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Dr. Amy Houtrow discusses children growing up with spina bifida.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve knowledge of the management of childhood issues for children with spina bifida
  • List some of the frequently experiences endocrine problems for children with spina bifida
  • Improve comfort discussing sexuality with patients with and parents of children with spina bifida

Reading Resources:

  1. Deak KL, Siegel DG, George TM, Gregory S, Ashley-Koch A, Speer MC. Further evidence for a maternal genetic effect and a sex-influenced effect contributing to risk for human neural tube defects. Birth Defects Res A Clin Mol Teratol. Oct 2008;82(10):662-669.
  2. Decter RM, Furness Iii PD, Nguyen TA, McGowan M, Laudermilch C, Telenko A. Reproductive Understanding, Sexual Functioning and Testosterone Levels in Men With Spina Bifida. The Journal of Urology. 1997;157(4):1466-1468.
  3. Berberoglu M. Precocious Puberty and Normal Variant Puberty: Definition, etiology, diagnosis and current management. Journal of Clinical Research Pediatric Endocrinology 2009: June, 1 (4):164-174


Dr. Houtrow has no relevant relationships with any entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to 0.50 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 4/23/2013 | Last Modified On: 4/23/2013 | Expires: 4/23/2014

This course has been expired.