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Sexual Medicine

Adenilda Lima Lopes Martins, Maria Fernanda Rios Grassi, Alisson de Aquino Firmino, Jean Paulo Lacerda Araujo, Taiane Silva Paixao, Bernardo Galvão-Castro, Ney Boa-Sorte
INTRODUCTION: Human T-lymphotropic virus (HTLV)-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is a neurological disorder that mostly affects women. This disease is characterized by a progressive loss of motor function and disruptions in sensory function in the lower limbs. HTLV-1 is also associated with isolated neurologic dysfunctions, overactive bladder, and erectile dysfunction. The occurrence of sexual dysfunction in HTLV-1-infected women remain unclear. AIM: To investigate associations between HTLV-1 infection and sexual dysfunction in both asymptomatic infected women and those diagnosed with HAM/TSP compared with uninfected women...
September 1, 2018: Sexual Medicine
Masato Shirai, Ippei Hiramatsu, Yusuke Aoki, Hirofumi Shimoyama, Taiki Mizuno, Taiji Nozaki, Shinichiro Fukuhara, Atsushi Iwasa, Shinji Kageyama, Akira Tsujimura
INTRODUCTION: Phosphodiesterase type 5 inhibitors (PDE5i) are first-line therapy for most men with erectile dysfunction (ED). If ineffective, vacuum erection devices, intracavernous injections, and penile prosthesis implantation are suitable as second- or third-line therapies. However, very few patients select these therapies. It is critically important to improve erectile function with oral administration of effective agents. Administration of L-citrulline or transresveratrol in animal experiments has been reported to improve erectile function, but few such experiments have been performed on humans with ED...
August 24, 2018: Sexual Medicine
Lorena A Grondhuis Palacios, Esmée M Krouwel, Henk W Elzevier
No abstract text is available yet for this article.
August 8, 2018: Sexual Medicine
Hyeong Guk Jeong, Sun Tae Ahn, Jong Wook Kim, Kyung Keun Seo, Dong Soo Lee, Hong Sun Uh, Je Jong Kim, Du Geon Moon
INTRODUCTION: Glans penis augmentation (GPA) using hyaluronic acid (HA) gel has been developed for treating premature ejaculation (PE) with penile hypersensitivity. The injected HA filler creates a barrier that reduces the tactile stimuli to the hypersensitive dorsal nerve. Although the HA filler is biodegradable and is believed to not cause permanent loss of sexual function, the current International Society for Sexual Medicine guideline for PE does not recommend this procedure owing to concerns regarding sexual dysfunction...
August 2, 2018: Sexual Medicine
Nahid Punjani, Patrick McGarry, Gerald Brock
INTRODUCTION: Congenital hypoplasia of the distal half of the tunica albuginea has not been previously described. AIM: To review a patient presenting with erectile dysfunction secondary to congenital penile hypoplasia. METHODS: History, physical exam and penile Doppler ultrasound of the patient, followed by a discussed of treatment options and definitive management. RESULTS: Successful operative treatment of our patient with insertion of an inflatable penile prosthesis...
August 2, 2018: Sexual Medicine
Bobby Najari, Ryan Flannigan, Jackson Hobgood, Darius Paduch
INTRODUCTION: Penile transplantation, in its infancy, has the potential to reestablish functional outcomes for men with penile loss and disfigurement. However, significant bioethical considerations are pertinent, and systematic discussions are necessary to safely progress implementation. AIM: To determine the attitude of health practitioners toward the penile transplant and identify the key aspects of concern pertinent to the operation and clinical care. METHODS: Health care professionals from the United States responded to either email invitation, web link, or social media post on Facebook to complete a questionnaire investigating perceptions and attitudes toward penile transplantation...
July 26, 2018: Sexual Medicine
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Sexual Medicine
Ryan M Chanyi, Raidh Alzubaidi, Everett J Y Leung, Hannah B Wilcox, Gerald B Brock, Jeremy P Burton
BACKGROUND: Inflatable penile prosthetic (IPP) infections are unusual but carry high patient morbidity and healthcare costs. AIM: To increase the bactericidal effect of IPP tubing material to prevent future bacterial infections and to determine whether this effect is time-dependent. METHODS: A modified disk diffusion assay was developed to measure the zones of inhibition against Escherichia coli, Proteus mirabilis, Staphylococcus aureus, and Staphylococcus epidermidis when tubing was immersed in gentamycin, ampicillin, tetracycline, kanamycin, erythromycin, or ciprofloxacin...
September 2018: Sexual Medicine
Gert Martin Hald, Mie Dahl Pind, Michael Borre, Theis Lange
INTRODUCTION: Active prostate cancer treatment is often associated with significant adverse physiological and psychological effects including significant sexual problems. Most studied among these sexual problems is erectile dysfunction while related sexual bothers such as overall sexual function and satisfaction with one's sex life are much less studied. AIM: To investigate problems related to erectile functioning, orgasmic ability, sexual function, and satisfaction with one's sex life among a cohort of Scandinavian prostate cancer patients age 40 years and older who were sexually active prior to their diagnosis of prostatic cancer...
