Skip to main content
SpringerLink
Log in

Aspekte der Sexualität bei Adoleszenten mit einer Spina bifida

Aspects of sexuality in adolescents with spinal bifida

  • Leitthema
  • Published:
Der Urologe Aims and scope Submit manuscript

Zusammenfassung

In den letzten Jahrzehnten ist es durch die Verbesserung der medizinischen Versorgung kontinuierlich zu einer Verlängerung der Lebenserwartung bei Patienten mit Spina bifida gekommen. Durch das Erreichen des Erwachsenenalters gewinnen nun auch Probleme wie Sexualität, Freundschaft, Kinderwunsch immer mehr an Bedeutung. Körperliche Behinderungen und Einschränkung der kognitiven Leistungsfähigkeit können die normale Entwicklung dieser Prozesse beeinträchtigen. Dennoch sind die Patienten aktuell gut informiert und zeigen ein großes Interesse, ihre Sexualität selbstbestimmt ausüben zu können.

Abstract

In the last few decades, the life expectancy of patients with meningomyelocele has increased through improved medical care. Problems associated with adulthood like sexuality, friendship, and fertility are now more important for these young persons. Physical and cognitive impairment can alter the complex process of sexual maturation, but nevertheless patients of today are well-informed and show a strong interest in sexual fulfillment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Barf HA, Post MW, Verhoef M et al (2003) Cognitive status of young adults with spina bifida. Dev Med Child Neurol 164:813–820

    Google Scholar 

  2. Betocchi C (2010) Patients and partner satisfication after AMS inflatable penile prostheses implant. J Sex Med 7:304–309

    Article  Google Scholar 

  3. Cass AS, Bloom BA, Luxenberg M (1986) Sexual function in adults with myelomenigocele. J Urol 136:425–426

    CAS  PubMed  Google Scholar 

  4. Decter RM, Furness PD 3rd, Nguyen TA et al (1997) Reproductive understanding, sexual functioning and testosterone levels in men with spina bifida. J Urol 157:1466–1468

    Article  CAS  PubMed  Google Scholar 

  5. Dimitrades F, Karakitsios K, Tsounapi P et al (2010) Erectile function and male reproduction in men with spinal cord injury: a review. Andrologia 42(3):139–165

    Article  Google Scholar 

  6. Gamé X, Moscovici J, Gamé L et al (2005) Evaluation of sexual function in young men with spina bifida myelomenigocele using the international index of erectile dysfunction. Urology 67:566–570

    Article  Google Scholar 

  7. Gatti C, Del Rossi C, Ferrari A et al (2009) Predictors of successful sexual partenering of adults with spina bifida. J Urol 182:1911–1916

    Article  PubMed  Google Scholar 

  8. Govier FE, Gibbons RP, Correa RJ et al (1988) Mechanical reliability, surgical complications, and patient and partner satisfication of the modern three piece inflatable penile prosthesis. Urology 158:282

    Google Scholar 

  9. Jackson AB, Mott PK (2007) Reproductive health care for women with spina bifida. Scientific World J 7:1875–1883

    Article  Google Scholar 

  10. Lassmann J, Garibay Gonzalez F, Melchionni JB et al (2007) Sexual function in adult patients with spina bifida and its impact on quality of life. J Urol 178:566–570

    Article  Google Scholar 

  11. Nikkilä A, Rydhström H, Källén B (2006) The incidence of spina bifida in Sweden1973–2003: the effect of prenatal screening. Eur J Public Health 16(6):660–662

    Article  PubMed  Google Scholar 

  12. Mandava SH, Serefoglu EC, Freier MT et al (2012) Infection retardant coated inflatable penile prostheses decrease the incidence of infection: a systemic review and meta-analysis. J Urol 188:1855–1860

    Article  PubMed  Google Scholar 

  13. Meijer SA, Sinnema G, Bijstra JO et al (2000) Social functioning in children with chronic illness: an update. J Child Psychol Psychiatry 41:309–317

    Article  CAS  PubMed  Google Scholar 

  14. Palmer JS, Kaplan WE, Firlit CF (2000) Erectile dysfunction in patients with spina bifida is a treatable condition. J Urol 164:958–961

    Article  CAS  PubMed  Google Scholar 

  15. Reilly JM, Oates RD (1992) Prelimary investigation of the potential fertility status of postpubertal males with myelodysplasia. J Urol A 147:75

    Google Scholar 

  16. Sawyer SM, Roberts KV (1999) Sexual and reproductive health in young people with spina bifida. Dev Med Child Neurol 38:823–829

    Google Scholar 

  17. Shiomi T, Hirayama A, Fujimoto K et al (2006) Sexuality and seeking medical help for erectile dysfunction young adults with spina bifida. Int J Urol 13:1323–1326

    Article  PubMed  Google Scholar 

  18. Steinberg L (2002) Adolescence, 6th edn. McGraw Hill, Boston

  19. Tuffrey C (2013) Adolescent with physical disablitiy: seeing the individual in context. Arch Dis Child 98:373–377

    Article  PubMed  Google Scholar 

  20. Venkatarama NK (2011) Spinal dyraphism. J Pediatr Neurosci 6(Suppl 1):31–40

    Article  Google Scholar 

  21. Verhoef M, Barf HA, Vroege JA et al (2005) Sex education, relationships and and sexuality in young adults with spina bifida. Arch Phys Med Rehabil 86:979–987

    Article  PubMed  Google Scholar 

  22. Visconti D, Noia G, Triarico S et al (2012) Sexuality, pre-conception counselling and urological management of pregnancy for young women with spina bifida. Eur J Obstet Gynecol Reprod Biol 163:129–133

    Article  PubMed  Google Scholar 

  23. Zermann DH, Kutzenberger J, Sauerwein D et al (2006) Penile prosthesic surgery in neurologically impaired patients: long-term follow-up. J Urol 175:1041–1044

    Article  PubMed  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. C. Rehme und I. Rübben geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigen oder des gesetzlich bestellten Betreuers vor.

Author information

Authors and Affiliations

  1. Klinik für Urologie, Sektion Kinderurologie und Neurourologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

    C. Rehme & I. Rübben

Authors
  1. C. Rehme
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. Rübben
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Rehme.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rehme, C., Rübben, I. Aspekte der Sexualität bei Adoleszenten mit einer Spina bifida. Urologe 53, 201–205 (2014). https://doi.org/10.1007/s00120-013-3383-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-013-3383-2

Schlüsselwörter

Keywords

Search

Navigation