title: [Reproductive health care for women with spina bifida].
abstract: OBJECTIVE
  Few studies have focused on reproductive health care for women with spina bifida. This subject is rarely discussed, whether in patient groups or in the medical community. However, these patients need advice and a care that is appropriate to their condition.
  
  
  METHODS
  In association with the spina bifida reference center of the University Hospital of Rennes, we have conducted a four-year retrospective, observational study. Its aim was to analyze the characteristics of the patients' gynecological care and to adapt our practice to their needs.
  
  
  RESULTS
  Forty-eight patients were included. We demonstrated an increased risk of precocious puberty, labia minora hypertrophy and genital prolapse.
  
  
  CONCLUSIONS
  Some specific characteristics of the reproductive health care of patients with spina bifida are interesting to know. A study on a larger series of patients is needed to further analyze the obstetric, gynecological and sexological issues of these women.
authors.affiliation: Service de gynécologie-obstétrique, hôpital sud, CHRU de Rennes, 16, boulevard de Bulgarie, 35200 Rennes, France. Electronic address: delphine.bechou@chu-rennes.fr.
authors.forename: D
authors.initials: D
authors.lastname: Body-Bechou
authors.affiliation: Service de gynécologie-obstétrique et centre de référence spina bifida, hôpital sud, CHRU de Rennes, 16, boulevard de Bulgarie, 35200 Rennes, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Cabaret-Dufour
authors.affiliation: Service de gastro-entérologie et centre de référence spina bifida, hôpital Pontchaillou, CHRU de rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: L
authors.initials: L
authors.lastname: Siproudhis
authors.affiliation: Service de gastro-entérologie et centre de référence spina bifida, hôpital Pontchaillou, CHRU de rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: I
authors.initials: I
authors.lastname: Berkelmans
authors.affiliation: Service d'urologie et centre de référence spina bifida, hôpital Pontchaillou, CHRU de rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Manunta
authors.affiliation: Service de génétique médicale et centre de référence spina bifida, hôpital sud, CHRU de Rennes, 16, boulevard de Bulgarie, 35200 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Odent
authors.affiliation: Centre de référence spina bifida, hôpital Pontchaillou, CHRU de rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: M
authors.initials: M
authors.lastname: Jezequel
authors.affiliation: Centre de référence spina bifida, hôpital Pontchaillou, CHRU de rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Prestel
authors.affiliation: Service de gynécologie-obstétrique et centre de référence spina bifida, hôpital sud, CHRU de Rennes, 16, boulevard de Bulgarie, 35200 Rennes, France.
authors.forename: P
authors.initials: P
authors.lastname: Poulain
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D005831:Genital Diseases, Female / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000453:epidemiology; D011247:Pregnancy; D011629:Puberty, Precocious / Q000453:epidemiology; D060728:Reproductive Health; D012189:Retrospective Studies; D012307:Risk Factors; D016135:Spinal Dysraphism / Q000150:complications* / Q000628:therapy*
keywords: Femme; Genital prolaps; Gynecologic issue; Hypertrophie des petites lèvres; Labia minora hypertrophy; Precocious puberty; Prolapsus pelvien; Puberté précoce; Spina bifida; Suivi gynécologique; Women