Impaired fertility and sexual function in patients with anorectal malformations
- Authors: Pimenova E.S.1, Korolev G.A.1, Romanova O.E.1
-
Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 11, No 1 (2021)
- Pages: 91-98
- Section: Reviews
- URL: https://journals.rcsi.science/2219-4061/article/view/123525
- DOI: https://doi.org/10.17816/psaic706
- ID: 123525
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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.
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##article.viewOnOriginalSite##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 119991Grigoriy 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 119991Olga 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 119991References
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