THE LONG-TERM OUTCOME IN MEN WITH EXSTROPHY EPISPADIAS - SEXUAL FUNCTION AND SOCIAL INTEGRATION/

Purpose: We evaluated the long-term outcome of social integration and sexual function in 29 men with bladder exstrophy and epispadias. Mater ials and Methods: Four men with epispadias and 25 with bladder exstrop hy were available for long-term followup. Patients were interviewed by telephone regarding sexual history and social integration, Semen anal yses were obtained in 8 cases. Results: Patient assessment of genital appearance was good or fair in 71%. Potency was present in all patient s, and erections were straight in 66% and curved in 34% with no curvat ure so severe as to prevent sexual intercourse, Semen analysis showed a normal sperm count in 63% of the men and no azoospermia. Social inte gration was satisfactory: 100% of the men attended high school, 55% ha ve a college education and all who are not attending school have full- time jobs. Conclusions: Our long-term review demonstrates that despite what appears to be a significant sexual handicap, patients with exstr ophy/epispadias can have adequate sexual function and overall successf ul social integration.