title: The long-term outcome in men with exstrophy/epispadias: sexual function and social integration.
abstract: OBJECTIVE
  We evaluated the long-term outcome of social integration and sexual function in 29 men with bladder exstrophy and epispadias.
  
  
  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.
authors.affiliation: Division of Urology, Children's Hospital of Philadelphia, Pennsylvania, USA.
authors.forename: L
authors.initials: L
authors.lastname: Avolio
authors.forename: H P
authors.initials: HP
authors.lastname: Koo
authors.forename: A C
authors.initials: AC
authors.lastname: Bescript
authors.forename: H M
authors.initials: HM
authors.lastname: Snyder
authors.forename: D A
authors.initials: DA
authors.lastname: Canning
authors.forename: J W
authors.initials: JW
authors.lastname: Duckett
mesh_terms: D001746:Bladder Exstrophy / Q000523:psychology* / Q000601:surgery; D004842:Epispadias / Q000523:psychology* / Q000601:surgery; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012723:Sex; D012917:Social Adjustment; D013997:Time Factors; D016896:Treatment Outcome