Evidence map›Paper›PMID 32665213›Full record

ArticleThe journal of sexual medicine2020

"I Tell Them What I Can Feel and How Far My Legs Can Bend": Optimizing Sexual Satisfaction for Women With Spina Bifida.

Courtney S Streur, Christine L Schafer, Valerie P Garcia, Elisabeth H Quint, John S Wiener, David E Sandberg, Claire Z Kalpakjian, Daniela A Wittmann

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of sexual medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Courtney S StreurDepartment of Urology, University of Michigan, Ann Arbor, MI, USA. Electronic address: coshepar@med.umich.edu.
Christine L SchaferDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Valerie P GarciaDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Elisabeth H QuintDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
John S WienerDepartment of Surgery, Duke University, Durham, NC, USA.
David E SandbergDepartment of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Claire Z KalpakjianDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Daniela A WittmannDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USDuke University · US

Funding

University of Michigan UroEPI Career Development ProgramK12DK111011 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CLEMENS, J. QUENTIN, SARMA, ARUNA V · 2016 to 2025
$3.6M
NIDDK NIH HHS K12 DK111011
6 · The paper itself

Abstract

backgroundThere is a high reported rate of sexual dysfunction among women with spina bifida, but little is known about the etiology of this or how sexual satisfaction could be improved.

aimTo identify, through the words of women with spina bifida, perceived causes of diminished sexual satisfaction and recommendations to optimize partnered sexual encounters.

methodsIn this qualitative study, we conducted semi-structured individual interviews with 22 women with spina bifida (median age 26.5 years, range 16-52 years) who have had a romantic partner. Using Grounded Theory, interviews were independently coded by 3 reviewers. Disagreements were resolved by consensus. OUTCOMES: We identified overlapping themes of issues women experienced during sexual intimacy and strategies they learned to improve sexual encounters.

results7 salient themes emerged from the data: (i) fear of rejection with resulting difficulty setting boundaries and the risk of coercion; (ii) conflict between spontaneity and self-care in sexual encounters; (iii) worry about incontinence during sex; (iv) trial and error in learning optimal sexual positions; (v) decreased genital sensation; (vi) safety considerations; and (vii) sharing advice with other women with spina bifida. CLINICAL IMPLICATIONS: As sexual satisfaction is influenced by physical features as well as psychological, interpersonal, and sociocultural factors, optimizing sexual satisfaction of women with spina bifida is best managed with a holistic approach utilizing a biopsychosocial model. STRENGTHS & LIMITATIONS: The sample included women with a diverse range of functional impairments. Women were forthright with their comments and thematic saturation was reached. Recruitment was primarily from a single Midwestern institution, which may have limited sampled perspectives.

conclusionWhile women with spina bifida encounter challenges during sexual encounters, strategies focused on improving communication with partners and addressing specific physical considerations can potentially enhance their sexual experiences. Streur CS, Schafer CL, Garcia VP, et al. "I Tell Them What I Can Feel and How Far My Legs Can Bend": Optimizing Sexual Satisfaction for Women With Spina Bifida. J Sex Med 2020;17;1694-1704.

Indexed as

Sexual Dysfunction, PhysiologicalSpinal DysraphismAdolescentAdultFemaleHumansLegMiddle AgedOrgasmSexual BehaviorYoung AdultMyelomeningoceleOrgasmSexual HealthSpinal Dysraphism

Identifiers

PMID32665213
PMCPMC7493719
OpenAlexW3041367546

What OpenQuestion holds

Textmetadata
LicenceTDM
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.