title: [Male sexuality after external continent urinary diversion type Mitrofanoff].
abstract: OBJECTIVE
  To evaluate the influence of continent external urinary diversion type Mitrofanoff on male sexuality.
  
  
  METHODS
  Between 1992 and 2011, 140 patients underwent continent urinary diversion type Mitrofanoff at an academic hospital. Among 76 men, 46 were interviewed about their sexuality after this operation. This study was performed using a set of validated questionnaires (IIEF, DAN PSS and Urolife), grouped by the model of the CTMH. Patients were divided according to their marital status: group 1: patients married before surgery (15 cases), group 2: patients married after surgery (7 cases) and group 3: singles (24 cases).
  
  
  RESULTS
  In the first group, the functional dimension of sexuality was positive with an overall score of 81%, the sexual discomfort score was assessed at 26 % and the sexual satisfaction score was 77%. In the second group, sexual function was considered conserved in all cases with a satisfaction score estimated at 98%. These patients reported a feeling of well-being following the disappearance of urinary incontinence with integrity of their body images. In contrast, in the last group, relatively impaired sexual function was noted (65%) with a satisfaction score estimated at 59%. These disorders were multifactorial, mainly related to neurological causal pathology.
  
  
  CONCLUSIONS
  To our knowledge, this is the first study about male sexuality in patients with a continent urinary diversion type Mitrofanoff. Marital status has a major role in the sexuality of these patients. A prospective study with pre- and postoperative evaluation will better clarify the factors affecting sexuality in these patients.
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: mehdi.bouassida@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Bouassida
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: walidsmaoui@ymail.com.
authors.forename: W
authors.initials: W
authors.lastname: Smaoui
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: fouratimed2011@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Fourati
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: mseddi_amine@yahoo.fr.
authors.forename: M A
authors.initials: MA
authors.lastname: Mseddi
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: k.chabchoub@laposte.net.
authors.forename: K
authors.initials: K
authors.lastname: Chabchoub
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: chaabouni.ahmad@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Chaabouni
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: rekiksami@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Rekik
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: nourirebai@voila.fr.
authors.forename: N
authors.initials: N
authors.lastname: Rebai
authors.affiliation: Service de psychiatrie, CHU Hedi Chaker, avenue Majida Boulila, Sfax 3026, Tunisie.
authors.forename: J
authors.initials: J
authors.lastname: Masmoudi
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: mouradhs@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Hadjslimen
authors.affiliation: Service d'urologie, CHU Habib Bourguiba, avenue Majida Boulila, Sfax 3026, Tunisie. Electronic address: mohamed-nabil.mhiri@laposte.net.
authors.forename: M N
authors.initials: MN
authors.lastname: Mhiri
mesh_terms: D000328:Adult; D000368:Aged; D001828:Body Image; D006801:Humans; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D019529:Sexuality / Q000523:psychology; D011795:Surveys and Questionnaires; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent; D055815:Young Adult
keywords: Dérivation urinaire; Male sexuality; Mitrofanoff; Sexualité masculine; Urinary diversion