The Long-term Outcome in Men with Exstrophy/Epispadias: Sexual Function and Social Integration

Autor: Avolio, L., Koo, H.P., Bescript, A.C., Snyder, H.M.I., Canning, D.A., Duckett, J.W.
Zdroj: The Journal of Urology; August 1996, Vol. 156 Issue: 1, Number 2 Supplement p822-825, 4p
Abstrakt: Purpose: We evaluated the long-term outcome of social integration and sexual function in 29 men with bladder exstrophy and epispadias. Materials and Methods: Four men with epispadias and 25 with bladder exstrophy were available for long-term followup. Patients were interviewed by telephone regarding sexual history and social integration. Semen analyses were obtained in 8 cases. Results: Patient assessment of genital appearance was good or fair in 71 percent. Potency was present in all patients, and erections were straight in 66 percent and curved in 34 percent with no curvature so severe as to prevent sexual intercourse. Semen analysis showed a normal sperm count in 63 percent of the men and no azoospermia. Social integration was satisfactory: 100 percent of the men attended high school, 55 percent have a college education and all who are not attending school have full-time jobs. Conclusions: Our long-term review demonstrates that despite what appears to be a significant sexual handicap, patients with exstrophy/epispadias can have adequate sexual function and overall successful social integration.
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