Sexuality after urinary undiversion.
We report on the sexuality of 2 young men following urinary undiversion. One patient reported improved sexual experience due to loss of the appliance and improved self-image. Urine leakage during sexual activity can be prevented only by catheterization before intercourse. The other patient has undergone rediversion after a technically satisfactory undiversion because of urine leakage during intercourse that did not respond to intense pharmacologic therapy and bladder emptying before sexual activity. Sexuality following undiversion has not been studied previously. Additional guidelines in preoperative evaluation and patient education are suggested.