Long-term psychosexual adjustment of adults born with classic bladder exstrophy

In literature studies exploring long-term psychosexual development and intimacy of adults living with the complex genitourinary conditions associated with classic bladder exstrophy (BE) are scarce, with small sample sizes and lacking in methodology. This study aims to examine areas of potential psyc...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pediatric urology 2024-08, Vol.20 (4), p.631-640
Main Authors: Paraboschi, Irene, Sampogna, Gianluca, Di Grazia, Massimo, Rigamonti, Waifro, Berrettini, Alfredo
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Bladder exstrophy
Bladder Exstrophy - psychology
Bladder Exstrophy - surgery
Female
Humans
Male
Middle Aged
Psychological well-being
Psychosexual adjustment
Psychosexual Development
Sexual Behavior - psychology
Surveys and Questionnaires
Time Factors
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In literature studies exploring long-term psychosexual development and intimacy of adults living with the complex genitourinary conditions associated with classic bladder exstrophy (BE) are scarce, with small sample sizes and lacking in methodology. This study aims to examine areas of potential psychosexual distress in adults born with classic BE to develop targeted clinical interventions. The validated Sexrelation Evaluation Schedule Assessment Monitoring (SESAMO) questionnaire was administered to all BE patients aged ≥18 years operated on in our tertiary referral center during infancy. Z-scores were calculated for each area of interest, considering i) gender (female vs male); ii) committed partnership status (singles vs couples); iii) the voiding technique adopted to empty the bladder. A total of 33 (F:M 12:21; singles: couples 11:22) adults with BE were enrolled in the study at a median age of 39 (32–47) years. Overall, BE adults performed the worst regarding psychosexual identity (z-score:-1.282), pleasure (z-score:-0.915) and desire (z-score:-0.583); singles regarding relational attitude (z-score:-1.751) and imaginative eroticism (z-score:-0.806); couples regarding extramarital sexuality (z-score:-1.175) and sexual communication (z-score:-0.255). When it came to gender, females significantly performed worse than males regarding psychosexual identity (−1.645 vs −1.282; p-value:
ISSN:1477-5131
1873-4898
1873-4898
DOI:10.1016/j.jpurol.2024.04.010