| Female sexual function and pregnancy after genitourinary reconstruction. | |
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MedLine Citation:
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PMID: 19836802 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Medical ethicists consider the right to bear children one of the most basic of all human rights. As reconstructive surgeons we should recognize that virtually all of our younger patients will eventually desire to become sexually active and, in most cases, have children. We review that ability in female patients who underwent lower urinary tract and genital reconstruction. MATERIALS AND METHODS: We performed an extensive search and reviewed the medical literature regarding sexual function and pregnancy after genitourinary reconstruction. RESULTS: There are clear risks during pregnancy after genitourinary reconstruction. Although long-term followup with critical analysis is needed in this patient population, no surgical technique for lower urinary tract or genital reconstruction has been identified to date that negatively impacts intercourse or pregnancy to such a degree that it should not be considered at the initial surgery. CONCLUSIONS: Women who underwent lower urinary tract or genital reconstruction as a child often have complex issues. Once such patients express a desire to become pregnant, they can be encouraged to do so as long as they understand that there may be increased risks. Assessment of these risks must be done on an individual basis. |
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Authors:
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John C Thomas; Mark C Adams |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of urology Volume: 182 ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-12 Completed Date: 2009-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 2578-84 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Urology, Monroe Carell Jr. Vanderbilt Children's Hospital, Nashville, Tennessee 37232-9820, USA. john.thomas@vanderbilt.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bladder Exstrophy
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surgery Female Genitalia, Female / abnormalities, surgery* Humans Pregnancy Pregnancy Outcome* Risk Factors Sexuality / physiology* Spinal Dysraphism / complications Urinary Tract / abnormalities, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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