Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease

M.J. Witvliet, S. Van Gasteren, D. Van Den Hondel, E.E. Hartman, L.W.E. Van Heurn, A.F.W. Van Der Steeg

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Aim:
The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease.
Material and methods:
In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used.Results:In total 74 patients returned the questionnaires (26.2%). 36.8% of women reported sexual dysfunction and 45% experienced sexual distress. In our male sample 8.8% reported mild to moderate erectile dysfunction. In females perceived self-competence in adolescence was associated with sexual distress (p<.01). In male adolescents associations were found between perceived self-competence in romantic relations (p<.01) and in close friendships (p<.05) and sexual desire in adulthood.
Conclusion:
Pediatric surgeons should be more aware of sexual problems patients may face at older age as a result of their congenital disease and treatment. More standardized care and follow-up are needed. Prognosis study-Level II
Original languageEnglish
Pages (from-to)1555-1559
JournalJournal of Pediatric Surgery
Volume53
Issue number8
DOIs
Publication statusPublished - 2018

Fingerprint

Hirschsprung Disease
Young Adult
Mental Competency
Pediatrics
Surveys and Questionnaires

Keywords

  • ADOLESCENTS
  • Anorectal malformation
  • CHILDREN
  • EXPLAINING CHANGE
  • FUNCTION INDEX FSFI
  • Hirschsprung disease
  • IMPERFORATE ANUS
  • LONG-TERM OUTCOMES
  • POPULATION
  • PREVALENCE
  • Psychosocial problems
  • QUALITY-OF-LIFE
  • Sexual functioning
  • URINARY-TRACT SYMPTOMS

Cite this

Witvliet, M. J., Van Gasteren, S., Van Den Hondel, D., Hartman, E. E., Van Heurn, L. W. E., & Van Der Steeg, A. F. W. (2018). Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease. Journal of Pediatric Surgery, 53(8), 1555-1559. https://doi.org/10.1016/j.jpedsurg.2018.01.010
Witvliet, M.J. ; Van Gasteren, S. ; Van Den Hondel, D. ; Hartman, E.E. ; Van Heurn, L.W.E. ; Van Der Steeg, A.F.W. / Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease. In: Journal of Pediatric Surgery. 2018 ; Vol. 53, No. 8. pp. 1555-1559.
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abstract = "Aim:The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease.Material and methods:In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used.Results:In total 74 patients returned the questionnaires (26.2{\%}). 36.8{\%} of women reported sexual dysfunction and 45{\%} experienced sexual distress. In our male sample 8.8{\%} reported mild to moderate erectile dysfunction. In females perceived self-competence in adolescence was associated with sexual distress (p<.01). In male adolescents associations were found between perceived self-competence in romantic relations (p<.01) and in close friendships (p<.05) and sexual desire in adulthood.Conclusion:Pediatric surgeons should be more aware of sexual problems patients may face at older age as a result of their congenital disease and treatment. More standardized care and follow-up are needed. Prognosis study-Level II",
keywords = "ADOLESCENTS, Anorectal malformation, CHILDREN, EXPLAINING CHANGE, FUNCTION INDEX FSFI, Hirschsprung disease, IMPERFORATE ANUS, LONG-TERM OUTCOMES, POPULATION, PREVALENCE, Psychosocial problems, QUALITY-OF-LIFE, Sexual functioning, URINARY-TRACT SYMPTOMS",
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Witvliet, MJ, Van Gasteren, S, Van Den Hondel, D, Hartman, EE, Van Heurn, LWE & Van Der Steeg, AFW 2018, 'Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease', Journal of Pediatric Surgery, vol. 53, no. 8, pp. 1555-1559. https://doi.org/10.1016/j.jpedsurg.2018.01.010

Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease. / Witvliet, M.J.; Van Gasteren, S.; Van Den Hondel, D.; Hartman, E.E.; Van Heurn, L.W.E.; Van Der Steeg, A.F.W.

In: Journal of Pediatric Surgery, Vol. 53, No. 8, 2018, p. 1555-1559.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Predicting sexual problems in young adults with an anorectal malformation or Hirschsprung disease

AU - Witvliet, M.J.

AU - Van Gasteren, S.

AU - Van Den Hondel, D.

AU - Hartman, E.E.

AU - Van Heurn, L.W.E.

AU - Van Der Steeg, A.F.W.

PY - 2018

Y1 - 2018

N2 - Aim:The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease.Material and methods:In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used.Results:In total 74 patients returned the questionnaires (26.2%). 36.8% of women reported sexual dysfunction and 45% experienced sexual distress. In our male sample 8.8% reported mild to moderate erectile dysfunction. In females perceived self-competence in adolescence was associated with sexual distress (p<.01). In male adolescents associations were found between perceived self-competence in romantic relations (p<.01) and in close friendships (p<.05) and sexual desire in adulthood.Conclusion:Pediatric surgeons should be more aware of sexual problems patients may face at older age as a result of their congenital disease and treatment. More standardized care and follow-up are needed. Prognosis study-Level II

AB - Aim:The aim of this study was to examine the prevalence of sexual dysfunction and distress and to assess whether sexual functioning could be predicted by psychosocial factors in childhood and adolescence in patients with an anorectal malformation or Hirschsprung disease.Material and methods:In 1998 patients completed a psychosocial questionnaire: The Self-Perception profile. To assess the prevalence of sexual distress and sexual functioning in adulthood (2015) the Female Sexual Function Index (FSFI), The Female Sexual Distress Scale (FSDS) and the International Index of Erectile Functioning (IIEF) were used.Results:In total 74 patients returned the questionnaires (26.2%). 36.8% of women reported sexual dysfunction and 45% experienced sexual distress. In our male sample 8.8% reported mild to moderate erectile dysfunction. In females perceived self-competence in adolescence was associated with sexual distress (p<.01). In male adolescents associations were found between perceived self-competence in romantic relations (p<.01) and in close friendships (p<.05) and sexual desire in adulthood.Conclusion:Pediatric surgeons should be more aware of sexual problems patients may face at older age as a result of their congenital disease and treatment. More standardized care and follow-up are needed. Prognosis study-Level II

KW - ADOLESCENTS

KW - Anorectal malformation

KW - CHILDREN

KW - EXPLAINING CHANGE

KW - FUNCTION INDEX FSFI

KW - Hirschsprung disease

KW - IMPERFORATE ANUS

KW - LONG-TERM OUTCOMES

KW - POPULATION

KW - PREVALENCE

KW - Psychosocial problems

KW - QUALITY-OF-LIFE

KW - Sexual functioning

KW - URINARY-TRACT SYMPTOMS

U2 - 10.1016/j.jpedsurg.2018.01.010

DO - 10.1016/j.jpedsurg.2018.01.010

M3 - Article

VL - 53

SP - 1555

EP - 1559

JO - The Journal of Pediatric Surgery

JF - The Journal of Pediatric Surgery

SN - 0022-3468

IS - 8

ER -