Spina Bifida Healthcare Guidelines for Men's Health.
Until recently, spina bifida has been regarded a pediatric health issue, and adult consequences of the disorder have not been explored. The congenital neurologic and urologic anomalies, as well as sequelae of bladder management, can have a profound impact on adult male sexual function. Abnormalities in testicular descent, testicular development and function, fertility, penile sensation, erectile function, ejaculatory function, and orgasmic function are common in this population. These adults have substantial gaps in knowledge in normal sexual function and potential dysfunction as it relates to them specifically. Prostate cancer has been diagnosed in men with spina bifida, but little data is available to guide screening, diagnosis, and treatment efforts. With the support of the Spina Bifida Association, we have developed guidelines for health care providers to address male health issues in individuals with spina bifida throughout their life spectrum.
Wiener, JS, Frimberger, DC, and Wood, H. "Spina Bifida Healthcare Guidelines for Men's Health." Urology (March 12, 2018). (Review)