Pregnancy and sexual function in women with bladder exstrophy

Area of Science:

• Urology
• Gynecology
• Reproductive Medicine

Background:

• Improved treatments allow more women with bladder exstrophy to reach reproductive age.
• Limited data exist on sexual function, fertility, and pregnancy outcomes in these women.

Purpose of the Study:

• To evaluate sexual capacity, fertility, and pregnancy complications in women with a history of bladder exstrophy.
• To provide data for counseling and managing these patients.

Main Methods:

• Retrospective review of medical records for 40 women treated for bladder exstrophy.
• Survey of 12 women regarding sexual activity, function, and fertility.
• Analysis of pregnancy outcomes and complications.

Main Results:

• 11 of 40 women (25%) experienced 14 pregnancies with 9 successful deliveries.
• 8 of 12 surveyed women reported regular sexual activity; 6 reported orgasms.
• Pregnancy complications included uterine prolapse (7), pyelonephritis (1), and incontinence (1).

Conclusions:

• Women with bladder exstrophy can achieve sexual activity and pregnancy.
• Potential complications during pregnancy require careful monitoring and management.
• Further research is needed to fully understand long-term reproductive health.