to achieve or maintain an erection for penetration and retrograde, absent, or incomplete ejaculation. 79,85 For both men and women with these conditions, engaging in sexual activity may be complicated by incontinence from neurogenic bowel or bladder.…”

Section: Sexuality and Adolescents With Spina Bifida Or A Spinal Cord Injurymentioning

confidence: 99%

Promoting Healthy Sexuality for Children and Adolescents With Disabilities

2021

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This clinical report updates a 2006 report from the American Academy of Pediatrics titled "Sexuality of Children and Adolescents With Developmental Disabilities." The development of a healthy sexuality best occurs through appropriate education, absence of coercion and violence, and developmental acquisition of skills to navigate feelings, desires, relationships, and social pressures. Pediatric health care providers are important resources for anticipatory guidance and education for all children and youth as they understand their changing bodies, feelings, and behaviors. Yet, youth with disabilities and their families report inadequate education and guidance from pediatricians regarding sexual health development. In the decade since the original clinical report was published, there have been many advancements in the understanding and care of children and youth with disabilities, in part because of an increased prevalence and breadth of autism spectrum disorder as well as an increased longevity of individuals with medically complex and severely disabling conditions. During this same time frame, sexual education in US public schools has diminished, and there is emerging evidence that the attitudes and beliefs of all youth (with and without disability) about sex and sexuality are being formed through media rather than formal education or parent and/or health care provider sources. This report aims to provide the pediatric health care provider with resources and tools for clinical practice to address the sexual development of children and youth with disabilities. The report emphasizes strategies to promote competence in achieving a healthy sexuality regardless of physical, cognitive, or socioemotional limitations.

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Sexual dysfunction and infertility in the male spina bifida patient

Cited by 16 publications

References 47 publications

Sexual function in adult patients who have undergone augmentation surgery in childhood: what is really important?

Sexual function in adult patients who have undergone augmentation surgery in childhood: what is really important?

A Japanese man with spina bifida who successfully fathered a child following fertility treatment

Promoting Healthy Sexuality for Children and Adolescents With Disabilities

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