{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:16:08Z","timestamp":1785176168990,"version":"3.55.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100000190","name":"University of Alberta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000190","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006733","name":"Indiana University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006733","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007812","name":"University of Washington","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007812","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005247","name":"University of British Columbia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005247","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007926","name":"University of Oklahoma","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007926","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008102","name":"University of Cincinnati","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008582","name":"McGill University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008582","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006060","name":"Spina Bifida Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000871","name":"Mayo Clinic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpurol.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Urology"],"published-print":{"date-parts":[[2023,6]]},"DOI":"10.1016\/j.jpurol.2023.03.002","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T16:28:32Z","timestamp":1678120112000},"page":"308.e1-308.e9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sexual activity and function of adult men with spina bifida"],"prefix":"10.1016","volume":"19","author":[{"given":"Konrad M.","family":"Szymanski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2990-2978","authenticated-orcid":false,"given":"Joshua D.","family":"Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon J.","family":"Hensel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4764-8018","authenticated-orcid":false,"given":"John S.","family":"Wiener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Younsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raimund","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6881-5706","authenticated-orcid":false,"given":"Benjamin","family":"Whittam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4362-8116","authenticated-orcid":false,"given":"Martin","family":"Kaefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard C.","family":"Rink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Cain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6638-3858","authenticated-orcid":false,"given":"Rosalia","family":"Misseri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpurol.2023.03.002_bib1","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1002\/bdra.20468","article-title":"Trends in the postfortification prevalence of spina bifida and anencephaly in the United States","volume":"82","author":"Boulet","year":"2008","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib2","doi-asserted-by":"crossref","unstructured":"Bong GW, Rovner ES. Sexual health in adult men with spina bifida. Sci World J 2007;7:1466\u20131469. https:\/\/doi.org\/10.1100\/tsw.2007.191.","DOI":"10.1100\/tsw.2007.191"},{"key":"10.1016\/j.jpurol.2023.03.002_bib3","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1136\/bmj.318.7182.518","article-title":"ABC of sexual health: sexual problems of disabled patients","volume":"318","author":"Glass","year":"1999","journal-title":"BMJ"},{"key":"10.1016\/j.jpurol.2023.03.002_bib4","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jadohealth.2016.03.037","article-title":"Sexuality and relationships in young people with spina bifida and their partners","volume":"59","author":"Heller","year":"2016","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpurol.2023.03.002_bib5","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.apmr.2004.10.042","article-title":"Sex education, relationships, and sexuality in young adults with spina bifida","volume":"86","author":"Verhoef","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jpurol.2023.03.002_bib6","doi-asserted-by":"crossref","DOI":"10.1111\/j.1469-8749.1999.tb00521.x","article-title":"Sexual and reproductive health in young people with spina bifida","volume":"41","author":"Sawyer","year":"1999","journal-title":"Dev Med Child Neurol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib7","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1111\/cch.12282","article-title":"What young people with spina bifida want to know about sex and are not being told","volume":"41","author":"Akre","year":"2015","journal-title":"Child Care Health Dev"},{"key":"10.1016\/j.jpurol.2023.03.002_bib8","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1037\/hea0000050","article-title":"The influence of social adjustment on normative and risky health behaviors in emerging adults with spina bifida","volume":"33","author":"Murray","year":"2014","journal-title":"Health Psychol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib9","doi-asserted-by":"crossref","first-page":"891","DOI":"10.2340\/16501977-1863","article-title":"Spina bifida and sexuality","volume":"46","author":"Linstow","year":"2014","journal-title":"J Rehabil Med"},{"key":"10.1016\/j.jpurol.2023.03.002_bib10","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.apmr.2007.08.124","article-title":"Sexual functioning in adolescents and young adults with spina bifida","volume":"89","author":"Cardenas","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jpurol.2023.03.002_bib11","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1016\/j.juro.2007.03.162","article-title":"Sexual function in adult patients with spina bifida and its impact on quality of life","volume":"178","author":"Lassmann","year":"2007","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib12","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1080\/09638280500404362","article-title":"Satisfaction with sexual life among persons with traumatic spinal cord injury and meningomyelocele","volume":"28","author":"Valtonen","year":"2006","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.jpurol.2023.03.002_bib13","doi-asserted-by":"crossref","unstructured":"Gam\u00e9 X, Moscovici J, Gam\u00e9 L. Evaluation of sexual function in young men with spina bifida and myelomeningocele using the International Index of Erectile Function. Urology n.d.;67:566\u2013570.","DOI":"10.1016\/j.urology.2005.09.014"},{"key":"10.1016\/j.jpurol.2023.03.002_bib14","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1111\/j.1442-2042.2006.01559.x","article-title":"Sexuality and seeking medical help for erectile dysfunction in young adults with spina bifida","volume":"13","author":"Shiomi","year":"2006","journal-title":"Int J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib15","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1111\/j.1469-8749.1996.tb15117.x","article-title":"Sexual function and erection capability among young men with spina