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The secondary aim was to highlight some predictive factors of infertility in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a descriptive, cross-sectional study of men diagnosed with classic presentations of bladder exstrophy or epispadias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>Patients were asked to complete 4 validated questionnaires: the International Index of Erectile Function (IIEF)-5, the Erection Hardness Score (EHS), the Self-Esteem and Relationship, and the International Consultation Incontinence modular Questionnaire-Short Form. Fertility potential was assessed with semen analysis and a non-validated questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>38 Patients 18\u201364 years old (M [mean]\u00a0= 32.2) completed the questionnaires. The average IIEF-5 score was 18.1\/25 (ranging from 3\u201325; SE\u00a0= 7.62), with results indicating that 55% of the sample had normal erectile function. Results also showed higher scores for patients with normal spermatozoa concentration (M\u00a0= 22.75, SE\u00a0= 1.89, P\u00a0= .08) than for those with oligospermia (M\u00a0= 17.30, SE\u00a0= 8.53, P\u00a0= .08). Results on the IIEF-5 also indicated higher scores for patients who conceived children without assisted reproductive technologies (ART) (M\u00a0= 22.83, SE\u00a0= 2.317, P\u00a0= .02) than for patients without children (M\u00a0= 15.76, SE\u00a0= 8.342, P\u00a0= .02). The average EHS was 3.43\/4 (ranging from 1\u20134, SE\u00a0= 0.9). EHS was higher for patients who had reconstruction than for patients who had cystectomy (M\u00a0= 3.88, SE\u00a0= 1.07 and 2.78, SE\u00a0= 1.09, P\u00a0= .02). The average total Self-Esteem and Relationship score was 67.04\/100 (ranging from 10.71\u201396.43, SE\u00a0= 22.11). The average total International Consultation Incontinence modular Questionnaire-Short Form score was 4.97\/21 (ranging from 0\u201318, SE\u00a0= 5.44), higher score indicating more urinary incontinence. Among the patients surveyed, 31.6% were parents at the time of study and 50% of them benefited from ART. With regards to the 14 semen analyses performed, only 7.1% produced normal results and 44.7% indicated that ejaculation was weak and dribbling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Translation<\/jats:title><jats:p>Erectile function appears to be decreased and psychological aspects of sexuality indicate low self-esteem about sexual relationship. Although ethical problems could not allow prospective spermograms, our cohort is large enough to provide significant data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early sperm storage for future ART, sexual medicine management, and complementary genital reconstruction in adulthood constitute potential treatment options for this population.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.01.004","type":"journal-article","created":{"date-parts":[[2018,3,5]],"date-time":"2018-03-05T12:15:08Z","timestamp":1520252108000},"page":"314-323","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Male Sexuality, Fertility, and Urinary Continence in Bladder Exstrophy-Epispadias Complex"],"prefix":"10.1093","volume":"15","author":[{"given":"Nelly","family":"Reynaud","sequence":"first","affiliation":[{"name":"Service d\u2019urologie"},{"name":"Centre Hospitalier Lyon Sud"},{"name":"Hospices 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