Evidence map›Paper›PMID 32067073›Full record

ReviewWorld journal of urology2021

Fertility and sexuality issues in congenital lifelong urology patients: male aspects.

Anne-Françoise Spinoit, Mieke Waterschoot, Céline Sinatti, Tariq Abbas, Nina Callens, Martine Cools, Rizwan Hamid, Moneer K Hanna, Pankaj Joshi, Rosalia Misseri and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Publication Bias in Randomized Controlled Trials of Hypospadias Surgical Repair: A Systematic Review.International journal of urology : official journal of the Japanese Urological Association · 2025
    Pooled it
  2. Pooled it
  3. Health-related quality of life experiences in children with bladder exstrophy-epispadias complex: a Swedish focus group study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  12. What has changed in pediatric neurosurgical care in spina bifida? A 30-year UAB/Children's of Alabama observational overview.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
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  18. Congenital lifelong urology.World journal of urology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 5 countries.

Anne-Françoise Spinoit *Department of Urology, Ghent University Hospital, Ghent, Belgium. afspinoit@hotmail.com.ORCID http://orcid.org/0000-0002-9045-9127
Mieke Waterschoot *Department of Urology, Ghent University Hospital, Ghent, Belgium.
Céline SinattiDepartment of Urology, Ghent University Hospital, Ghent, Belgium.
Tariq AbbasPediatric Urology, Sidra Hospital, Doha, Qatar.
Nina CallensCentre for Research on Culture and Gender, Department of Languages and Cultures, Ghent University, Ghent, Belgium.
Martine CoolsDepartment of Paediatric and Adolescent Endocrinology and Diabetology, Ghent University Hospital, Ghent, Belgium.
Rizwan HamidDepartment of Neuro-Urology, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
Moneer K HannaNew York Presbyterian/Weill Cornell Medical Center, New York, USA.
Pankaj JoshiKulkarni Reconstructive Urology Centre, Pune, India.
Rosalia MisseriPediatric Urology, Riley Hospital for Children at Indiana University Health, Indiana University School of Medicine, Indianapolis, IN, USA.
Joao Luiz Pippi SalleDivision of Urology, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar.
Joshua RothPaediatric Urology, Riley Hospital for Children, Indiana University Health, Indianapolis, IN, USA.
Lloyd J W TackDivision of Paediatric Endocrinology, Department of Internal Medicine and Paediatrics, Ghent University Hospital, Ghent, Belgium.
Gunter De WinFaculty of Medicine and Health Science, University of Antwerp, University Hospital Antwerp, Antwerp, Belgium.
Ghent University Hospital · BEIndiana University Health · USCornell University · USGhent University · BEKulkarni reconstructive Urology Center · INRoyal London Hospital · GBSidra Medical and Research Center · QAUniversity College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review existing literature about fertility and sexuality of boys born with complex congenital genitourinary anomalies.

methodsA Pubmed review was performed in December 2018 to identify the most relevant original manuscripts regarding male complex congenital conditions affecting the urogenital system in male patients including spina bifida (SB), bladder exstrophy-epispadias complex (BEEC) and hypospadias. A comprehensive review was drafted exploring sexual dysfunction from a medical, psychosexual, surgical and reproductive point of view during transition from childhood (or adolescence) to adulthood.

resultsAbout 75% of men with SB have erectile dysfunction (ED) (Gamé et al. in Urology 67(3):566-570, 2006; Diamond et al. in 58(4):434-435, 1986). Most SB patients have impaired sexual development mainly due to diminished self-esteem, dependence on caregivers and lack of privacy (Blum et al. in Pediatrics 88(2):280-285, 1991). Men with BEEC have fewer intimate relationships than women because of the greater difficulties with issues regarding their genitalia and sexual activities (Deans et al. in Am J Obstet Gynecol 206(6):496.e1-496.e6, 2012). However, a good quality of life is achievable with the effective use of coping strategies (Deng et al. in Transl Androl Urol 7:941, 2018; Rikken et al. in BMC Womens Health 18(1):163, 2018; Friedler et al. in Reprod Biomed Online 32(1):54-61, 2016). Chordee occurs in 25% of all hypospadias patients. More severe hypospadias is related to a greater risk for complications. The long-term sexual quality of life (QoL) in men who underwent hypospadias surgery is influenced by a lot of factors. Therefore, an interactive and dynamic biopsychosocial model of sexual QoL was proposed.

conclusionsThe care of patients with congenital urologic conditions becomes a challenge especially in the period of 'transition'. The goal of follow-up is a holistic management viewed from a medical, psychosexual, surgical end reproductive point. All patients should be asked for specific urinary, fecal or sexual concerns.

Indexed as

Bladder ExstrophyEpispadiasHumansHypospadiasInfertility, MaleMaleSexual Dysfunction, PhysiologicalSpinal DysraphismUrogenital AbnormalitiesBladder-exstrophy–epispadias complexFertilityHypospadiasSexualitySpina bifida

Identifiers

PMID32067073
OpenAlexW4234575885

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.