bifida","volume":"38","author":"Sandler","year":"2008","journal-title":"Dev Med Child Neurol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib16","first-page":"985","article-title":"Evaluation of sexual function in adults with myelomeningocele","volume":"41","author":"Hirayama","year":"1995","journal-title":"Hinyokika Kiyo"},{"key":"10.1016\/j.jpurol.2023.03.002_bib17","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/j.1464-410X.1986.tb09099.x","article-title":"Penile erections in myelomeningocele patients","volume":"58","author":"Diamond","year":"1986","journal-title":"Br J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib18","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0022-5347(17)44891-9","article-title":"Sexual function in adults with myelomeningocele","volume":"136","author":"Cass","year":"1986","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib19","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/S0022-5347(01)65025-0","article-title":"Reproductive understanding, sexual functioning and testosterone levels in men with spina bifida","volume":"157","author":"Decter","year":"1997","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib20","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/S0022-5347(05)67225-4","article-title":"Erectile dysfunction in patients with spina bifida is a treatable condition","author":"Palmer","year":"2000","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib21","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.urology.2016.11.052","article-title":"Sexual function and quality of life in young men with spina bifida: could it Be neglected aspects in clinical practice?","volume":"108","author":"Choi","year":"2017","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2023.03.002_bib22","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.sxmr.2020.09.001","article-title":"Sexual function of men and women with spina bifida: a scoping literature review","volume":"9","author":"Streur","year":"2021","journal-title":"Sex Med Rev"},{"key":"10.1016\/j.jpurol.2023.03.002_bib23","first-page":"313","article-title":"Sexual identity and orientation in adult men and women with spina bifida","volume":"10","author":"Szymanski","year":"2017","journal-title":"J Pediatr Rehabil Med"},{"key":"10.1016\/j.jpurol.2023.03.002_bib24","doi-asserted-by":"crossref","unstructured":"Kincaid JP,L Jr F, Rogers RL. Derivation of New readability formulas (automated readability Index, fog count and Flesch reading ease formula. For navy enlisted personnel n.d.;1975:1\u201348.","DOI":"10.21236\/ADA006655"},{"key":"10.1016\/j.jpurol.2023.03.002_bib25","doi-asserted-by":"crossref","first-page":"137","DOI":"10.2106\/00004623-197355010-00014","article-title":"Functional ambulation in patients with myelomeningocele","volume":"55","author":"Hoffer","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jpurol.2023.03.002_bib26","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.jpeds.2014.09.039","article-title":"The national spina bifida patient Registry: profile of a large cohort of participants from the first 10 clinics","volume":"166","author":"Sawin","year":"2015","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpurol.2023.03.002_bib27","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1111\/j.1743-6109.2007.00600.x","article-title":"Validation of the erection hardness score","volume":"4","author":"Mulhall","year":"2007","journal-title":"J Sex Med"},{"key":"10.1016\/j.jpurol.2023.03.002_bib28","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2023.03.002_bib29","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/S0090-4295(99)00099-0","article-title":"Diagnostic evaluation of the erectile function domain of the international index of erectile function","volume":"54","author":"Cappelleri","year":"1999","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2023.03.002_bib30","doi-asserted-by":"crossref","first-page":"142.e1","DOI":"10.1016\/j.jpurol.2015.02.010","article-title":"The effect of spinal cord level on sexual function in the spina bifida population","volume":"11","author":"Lee","year":"2015","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib31","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1055\/s-2008-1071115","article-title":"Sexuality and reproductive issues in children with myelomeningocele","volume":"8","author":"Joyner","year":"1998","journal-title":"Eur J Pediatr Surg"},{"key":"10.1016\/j.jpurol.2023.03.002_bib32","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.urology.2021.03.042","article-title":"Sexual function and dysfunction in individuals with spina bifida: a systematic review","volume":"156","author":"Hughes","year":"2021","journal-title":"Urology"},{"key":"10.1016\/j.jpurol.2023.03.002_bib33","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jpurol.2020.12.021","article-title":"Sexual function and dysfunction in men with spina bifida","volume":"17","author":"Roth","year":"2021","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib34","doi-asserted-by":"crossref","first-page":"264.e1","DOI":"10.1016\/j.jpurol.2016.12.004","article-title":"Mobility, hydrocephalus and quality of erections in men with spina bifida","volume":"13","author":"Roth","year":"2017","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib35","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1016\/j.juro.2009.02.065","article-title":"Predictors of successful sexual partnering of adults with spina bifida","volume":"182","author":"Gatti","year":"2009","journal-title":"J Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib36","first-page":"1","article-title":"Sexuality and reproductive health in adults with spinal cord injury: what you should know","year":"2011","journal-title":"Paralyzed Veterans of America"},{"key":"10.1016\/j.jpurol.2023.03.002_bib37","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.21037\/tau-19-829","article-title":"Male genital sensation after spinal cord injury: a review","volume":"9","author":"Zhang","year":"2020","journal-title":"Transl Androl Urol"},{"key":"10.1016\/j.jpurol.2023.03.002_bib38","doi-asserted-by":"crossref","unstructured":"Consortium for Spinal Cord Medicine: Sexuality and reproductive health in adults with spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med n.d.;33:281\u2013336.","DOI":"10.1080\/10790268.2010.11689709"}],"container-title":["Journal of Pediatric Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513123000773?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1477513123000773?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T13:54:37Z","timestamp":1761486877000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477513123000773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["S1477513123000773"],"URL":"https:\/\/doi.org\/10.1016\/j.jpurol.2023.03.002","relation":{},"ISSN":["1477-5131"],"issn-type":[{"value":"1477-5131","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sexual activity and function of adult men with spina bifida","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpurol.2023.03.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}