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Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review.

Publication ,  Journal Article
Hughes, TL; Simmons, KL; Tejwani, R; Barton, KD; Wiener, JS; Todd Purves, J; Routh, JC
Published in: Urology
October 2021

OBJECTIVE: To conduct a systematic review of self-reported experiences of sexual function and dysfunction in individuals with spina bifida (SB). MATERIALS AND METHODS: Medline, Embase, and Web of Science were systematically searched. Studies included contained self-reported data from SB patients on one or more of the following sexual function domains: Genital sensitivity, orgasm, erectile function, ejaculation, lubrication, and/or dyspareunia. Two authors independently assessed eligibility, extracted data, and cross-checked results, with disagreements resolved by consensus. Studies included contained self-reported data from SB patients on one or more of the following sexual function domains: Genital sensitivity, orgasm, erectile function, ejaculation, lubrication, and/or dyspareunia. RESULTS: Systematic search yielded 23 studies representing 1441 patients (816 males, 625 females). Eight utilized questionnaires validated in non-SB adults; the remainder used semi-structured interviews and non-validated instruments. Eleven assessed dysfunctions in both sexes, 10 in males, and 2 in females. Erectile function and orgasm were the most commonly assessed outcomes in males and females respectively. 12%-88% of males experienced erectile dysfunction; a majority (51%-90%) reported normal ejaculatory function. Many females were unable to experience orgasm (28%-63%). CONCLUSION: Males with SB report significant erectile and ejaculatory dysfunction. Both sexes report impaired orgasms and genital sensitivity. SB-specific instruments assessing sexual dysfunction are needed in order to improve multidisciplinary care for this population.

Duke Scholars

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

October 2021

Volume

156

Start / End Page

308 / 319

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Spinal Dysraphism
  • Sexuality
  • Sexual Dysfunction, Physiological
  • Male
  • Humans
  • Female
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hughes, T. L., Simmons, K. L., Tejwani, R., Barton, K. D., Wiener, J. S., Todd Purves, J., & Routh, J. C. (2021). Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review. Urology, 156, 308–319. https://doi.org/10.1016/j.urology.2021.03.042
Hughes, Taylor L., Kirsten L. Simmons, Rohit Tejwani, Karen D. Barton, John S. Wiener, J. Todd Purves, and Jonathan C. Routh. “Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review.Urology 156 (October 2021): 308–19. https://doi.org/10.1016/j.urology.2021.03.042.
Hughes TL, Simmons KL, Tejwani R, Barton KD, Wiener JS, Todd Purves J, et al. Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review. Urology. 2021 Oct;156:308–19.
Hughes, Taylor L., et al. “Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review.Urology, vol. 156, Oct. 2021, pp. 308–19. Pubmed, doi:10.1016/j.urology.2021.03.042.
Hughes TL, Simmons KL, Tejwani R, Barton KD, Wiener JS, Todd Purves J, Routh JC. Sexual Function and Dysfunction in Individuals with Spina Bifida: A Systematic Review. Urology. 2021 Oct;156:308–319.
Journal cover image

Published In

Urology

DOI

EISSN

1527-9995

Publication Date

October 2021

Volume

156

Start / End Page

308 / 319

Location

United States

Related Subject Headings

  • Urology & Nephrology
  • Spinal Dysraphism
  • Sexuality
  • Sexual Dysfunction, Physiological
  • Male
  • Humans
  • Female
  • 3202 Clinical sciences
  • 1103 Clinical Sciences