Sexual Health in Adult Men with Spina Bifida
Medical and surgical advances in the treatment of spina bifida (SB) have resulted in increasing numbers of patients reaching adulthood. As such, issues related to sexual maturity are being investigated to offer optimal healthcare to men with spina bifida. This report constitutes a review of the curr...
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| Format: | Article |
| Language: | English |
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Wiley
2007-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2007.191 |
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| _version_ | 1832559753885122560 |
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| author | Gary W. Bong Eric S. Rovner |
| author_facet | Gary W. Bong Eric S. Rovner |
| author_sort | Gary W. Bong |
| collection | DOAJ |
| description | Medical and surgical advances in the treatment of spina bifida (SB) have resulted in increasing numbers of patients reaching adulthood. As such, issues related to sexual maturity are being investigated to offer optimal healthcare to men with spina bifida. This report constitutes a review of the current literature relating to adults with spina bifida and issues of sexuality, erectile dysfunction and fertility. In general, adult males with spina bifida have normal sexual desires and an interest in addressing these issues with healthcare providers. Sexual education and access to intimacy are delayed compared to the general population. 75% of men achieve erections, but maintaining erections is a problem and some may be merely reflexive in nature. The many of these men show marked improvement with sildenafil. In SB erectile dysfunction and infertility are related to the level of neurological lesion with the best performance status in those with sacral lesions and intact reflexes. Men with lesions higher than T10 are at risk for azoospermia. There is an increased risk of neural tube defects in the children of men with spina bifida, but the current incidence with modern folic acid therapy is unknown. As the number of males with spina bifida reaching sexual maturity increases, further investigation into sexuality, sex education, intimacy, and treatments for erectile dysfunction and infertility will be needed. |
| format | Article |
| id | doaj-art-33a6287b52d0417c88fabc5436c947f5 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2007-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-33a6287b52d0417c88fabc5436c947f52025-02-03T01:29:18ZengWileyThe Scientific World Journal1537-744X2007-01-0171466146910.1100/tsw.2007.191Sexual Health in Adult Men with Spina BifidaGary W. Bong0Eric S. Rovner1Department of Urology, Medical University of South Carolina, Charleston, SC, USADepartment of Urology, Medical University of South Carolina, Charleston, SC, USAMedical and surgical advances in the treatment of spina bifida (SB) have resulted in increasing numbers of patients reaching adulthood. As such, issues related to sexual maturity are being investigated to offer optimal healthcare to men with spina bifida. This report constitutes a review of the current literature relating to adults with spina bifida and issues of sexuality, erectile dysfunction and fertility. In general, adult males with spina bifida have normal sexual desires and an interest in addressing these issues with healthcare providers. Sexual education and access to intimacy are delayed compared to the general population. 75% of men achieve erections, but maintaining erections is a problem and some may be merely reflexive in nature. The many of these men show marked improvement with sildenafil. In SB erectile dysfunction and infertility are related to the level of neurological lesion with the best performance status in those with sacral lesions and intact reflexes. Men with lesions higher than T10 are at risk for azoospermia. There is an increased risk of neural tube defects in the children of men with spina bifida, but the current incidence with modern folic acid therapy is unknown. As the number of males with spina bifida reaching sexual maturity increases, further investigation into sexuality, sex education, intimacy, and treatments for erectile dysfunction and infertility will be needed.http://dx.doi.org/10.1100/tsw.2007.191 |
| spellingShingle | Gary W. Bong Eric S. Rovner Sexual Health in Adult Men with Spina Bifida The Scientific World Journal |
| title | Sexual Health in Adult Men with Spina Bifida |
| title_full | Sexual Health in Adult Men with Spina Bifida |
| title_fullStr | Sexual Health in Adult Men with Spina Bifida |
| title_full_unstemmed | Sexual Health in Adult Men with Spina Bifida |
| title_short | Sexual Health in Adult Men with Spina Bifida |
| title_sort | sexual health in adult men with spina bifida |
| url | http://dx.doi.org/10.1100/tsw.2007.191 |
| work_keys_str_mv | AT garywbong sexualhealthinadultmenwithspinabifida AT ericsrovner sexualhealthinadultmenwithspinabifida |