Sexual Function in Patients Operated on for Bladder Exstrophy and Epispadias

Area of Science:

• Urology
• Reproductive Medicine
• Congenital Malformations

Background:

• Bladder exstrophy and epispadias complex (BEEC) is a rare congenital condition.
• BEEC can significantly impact patients' sexual function and quality of life.

Purpose of the Study:

• To evaluate the long-term sexual function of patients with BEEC.
• To compare sexual function in BEEC patients with age-matched controls.

Main Methods:

• Retrospective identification of 63 BEEC patients treated between 1956-1992.
• Validated questionnaires (IIEF-15 for men, FSFI for women) and auxiliary questions were mailed.
• 32 patients (51% response rate) completed the questionnaires.

Main Results:

• No significant differences in erectile function (IIEF-15) between male BEEC patients and controls.
• Female BEEC patients reported higher overall sexual function scores (FSFI) than controls.
• BEEC patients were less likely to be sexually active and have children compared to controls.

Conclusions:

• Men and women with BEEC demonstrate favorable long-term sexual function.
• BEEC patients may experience delayed sexual initiation and reduced fertility.
• Further support and counseling may be beneficial for BEEC patients regarding sexual health and family planning.