Impact of Spinal Defects on Urinary and Sexual Outcome in Adults With Anorectal Malformations—A Cross-sectional Study

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Impact of Spinal Defects on Urinary and Sexual Outcome in Adults With Anorectal Malformations—A Cross-sectional Study. / Bjørsum-Meyer, Thomas; Lund, Lars; Christensen, Peter; Jakobsen, Marianne Skytte; Asmussen, Jon; Qvist, Niels.

I: Urology, Bind 139, 2020, s. 207-213.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Bjørsum-Meyer, Thomas ; Lund, Lars ; Christensen, Peter ; Jakobsen, Marianne Skytte ; Asmussen, Jon ; Qvist, Niels. / Impact of Spinal Defects on Urinary and Sexual Outcome in Adults With Anorectal Malformations—A Cross-sectional Study. I: Urology. 2020 ; Bind 139. s. 207-213.

Bibtex

@article{b264b1b65e824fda8a97987d54d95a15,
title = "Impact of Spinal Defects on Urinary and Sexual Outcome in Adults With Anorectal Malformations—A Cross-sectional Study",
abstract = "Objective: To examine the impact of spinal defects on urinary function, sexual outcome and quality of life in adult patients born with anorectal malformations. Materials and Methods: A prospective cohort study at Odense University Hospital in Denmark was conducted. From 1985 to 2000, 93 patients were found eligible for participation. Twenty-seven (29%) consented to participate. One patient refrained from clinical examinations. Patients were examined with magnetic resonance imaging, uroflowmetry, and validated questionnaires on urinary function, sexual function, and quality of life. Results: There were 14 were females and 13 were males, median age of 25 (range 19-31) years and 23 (18-32) years, respectively. The type of anorectal malformations in females were vestibular fistula (n = 6), anocutaneous fistula (n = 4), anal stenosis (n = 3), and cloaca (n = 1). In males the type of malformations were anocutaneous fistula (n = 4), bulbar fistula (n = 4), rectovesical fistula (n = 2), anal stenosis (n = 1), rectal atresia (n = 1), and anal atresia with no fistula (n = 1). Patients with spinal defects had a lower average voiding rate compared to patients with normal spinal anatomy (P.03), a lower voiding-related quality of life (P.02), and a tendency was observed toward a worse total urinary incontinence-related quality of life score (P.06). Moreover in patients with spinal defect a tendency was seen toward a worse general quality of life (P.09). Conclusion: Spinal defects detected by magnetic resonance imaging in adults with anorectal malformations were found to be associated with urinary voiding function.",
author = "Thomas Bj{\o}rsum-Meyer and Lars Lund and Peter Christensen and Jakobsen, {Marianne Skytte} and Jon Asmussen and Niels Qvist",
year = "2020",
doi = "10.1016/j.urology.2020.01.026",
language = "English",
volume = "139",
pages = "207--213",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Impact of Spinal Defects on Urinary and Sexual Outcome in Adults With Anorectal Malformations—A Cross-sectional Study

AU - Bjørsum-Meyer, Thomas

AU - Lund, Lars

AU - Christensen, Peter

AU - Jakobsen, Marianne Skytte

AU - Asmussen, Jon

AU - Qvist, Niels

PY - 2020

Y1 - 2020

N2 - Objective: To examine the impact of spinal defects on urinary function, sexual outcome and quality of life in adult patients born with anorectal malformations. Materials and Methods: A prospective cohort study at Odense University Hospital in Denmark was conducted. From 1985 to 2000, 93 patients were found eligible for participation. Twenty-seven (29%) consented to participate. One patient refrained from clinical examinations. Patients were examined with magnetic resonance imaging, uroflowmetry, and validated questionnaires on urinary function, sexual function, and quality of life. Results: There were 14 were females and 13 were males, median age of 25 (range 19-31) years and 23 (18-32) years, respectively. The type of anorectal malformations in females were vestibular fistula (n = 6), anocutaneous fistula (n = 4), anal stenosis (n = 3), and cloaca (n = 1). In males the type of malformations were anocutaneous fistula (n = 4), bulbar fistula (n = 4), rectovesical fistula (n = 2), anal stenosis (n = 1), rectal atresia (n = 1), and anal atresia with no fistula (n = 1). Patients with spinal defects had a lower average voiding rate compared to patients with normal spinal anatomy (P.03), a lower voiding-related quality of life (P.02), and a tendency was observed toward a worse total urinary incontinence-related quality of life score (P.06). Moreover in patients with spinal defect a tendency was seen toward a worse general quality of life (P.09). Conclusion: Spinal defects detected by magnetic resonance imaging in adults with anorectal malformations were found to be associated with urinary voiding function.

AB - Objective: To examine the impact of spinal defects on urinary function, sexual outcome and quality of life in adult patients born with anorectal malformations. Materials and Methods: A prospective cohort study at Odense University Hospital in Denmark was conducted. From 1985 to 2000, 93 patients were found eligible for participation. Twenty-seven (29%) consented to participate. One patient refrained from clinical examinations. Patients were examined with magnetic resonance imaging, uroflowmetry, and validated questionnaires on urinary function, sexual function, and quality of life. Results: There were 14 were females and 13 were males, median age of 25 (range 19-31) years and 23 (18-32) years, respectively. The type of anorectal malformations in females were vestibular fistula (n = 6), anocutaneous fistula (n = 4), anal stenosis (n = 3), and cloaca (n = 1). In males the type of malformations were anocutaneous fistula (n = 4), bulbar fistula (n = 4), rectovesical fistula (n = 2), anal stenosis (n = 1), rectal atresia (n = 1), and anal atresia with no fistula (n = 1). Patients with spinal defects had a lower average voiding rate compared to patients with normal spinal anatomy (P.03), a lower voiding-related quality of life (P.02), and a tendency was observed toward a worse total urinary incontinence-related quality of life score (P.06). Moreover in patients with spinal defect a tendency was seen toward a worse general quality of life (P.09). Conclusion: Spinal defects detected by magnetic resonance imaging in adults with anorectal malformations were found to be associated with urinary voiding function.

UR - http://www.scopus.com/inward/record.url?scp=85081210432&partnerID=8YFLogxK

U2 - 10.1016/j.urology.2020.01.026

DO - 10.1016/j.urology.2020.01.026

M3 - Journal article

C2 - 32032684

AN - SCOPUS:85081210432

VL - 139

SP - 207

EP - 213

JO - Urology

JF - Urology

SN - 0090-4295

ER -