Sexuality, Sex, Pregnancy, and Spina Bifida

  • Ann de Vylder


During the last 40 years, more and more myelo — menin gocele (MMC) patients have survived to adulthood, and since the 1980s there is growing interest in the sexual functioning of these patients. However, most of what is known about the impact of MMC on sexual functioning pertains to males. There are several reasons for this bias. First, much of the research in which the issues associated with sexuality of MMC patients have been examined consists of self-report questionnaire studies. Because males have protruding external genitalia and visible sexual responses, they are more likely to be aware of physical sexual responsiveness and thus can seemingly respond more accurately to questionnaires. Secondly, there appears to have been a societal bias that has limited research in females with MMC to studies that focus primarily on reproductive issues, thus more or less avoiding areas as sexual activity and its difficulties.


Sexual Activity Erectile Dysfunction Sexual Function Sexual Functioning Spina Bifida 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    de Vylder A, van Driel MF, Staal AL et al (2004) Myelomeningocele and female sexuality: An Issue? Eur Urol 46:421–427PubMedGoogle Scholar
  2. 2.
    Munarizz RM, Berman JR, Goldstein I (2000) Female sexual dysfunction: new frontiers in diagnosis and therapy. Cont Urol 6:55Google Scholar
  3. 3.
    Komisaruk BR, Whipple B (1995) The suppression of pain by genital stimulation in females. Annual Review of Sex Research 6:151Google Scholar
  4. 4.
    Dorner S (1977) Sexual interest and activity in adolescents with spina bifida. J Child Psychol Psychiatry 18:229PubMedCrossRefGoogle Scholar
  5. 5.
    Shurtleff DB, Hayden PW, Chapman WH et al (1975) Myelodysplasia. Problems of long-term survival and social function. West J Med 122:199PubMedGoogle Scholar
  6. 6.
    Wabrek AJ, Wabrek CJ, Burchell RC (1978) The human tragedy of spina bifida: spinal meningomyelocele. Sex Disabil 1:210CrossRefGoogle Scholar
  7. 7.
    Perez-Marrero R, Young M, Stitzel D (1984) A sexuality survey of young adults with spina bifida. J Urol 131:104AGoogle Scholar
  8. 8.
    Cass AS, Bloom BA, Luxenberg M (1986) Sexual function in adults with meningomyelocele. J Urol 136:425PubMedGoogle Scholar
  9. 9.
    Hirayama A, Yamada K, Tanka Y, Hirata N, Yamamoto Suemori T, Momose H, Shiomi T, Hirao Y (1995) Evaluation of sexual function in adults with meningomyelocele. Hinyokika Kiyo 41:985PubMedGoogle Scholar
  10. 10.
    Vroege JA, Zeijlemaker BY, Scheers MM (1998) Sexual functioning of adult patients born with meningomyelocele. Eur Urol 34:25PubMedCrossRefGoogle Scholar
  11. 11.
    Woodhouse CR (1994) The sexual and reproductive consequences of congenital genitourinary anomalies. J Urol 152:645PubMedGoogle Scholar
  12. 12.
    Diamond DA, Rickwood AM, Thomas DG (1986) Penile erections in myelomeningocele patients. Br J Urol 58:434–435PubMedCrossRefGoogle Scholar
  13. 13.
    Joyner BD, McLorie GA, Jhoury AE (1998) Sexuality and reproductive issues in children with meningomyelocele. Eur J Pediatr Surg 8:29PubMedGoogle Scholar
  14. 14.
    Novelly RA, Perona PJ, Ax AF (1973) Photoplethysmography: system calibration and light history effects. Psychophysiology 10:67PubMedCrossRefGoogle Scholar
  15. 15.
    Geer JH, Morokoff P, Greenwood P (1974) Sexual arousal in women: the development of a measurement device for vaginal blood volume. Arch Sex Behav 3:559PubMedCrossRefGoogle Scholar
  16. 16.
    Vardi Y, Gruenwald I, Sprecher E et al (2000) Normative values for female sensation. Urology 56:1035PubMedCrossRefGoogle Scholar
  17. 17.
    Palmer JS, Kaplan WE, Firlit CF (2000) Erectile dysfunction in patients with spina bifida is a treatable condition. J Urol 164(3 Pt 2):958–961PubMedCrossRefGoogle Scholar
  18. 18.
    Donatucci CF, Lue TF (1993) Pathophysiology of sexual dysfunction in males with physical disabilities. Clin Exp Hypertens 291–310Google Scholar
  19. 19.
