25 Chapter 6 Sexuality and relationships Few studies have addressed the impact of IC on sexuality and body image. Sexuality and body image are topics that start to be important during puberty, and the possibility that catheterisation may impact further on the development of relationships and sexuality should be considered in adolescents and/or young adults. There is a higher incidence of sexual dysfunction and infertility in patients with spinal dysraphism. These patients usually have a normal desire. However, sexual arousal, orgasmic function, and overall satisfaction depend on a variety of factors. This can be a confusing and difficult time for adolescents with these conditions, and they may need intervention by a relevant healthcare professional to discuss and explain the effects on the individual young adult/adolescent 6 Some hospitals have developed brochures about sexuality (see example Appendix L). Including this subject in the Individual Transition Plan (ITP) becomes a regular item for discussion. … Recommendation LE GR As part of patient assessment, discuss sexuality and intimacy, and the impact that CISC/CIC has, if necessary refer to a psychologist or sex therapist if available 4 C
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