Sexual function after treatment for XXXX during childhood.

@entity1 @entity44 @entity250
BACKGROUND: @entity1 treated for @entity44 ( @entity44 ) may suffer from @entity250 later in life because of the extended pelvic surgery performed, however, structured evaluations have not been performed yet. METHODS: The Female Sexual Function Index (FSFI), the International Index of Erectile Function (IIEF) and the Body Image Questionnaire (BIQ) were sent to @entity1 (>= 18years) treated for @entity44 in the Dutch pediatric surgical centers after 1970. RESULTS: Forty-five of 76 @entity1 returned the questionnaires; 28 @entity1 (median age 27.3years, range 18.3-41.0) and seven @entity1 (median age 22.0years, range 19.1-36.5) were eligible for analysis. The FSFI and IIEF results were compared to healthy controls. Female @entity1 scored significantly lower on the desire (p=0.014), arousal (p=0.013) and lubrication domain (p=0.019). FSFI total-scores of female @entity1 were significantly lower compared to controls [median 30.5 (IQR 28.6-31.4) vs. median 32.4 (IQR 30.6-33.45) p <=0.001] but were above the threshold value for @entity250 . Males reported normal erectile function and penetration ability with normal ejaculation. Females had significant lower BIQ results compared to males; BIQ-cosmesis scores were moderately correlated to the FSFI-desire score (r=-0.37, p=0.028). CONCLUSION: @entity44 resection in @entity1 may result in diminished sexual function at adult age with worse self-perceived body image. The possibility of sexual complaints should be integrated in the surveillance strategies for these @entity1 .
