Doctor insights on:
Are Men With Spina Bifida Less Fertile
I am a 31 year old man with spina bifida & I find the when I go to the restroom in the morning very little urine comes out of me. Is that normal?
Spinal Slowdown: This is not unusual in this type of condition since the nerves that control the bladder could be affected. In such a situation the ability to relax the bladder neck muscle effectively in coordination with the contraction of the bladder wall muscle to begin urination may be impaired. As a result the sensation to void could be affected as well as the ability to empty the bladder completely. ...Read moreSee 1 more doctor answer
Sexual performance,: yes, but a penile length of less than 2nd %ile for age would prompt a search for other causes. The higher the level of Spina Bifida, the greater the chance of erectile dysfunction & infertility. See: www.ncbi.nlm.nih.gov/m/pubmed/17767363/. Discuss treatment options with your urologist, if you are the patient. Improved sexual function & enjoyment is now possible for many men with SB. ...Read more
Spinal cord disorder: The spinal cord forms as an open tube that starts to close from the middle out to the two ends. The entire closure is done by about ten weeks. If the closure is not normal than a condition known as spina bifida occurs. Open spina bifida is when there is an opening in the spinal column to the skin. Closed spina bifida is when there is an opening in the spinal column but it has a thin cover. ...Read moreSee 2 more doctor answers
Yes: Yes, but rarely. This condition is not common and as a family physician, i see only what comes my way. Spina bifida is usually approached in a team concept, usualy dealing with a primary care doctor (pediatrician, family physician or internest) along with physical therapist, neurologists, neuro-surgeons, physiatrist (physical medicine specialists) and a host of others. There are many issues. ...Read moreSee 2 more doctor answers
Spina Bifida: Spina bifida is a birth defect where the spine does not close around the spinal cord during development. This may be as small as a small gap between the 2 sides, with no buldging out of membranes or nerves, & no associated handicaps, to a large defect with part of the cord exposed outside the body, leading to paralysis and other neurological problems. Folic acid decreases the risk. ...Read moreSee 1 more doctor answer
Multifactorial: Isolated spina bifida (myelomeningocele) is a neural tube defect along with anencephaly that exhibits multifactorial determination--a combination of many genes and in utero environmental factors that cross a threshold to produce the defect. A couple having a child with spina bifida or anencephaly has a ~2% risk for each future pregnancy, a risk decreased by preconception folic acid. ...Read moreSee 1 more doctor answer
No: Spina bifida occulta results from failure of the two lamina of one vertebra to make a solid bony fusion. The defect is generally bisecting the spinous process vertically. No instability is present. No neurologic dysfunction is present because neural elements are not affected. But associated neurological problems which may be symptomatic are more common in association with spina bifida occulta. ...Read moreSee 2 more doctor answers
Many: Embryonic development involves progressive closure of the neuro cord which becomes the spine. This closure may be slightly incomplete ( occult) or remain a cyst (meningomyelocele) or remain completely open. In some the pelvis and anus do not develop properly. Nerves to bladder, bowel, and legs may only partially develop. The brain may not develop properly, and hydrocephalus may develop. ...Read moreSee 2 more doctor answers
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