title: Sexuality and reproductive issues.
abstract: Managing issues of incontinence inevitably raises issues of sexuality.  The complications of spina bifida that affect urinary and bowel function also affect sexual functioning.  Routine review requires regular assessment of sexual issues while taking into account any special needs.  This chapter highlights some of the common issues general practitioners need to know when treating people with spina bifida.
mesh_terms: D005260:Female; D005298:Fertility; D006801:Humans; D008297:Male; D011247:Pregnancy; D012657:Self-Help Groups; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D019529:Sexuality / Q000502:physiology / Q000523:psychology; D016135:Spinal Dysraphism / Q000150:complications* / Q000523:psychology