Congenital spinal bifida, does having sex affect life expectancy?

Patient's question:

A friend of mine, a male, has had congenital spinal bifida since childhood. Now he is 30 years old and wants to get married, but his condition is quite severe. He cannot walk because both his legs are affected. His feet are deformed, and he gets tired after standing for a while because his calves cannot support his body weight. Currently, he uses diapers all day.
I would like to ask if his condition, if he gets married, would affect his lifespan if he has sexual activity?

Doctor's answer:

Hello, the patient in the described condition has spina bifida, with impaired motor function in both lower limbs and urinary function. There may be a lesion in the cauda equina within the lumbar canal, which could also affect the patient's sexual function, leading to sexual dysfunction.
Guidance:
In terms of spina bifida alone, sexual activity should not have a direct impact on the patient's life or health. However, given the patient's current condition, they may experience sexual dysfunction and find it difficult to engage in normal sexual activity. I hope this answer is helpful.

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