Female sexual function and pregnancy after genitourinary reconstruction
1Division of Pediatric Urology, Monroe Carell Jr. Vanderbilt Children's Hospital, Nashville, Tennessee 37232-9820, USA. john.thomas@vanderbilt.edu
The Journal of Urology
|October 20, 2009
Summary
Female patients who underwent genitourinary reconstruction can safely pursue pregnancy. While risks exist, surgical techniques do not preclude intercourse or pregnancy, with individualized risk assessment crucial for successful outcomes.
Area of Science:
- Urology
- Reproductive Medicine
- Pediatric Surgery
Background:
- The right to bear children is a fundamental human right.
- Reconstructive surgeons must consider the future reproductive potential of young patients.
- Female genitourinary reconstruction impacts sexual function and pregnancy outcomes.
Purpose of the Study:
- To review the ability of female patients who underwent lower urinary tract and genital reconstruction to have children.
- To assess sexual function and pregnancy after genitourinary reconstruction.
Main Methods:
- Extensive literature search and review of medical publications.
- Analysis of studies on sexual function and pregnancy post-genitourinary reconstruction.
Main Results:
- Pregnancy after genitourinary reconstruction carries potential risks.
- No current surgical technique for lower urinary tract or genital reconstruction has been found to significantly impair intercourse or pregnancy.
- Long-term follow-up and critical analysis are necessary for this patient population.
Conclusions:
- Women with a history of childhood genitourinary reconstruction often face complex health issues.
- Patients desiring pregnancy can be encouraged, provided they understand potential increased risks.
- Individualized risk assessment is essential before pregnancy.
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