Impaired fertility and sexual function in patients with anorectal malformations

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Abstract

The review discusses sexual dysfunction and fertility problems in patients with anorectal malformations. Fertility problems in patients with rectal and pelvic abnormalities can develop against the background of concomitant genital malformations and after surgical interventions. Boys often have rectovesical or rectoteurethral (prostatic and bulbar) fistulas. In girls, anorectal malformations may be combined with vaginal atresia and uterine abnormalities leading to impossibility of pregnancy in the future. Psychological aspects have a large effect on sexual dysfunction. Poor results, such as fecal and urine incontinence, have direct influences on social adaptation. In assessing long-term results, multicenter studies have found that, at puberty, one-third of women and >10% of men had problems with their sexual function because of low self-esteem and impaired social adjustment. Anorectal malformations are not current problems in pediatric surgery. Patients need an interdisciplinary, personalized approach that includes timely diagnosis and surgical correction of defects, as well as detection and correction of disorders of anatomy of pelvic organs and internal and external genitalia.

About the authors

Evgeniya S. Pimenova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: evgeniyapimenova@list.ru
ORCID iD: 0000-0001-7206-5987
SPIN-code: 8694-6555

Cand. Sci. (Med.), associate professor

Russian Federation, 8-2 Trubetskaya st., Moscow 119991

Grigoriy A. Korolev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: korolevg.a@yandex.ru
ORCID iD: 0000-0001-5730-3684
SPIN-code: 4315-0941

resident

Russian Federation, 8-2 Trubetskaya st., Moscow 119991

Olga E. Romanova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: musa217058@yandex.ru
ORCID iD: 0000-0003-2898-1528
SPIN-code: 5963-7932

student

Russian Federation, 8-2 Trubetskaya st., Moscow 119991

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