[Aspects of sexuality in adolescents with spinal bifida].

In the last few decades, the life expectancy of patients with meningomyelocele has increased through improved medical care. Problems associated with adulthood like sexuality, friendship, and fertility are now more important for these young persons. Physical and cognitive impairment can alter the complex process of sexual maturation, but nevertheless patients of today are well-informed and show a strong interest in sexual fulfillment.