PD11-11 PSYCHOLOGICAL AND SEXUOLOGICAL ASPECTS IN YOUNG ADULTS WITH EXSTROPHY-EPISPADIAS COMPLEX: SIMILARITIES AND DIFFERENCES BETWEEN MALE AND FEMALE

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You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion II1 Apr 2015PD11-11 PSYCHOLOGICAL AND SEXUOLOGICAL ASPECTS IN YOUNG ADULTS WITH EXSTROPHY-EPISPADIAS COMPLEX: SIMILARITIES AND DIFFERENCES BETWEEN MALE AND FEMALE Massimo Di Grazia, Sandra Pellizzoni, Michele Rizzo, Paolo Umari, Giovanni Chiriacò, Carlo Trombetta, and Waifro Rigamonti Massimo Di GraziaMassimo Di Grazia More articles by this author , Sandra PellizzoniSandra Pellizzoni More articles by this author , Michele RizzoMichele Rizzo More articles by this author , Paolo UmariPaolo Umari More articles by this author , Giovanni ChiriacòGiovanni Chiriacò More articles by this author , Carlo TrombettaCarlo Trombetta More articles by this author , and Waifro RigamontiWaifro Rigamonti More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1100AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The exstrophy-epispadias complex (EEC) is a rare congenital malformation of the genitourinary system, abdominal wall muscles, and pelvic structures. The psychological and sexuological aspects of patients with EEC are extremely complex and still not well known. Male and female undergo complex surgery and psychological treatments with the goal of achieving urinary continence, a satisfactory cosmetic result, awareness and acceptance of their condition and a high quality of life. In the past, thanks to the better results achieved by surgery on women, this condition was thought to be more disabling in men; in particular for what concerns the psychological and sexuological health. Knowledge of the psychological and sexuological states in people with EEC is the key to improve the support given to the health of this patients. The aim of the study is to analyze the psychological and sexuological states of the young male and women with EEC pointing out the similarities and differences that are present between male and female. METHODS We analyzed a cohort of 40 Italian patients with EEC (20 Male and 20 Female) aged 18-51. All of them have achieved good results from the surgery, especially for what concern urinary continence, bowel continence and genital reconstruction. The SESAMO (Sexrelation Evaluation Schedule Assessment Monitoring) was used to evaluate the specific psychological and sexuological assessment of the examined cohort of patients. SESAMO is a questionnaire validated for the Italian population. Statistical Package for Social Science SPSS was used to analyzed the data collected. RESULTS The data obtained by SESAMO shows that despite what was thought in the past, both men and women suffers aversive emotional states and live in a condition of psychological and sexuological discomfort in a similar way. CONCLUSIONS In the past it was believed that females with EEC had less psychological and sexuological impact than males. Our data shows that, as occurs for the male, women experience aversive emotional states and live in a condition of psychological and sexuological discomfort. This states seriously compromise the quality of life of female patients, therefore, we believe that the treatment of this disease in woman should include a significant psychological support. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e255 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Massimo Di Grazia More articles by this author Sandra Pellizzoni More articles by this author Michele Rizzo More articles by this author Paolo Umari More articles by this author Giovanni Chiriacò More articles by this author Carlo Trombetta More articles by this author Waifro Rigamonti More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...