title: Long-term sexual health outcomes in men with classic bladder exstrophy.
abstract: To identify the long-term sexual health outcomes and relationships in men born with classic bladder exstrophy (CBE).
  
  
  
  A prospectively maintained institutional database comprising 1248 patients with exstrophy-epispadias was used. Men aged ≥18 years with CBE were included in the study. A 42-question survey was designed using a combination of demographic information and previously validated questionnaires.
  
  
  
  A total of 215 men met the inclusion criteria, of whom 113 (53%) completed the questionnaire. The mean age of the respondents was 32 years. Ninety-six (85%) of the respondents had been sexually active in their lifetime, and 66 of these (58%) were moderately to very satisfied with their sex life. The average Sexual Health Inventory for Men score was 19.8. All aspects of assessment using the Penile Perception Score questionnaire were on average between 'very dissatisfied' and 'satisfied'. Thirty-two respondents (28%) had attempted to conceive with their partner. Twenty-three (20%) were successful in conceiving, while 31 (27%) reported a confirmed fertility problem. A total of 31 respondents (27%) reported undergoing a semen analysis or post-ejaculatory urine analysis. Of these, only four respondents reported azoospermia.
  
  
  
  Patients with CBE have many of the same sexual and relationship successes and concerns as the general population. This is invaluable information to give to both the parents of boys with CBE, and to the boys themselves as they transition to adulthood.
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Timothy S
authors.initials: TS
authors.lastname: Baumgartner
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Kathy M
authors.initials: KM
authors.lastname: Lue
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Pokket
authors.initials: P
authors.lastname: Sirisreetreerux
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Sarita
authors.initials: S
authors.lastname: Metzger
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Ross G
authors.initials: RG
authors.lastname: Everett
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Sunil S
authors.initials: SS
authors.lastname: Reddy
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Ezekiel
authors.initials: E
authors.lastname: Young
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Uzoma A
authors.initials: UA
authors.lastname: Anele
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Cameron E
authors.initials: CE
authors.lastname: Alexander
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Nilay M
authors.initials: NM
authors.lastname: Gandhi
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Heather N
authors.initials: HN
authors.lastname: Di Carlo
authors.affiliation: Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: John P
authors.identifier: 0000-0003-0213-171X
authors.initials: JP
authors.lastname: Gearhart
mesh_terms: D000328:Adult; D001746:Bladder Exstrophy / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D004842:Epispadias / Q000453:epidemiology; D005298:Fertility / Q000502:physiology; D006801:Humans; D008297:Male; D011446:Prospective Studies; D060728:Reproductive Health / Q000706:statistics & numerical data*; D055101:Semen Analysis; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: bladder exstrophy; fertility; sexual health