[Reproductive health care for women with spina bifida]

Abstract

Objectives: Few studies have focused on reproductive health care for women with spina bifida. This subject is rarely discussed, whether in patient groups or in the medical community. However, these patients need advice and a care that is appropriate to their condition.

Methods: In association with the spina bifida reference center of the University Hospital of Rennes, we have conducted a four-year retrospective, observational study. Its aim was to analyze the characteristics of the patients' gynecological care and to adapt our practice to their needs.

Results: Forty-eight patients were included. We demonstrated an increased risk of precocious puberty, labia minora hypertrophy and genital prolapse.

Conclusion: Some specific characteristics of the reproductive health care of patients with spina bifida are interesting to know. A study on a larger series of patients is needed to further analyze the obstetric, gynecological and sexological issues of these women.

Keywords: Femme; Genital prolaps; Gynecologic issue; Hypertrophie des petites lèvres; Labia minora hypertrophy; Precocious puberty; Prolapsus pelvien; Puberté précoce; Spina bifida; Suivi gynécologique; Women.