The long-term outcome in men with exstrophy/epispadias: Sexual function and social integration

Luigi Avolio, Harry P. Koo, Amy C. Rescript, Howard M. Snyder, Douglas A. Canning, John W. Duckett

Research output: Contribution to journalArticle

Abstract

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%. Potency was present in all patients, and erections were straight in 66% and curved in 34% with no curvature so severe as to prevent sexual intercourse. Semen analysis showed a normal sperm count in 63% of the men and no azoospermia. Social integration was satisfactory: 100% of the men attended high school, 55% 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.

Original languageEnglish
Pages (from-to)822-825
Number of pages4
JournalJournal of Urology
Volume156
Issue number2 SUPPL. 1
Publication statusPublished - Aug 1996

Keywords

  • Bladder
  • Epispadias
  • Fertility
  • Interpersonal relations
  • Urethra

ASJC Scopus subject areas

  • Urology

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    Avolio, L., Koo, H. P., Rescript, A. C., Snyder, H. M., Canning, D. A., & Duckett, J. W. (1996). The long-term outcome in men with exstrophy/epispadias: Sexual function and social integration. Journal of Urology, 156(2 SUPPL. 1), 822-825.