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To provide urologists with a practical guide for how to provide sexual health counseling to girls and women with spina bifida. The recommendations and research of several sources were synthesized to create this guidance, including clinical guidance from the Spina Bifida Association and American College of Obstetricians, the current literature on the sexual health of girls and women with spina bifida, and the multidisciplinary experience of the authors. Sexual health education should be viewed by urologists as a continuous discussion, s