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Psychosoziale Faktoren wie Scham, mangelnde Aufkl\u00e4rung und fehlende sexualmedizinische Beratung versch\u00e4rfen funktionelle Probleme und beeintr\u00e4chtigen Lebensqualit\u00e4t und Selbstwertgef\u00fchl relevant. Fr\u00fchzeitige, individuelle Beratung und strukturierte Transition sind entscheidend, um Erwartungen realistisch zu gestalten und reproduktive Perspektiven aufzuzeigen. Interdisziplin\u00e4re Versorgungsteams sind essenziell, um eine patientenzentrierte Betreuung sicherzustellen und Sexualit\u00e4t sowie Fertilit\u00e4t als integrale Behandlungsziele zu verankern.<\/jats:p>","DOI":"10.1055\/a-2864-6346","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T22:46:02Z","timestamp":1779489962000},"page":"373-379","source":"Crossref","is-referenced-by-count":0,"title":["Sexualit\u00e4t und Fertilit\u00e4t bei urogenitalen Fehlbildungen: Versorgung, Erwartungen und Realit\u00e4t"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7763-0471","authenticated-orcid":false,"given":"Marios","family":"Marcou","sequence":"first","affiliation":[{"name":"Barmherzige Br\u00fcder Klinik St. Hedwig Regensburg, Germany","place":["Regensburg"],"department":["Klinik f\u00fcr Kinderurologie"]},{"name":"University of Regensburg, Germany","place":["Regensburg"],"department":["Lehrstuhl f\u00fcr 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