    Lue TF, Zeineh SJ, Schmid RA, Tanagho EA (1984) Neuroanatomy of penile erection: its relevance to iatrogenic impotence. J Urol 131:273–280PubMedGoogle Scholar
  20. 20.
    Sandler AD, Worley G, Leroy EC et al (1996) Sexual function and erection capability among young men with spina bifida. Dev Med and Child Neur 38:823–829Google Scholar
  21. 21.
    Boemers TM, Van Gool JD, de Jong TP (1995) Tethered spinal cord: the effect of neurosurgery on the lower urinary tract and male sexual function. B J Urol 76:747–751Google Scholar
  22. 22.
    Lue TF, Broderick G (1998) Evaluation and non-surgical management of erectile dysfunction and priapism. In: PC Walsh, AB Retik, ED Vaughan jr et al (eds) Campbell’s urology, vol 2, 7th edn. WB Saunders Co, Philadelphia, pp 1181–1214Google Scholar
  23. 23.
    Jumper BM, McLorie GA, Churchill BM et al (1990) Effects of the artificial urinary sphincter on prostatic development and sexual function in pubertal boys with meningocele. J Urol 144:438–442PubMedGoogle Scholar
  24. 24.
    Overgoor ML, Kon M, Cohen-Kettenis PT et al (2006) Neurological bypass for sensory innervation of the penis in patients with spina bifida. J Urol 173(3):1086–1090CrossRefGoogle Scholar
  25. 25.
    Hayden RW, Davenport SLH, Campbell MM (1979) Adolescents with myelodysplasia: impact of physical disability on emotinal maturation. Ped 64:53Google Scholar
  26. 26.
    Blackburn M, Bax MCO, Strehlow CDS (1991) Sexuality and disability. Eur J Pediatr Surg 1(Suppl 1):37PubMedGoogle Scholar
  27. 27.
    Sawyer SM, Roberts KV (1999) Sexual and reproductive health in young people with spina bifida. Dev Med Child Neurol 41:671–675PubMedCrossRefGoogle Scholar
  28. 28.
    Cromer BA, Enrile B, McCoy K et al (1990) Knowledge, attitudes and behavior related to sexuality in adolescents with chronic disability. Dev Med Child Neurol 32:602PubMedGoogle Scholar
  29. 29.
    Blum RW, Resnick ME, Nelson R, St Germaine A (1991) Family and peer issues among adolescents with spina bifida and cerebral palsy. Ped 88:280Google Scholar
  30. 30.
    Laurence KM, Beresford A (1975) Continence, friends, marriage and children in 51 adults with spina bifida. Dev Med Child Neurol 17:123CrossRefGoogle Scholar
  31. 31.
    Kadir RA, Sabin C, Whitlow B et al (1999) Neural tube defects and periconceptional folic acid in England and Wales: retrospective study. B Med J 319:92Google Scholar
  32. 32.
    Loyd J (1992) Folic acid and the prevention of neural tube defects. Department of Health, LondonGoogle Scholar
  33. 33.
    Neuhouser ML, Beresford SA, Hickok DE et al (1998) Absorption of dietary and supplemental folate in women with prior pregnancies with neural tube defects and controls. J Am Coll Nutr 17:625PubMedGoogle Scholar
  34. 34.
    Chan A, Robertson EF, Haan EA et al (1993) Prevalence of neural tube defects in South Australia 1996— 91: effectiveness and impact of prenatal diagnosis. B Med J 307:703Google Scholar
  35. 35.
    Richmond D, Zahariefski I, Bond A (1993) Management of pregnancy in mothers with spina bifida. Eur J Obst Repro Biol 25:341CrossRefGoogle Scholar
  36. 36.
    Rietberg CC, Lindhout D (1993) Adult patients with spina bifida cystica: genetic counselling, pregnancy and delivery. Eur J Obstet Reprod Biol 52:63CrossRefGoogle Scholar
  37. 37.
    Hill DE, Kramer SA (1990) Management of pregnancy after augmentation cystoplasty. J Urol 144:457PubMedGoogle Scholar
  38. 38.
    Kennedy AW, Hensle TW (1993) Pregnancy after orthotopic continent urinary diversion. Surg Gynaecol Obstet 177:405Google Scholar
  39. 39.
    Quenneville V, Beurton D, Thomas L, Fontaine E (2003) Pregnancy and vaginal delivery after augmentation cystoplasty. B J Urol 91:893Google Scholar
  40. 40.
    Breeuwsma AJ, de Vylder AAM, van Driel MF et al (2004) Pregnancy and delivery after augmentation cystoplasty. Ned Tijdschr voor Obstetrie en Gynaecologie 117(10):292–293Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Ann de Vylder
    • 1
  1. 1.Department of UrologyJeroen Bosch Hospital’sHertogenboschThe Netherlands

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