{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:10:47Z","timestamp":1789452647216,"version":"build-2803163510"},"reference-count":29,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":56,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To assess the sexual function of women with spina bifida (SB), and to verify the factors that influence their sexual function.<\/jats:p><jats:p>\n          Methods\u2003A cross-sectional study in which a validated female-specific questionnaire was applied to 140 SB female patients from four different cities (Porto Alegre, Brazil; and Barcelona, Madrid, and M\u00e1laga, Spain) between 2019 and 2020. The questionnaires collected data on the clinical characteristics of SB, and female sexual function was assessed using the 6-item version of the Female Sexual Function Index (FSFI-6) validated to Portuguese and Spanish.<\/jats:p><jats:p>\n          Results\u2003Half of the patients had had sexual activity at least once in the life, but most (57.1%) did not use any contraception method. Sexual dysfunction was present in most (84.3%) patients, and all sexual function domains were impaired compared those of non-neurogenic women. The presence of urinary and fecal incontinence significantly affected the quality of their sexual activity based on the FSFI-6.<\/jats:p><jats:p>\n          Conclusion\u2003The specific clinical aspects of the SB patients, such as urinary and fecal incontinence, should be properly addressed by their doctors, since they are associated with reduced sexual activity and lower FSFI-6 scores in the overall or specific domains. There is also a need to improve gynecological care among sexually-active SB patients, since most do not use any contraceptive methods and are at risk of inadvertent pregnancy.<\/jats:p>","DOI":"10.1055\/s-0041-1732464","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:30:57Z","timestamp":1627432257000},"page":"467-473","source":"Crossref","is-referenced-by-count":7,"title":["Sexuality of Female Spina Bifida Patients: Predictors of a Satisfactory Sexual Function"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7330-859X","authenticated-orcid":false,"given":"Guilherme Lang","family":"Motta","sequence":"additional","affiliation":[{"name":"Surgery Department, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, RS, Brazil"},{"name":"Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-9329","authenticated-orcid":false,"given":"Anna","family":"Bujons","sequence":"additional","affiliation":[{"name":"Pediatric Urology Department, Fundaci\u00f3 Puigvert, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-3756","authenticated-orcid":false,"given":"Yesica","family":"Quir\u00f3z","sequence":"additional","affiliation":[{"name":"Pediatric Urology Department, Fundaci\u00f3 Puigvert, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9528-0305","authenticated-orcid":false,"given":"Erika","family":"Llorens","sequence":"additional","affiliation":[{"name":"Pediatric Urology Department, Fundaci\u00f3 Puigvert, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0508-7251","authenticated-orcid":false,"given":"Maira","family":"Zancan","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil"},{"name":"Gynecology and Obstetrics Department, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-448X","authenticated-orcid":false,"given":"Tiago Elias","family":"Rosito","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Health Sciences: Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, RS, Brazil"},{"name":"Urology Department, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, RS, 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