Sexual Function and Fertility of Women with Classic Bladder Exstrophy and Continent Urinary Diversion

The Journal of Urology
Peter RubenwolfRaimund Stein

Abstract

We evaluated the outcome in female patients with classic bladder exstrophy and continent urinary diversion for sexual function and fertility. We reviewed the medical records of female exstrophy patients who underwent continent urinary diversion in our department between 1969 and 2014. Patients were invited for followup examination and asked to complete questionnaires relating to sexual function, social integration and maternity. Of 38 eligible patients 29 (response rate 76%) with a followup of 22.3 years were included in study. Primary continent urinary diversion was done in 62% of patients and 38% underwent secondary continent urinary diversion after failed reconstruction of the exstrophic bladder. Sexual function as measured by the Female Sexual Function Index was only little affected in all domains except desire. Mean total Female Sexual Function Index score was 28.4 of a possible 36. Of the women 31% were classified as at risk for sexual dysfunction, 72% had a stable relationship, 41% were married and 31% had completed higher education. The incidence of pelvic organ prolapse requiring surgical repair was 38%. A total of 16 healthy children were conceived by 12 patients. The pregnancy rate after primary continent urinary div...Continue Reading

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Citations

Feb 27, 2018·Current Urology Reports·Melissa R Kaufman
Feb 19, 2020·World Journal of Urology·Anne-Françoise SpinoitGunter De Win
Apr 25, 2020·World Journal of Urology·John S WienerRaimund Stein
Mar 13, 2020·International Journal of Impotence Research·Céline SinattiAnne-Françoise Spinoit
Sep 30, 2020·World Journal of Urology·Gunter De WinAnne-Françoise Spinoit
Aug 24, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Matthieu DapJean-Louis Lemelle
Aug 16, 2021·Journal of Pediatric Urology·Katie L CanalichioMargarett Shnorhavorian

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