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09:36 - 09:39

S22-8

(PP)

SEXUAL FUNCTION IN YOUNG MEN WITH SPINA BIFIDA AND QUALITY OF LIFE

Yoonhye JI

1

, Sanghee SHIN

1

, Ju Hee CHON

2

, Ji Hye HWANG

2

, Eun Kyoung CHOI

3

, Yong Seung LEE

4

, Young Jae IM

4

and

Sang Won HAN

4

1) Yonsei University Health System, Bladder-Urethra Rehabilitation Clinic, Seoul, KOREA (REPUBLIC OF) - 2)

Department of Urology and Urological Science Institute, Yonsei University Colleage of Medicine, Seoul, KOREA

(REPUBLIC OF) - 3) Yonsei University, College of Nursing, Seoul, KOREA (REPUBLIC OF) - 4) Yonsei University College of

Medicine, Department of Urology, Urological Science Institute, Seoul, KOREA (REPUBLIC OF)

PURPOSE

We evaluated sexual function in young men with spina bifida and its impact on quality of life.

MATERIAL AND METHODS

We collected data from 36 young men with spina bifida between June 2013 and June 2014. We assessed their sexual

function and quality of life using a self-administered questionnaire (International Index of Erectile Function and SF-36).

RESULTS

Their mean age was 26.5 years and 27(75%) patients were born with lipomeningomyelocele. Of the 36 patients

23(63.8%) had experienced sexual intercourse at least once in the last 1 months. There was no difference regarding

age, voiding methods, ambulatory status and shunt status. In sexually active group had significantly better sexual

function including erectile function (p<.001), sexual intercourse satisfaction (p<.001), orgasmic function (p=.006), and

overall satisfaction (p=.011) than not sexually active group. However, there was no difference in sexual desire between

two groups. In erectile function, all not sexual active patients had mild to severe grade dysfunction, whereas in 65.2%

of sexually active patients had normal erectile function. When evaluating SF-36 for QoL, there was no difference in

physical and mental health subscores between the sexually active and not sexually active groups.

CONCLUSIONS

In 63.8% of young men with spina bifida were sexually active. Not sexually active patients had more sexual dysfunction

than sexually active patients. Sexual function seems not to affect health related quality of life in these patients.