PURPOSE: We evaluated @entity1 with classic @entity1494 and a history of urinary diversion for sexual function, social integration and paternity. MATERIALS AND METHODS: We reviewed the medical records of males older than 18  years with @entity7891 who had undergone urinary diversion at our department between 1969 and 2014. @entity1 were invited for structured followup examinations and were asked to complete questionnaires relating to sexual function, social integration and paternity. RESULTS: Of 79 eligible @entity1 39 (49%) with a mean followup of 23.8 years (range 2 to 45) were included in the study. Of the @entity1 41% had undergone primary urinary diversion and 59% had undergone secondary urinary diversion after failed reconstruction of the exstrophic bladder. Sexual function as measured by the International Index of Erectile Function was negatively affected in all domains, with mild to moderate dysfunction in 90% of @entity1 . Of the  @entity1 73% had a stable relationship and 32% were married. A high level of  education had been achieved by 77% of @entity1 . Sperm quality was poor (oligoasthenoteratozoospermia) in 71% of @entity1 . Among the @entity1 11 had fathered a total of 16 healthy @entity1 . CONCLUSIONS: Despite multiple reconstructive procedures of the genitourinary tract, including @entity1494 and subsequent urinary diversion, sexuality and paternity in this subset of @entity1 was comparable to reported series of @entity1 in whom the bladder had been preserved. Evaluation of sexual function and fertility should be part of long-term followup, and treatment should be offered if indicated. Currently staged concepts of @entity7891 repair should be applied to improve the cosmetic and functional outcomes of the genitourinary tract in @entity1 with @entity7891 .

Sexual Function, Social Integration and Paternity of Males with Classic XXXX following Urinary Diversion.

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'men'] @entity7891 :: ('MESH:D001746', 'Disease') :: ['exstrophy'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder exstrophy', 'removal of the exstrophic bladder']
@entity1494 :: (MESH:D001745,Disease) :: ['Bladder Exstrophy']