September 2018: Sexual Medicine
Evgenii Kim, Sungchul Kim, Phillips V Zephaniah, Songhyun Lee, Eloise Anguluan, Kwangsung Park, Jae Gwan Kim
BACKGROUND: The monitoring of brain activity along with genital organ response to sexual stimulation can play an important role in understanding the under-lying mechanisms of sexual arousal as well as diagnosing erectile dysfunction. Several studies have observed brain activity corresponding to sexual stimuli, but only a few studies have shown a simultaneous measurement of brain activation and penile response. AIM: To introduce near-infrared spectroscopy (NIRS) as a portable, easily implemented, and low-cost technique to simultaneously record brain activity and hemodynamics in the genital organ during sexual arousal...
September 2018: Sexual Medicine
Thomas Sanford, Adam J Gadzinski, Thomas Gaither, E Charles Osterberg, Greg P Murphy, Peter R Carroll, Benjamin N Breyer
BACKGROUND: Genital numbness and erectile dysfunction in cyclists may result from repeated perineal impacts on the bicycle saddle (micro-trauma) that occur during routine cycling. AIM: To evaluate the relationship between oscillation forces and perineal pressures among cyclists in a simulated laboratory setting. METHODS: Participants were fit to a study bicycle to ensure all cyclists had the same torso angle (60 ± 1 degree) and maximum knee angle (150 ± 1 degree)...
September 2018: Sexual Medicine
Bing Liu, Linxin Zhu, Jingxiang Zhong, Guohua Zeng, Tuo Deng
INTRODUCTION: Phosphodiesterase type 5 inhibitors (PDE5-Is) are first-line drugs for erectile dysfunction. Non-arteritic anterior ischemic optic neuropathy (NAION) has been linked with PDE5-I use. However, no meta-analysis or conclusive review has explored the association between NAION and PDE5-I use. AIM: To investigate the association between PDE5-I use and risk of NAION. METHODS: A comprehensive literature search was conducted using online databases in October 2017 to obtain studies researching the association between PDE5-I application and occurrence of NAION...
September 2018: Sexual Medicine
Paolo Verze, Davide Arcaniolo, Alessandro Palmieri, Tommaso Cai, Roberto La Rocca, Marco Franco, Luca Venturino, Marco De Sio, Vincenzo Mirone
INTRODUCTION: There is a great variability in the prevalence of premature ejaculation (PE) worldwide and only few data are available about the Italian population. AIM: To determine the prevalence of PE in the adult male population in Italy. METHODS: Adult men 18 to 80 years old who were sexually active were randomly sampled from patient lists of general practitioners in Italy and were included in this observational, non-interventional, cross-sectional epidemiologic study from January to July 2015...
September 2018: Sexual Medicine
Leona K Shum, Mohamed A Bedaiwy, Catherine Allaire, Christina Williams, Heather Noga, Arianne Albert, Sarka Lisonkova, Paul J Yong
INTRODUCTION: Deep dyspareunia occurs in half of women with endometriosis, a condition present in 10% of reproductive-age women and associated with negative effects on sexual quality of life (SQoL). However, women with endometriosis can have other clinical factors (eg, superficial dyspareunia, other pelvic pains, and psychological or pain conditions) possibly affecting SQoL. AIMS: To determine whether deep dyspareunia is associated with SQoL in women with endometriosis, independent of potential confounders...
September 2018: Sexual Medicine
Jordan Rullo, Stephanie S Faubion, Rose Hartzell, Sue Goldstein, Deborah Cohen, Karla Frohmader, Ashley G Winter, Kristin Mara, Darrell Schroeder, Irwin Goldstein
BACKGROUND: Sexual dysfunction is often complex and biopsychosocial. Traditional sexual health care management involves individual providers not in a multi-disciplinary setting. A multi-disciplinary team may consist of a medical provider, pelvic floor physical therapist, and sex therapist. AIM: The aim was to explore the patient perceptions of benefit from management of their sexual dysfunction by a biopsychosocial multi-disciplinary team. METHODS: A survey was e-mailed to women patients seen by multi-disciplinary teams at 2 different settings: San Diego Sexual Medicine or Mayo Clinic Women's Health Clinic during a 27-month period...
September 2018: Sexual Medicine
Bruno Nascimento, Giuliano B Guglielmetti, Eduardo P Miranda, Renato F Ivanovic, Carlos A Batagello, William C Nahas, Miguel Srougi, José Cury
INTRODUCTION: Penile refracture is an exceedingly rare event, with very few published studies. To the best of our knowledge, this is the first documented case in the literature of penile fracture with 3 same-site recurrences. AIMS: To describe the case of a 25-year-old Caucasian man with recurrent penile fracture ultimately treated with resuture and patch reinforcement. METHODS: Patient history (clinical and surgical) and literature review...
September 2018: Sexual Medicine
Emad Rajih, Arthur L Burnett
INTRODUCTION: Penile structural defects can contribute toward penile prosthesis (PP) surgical complications and suboptimal outcomes. Despite modern improvements in techniques of inflatable PP (IPP) surgeries, suboptimal outcomes arise secondary to unrecognized proximal corporal abnormalities. AIM: To describe a new observation of IPP failure (wobbly penis) secondary to proximal corporal deformities. METHODS: We performed a retrospective analysis of the Johns Hopkins institutional database of patients who had IPP surgery from May 2006 to March 2017...
September 2018: Sexual Medicine
Alexandra Kristufkova, Mariana Pinto Da Costa, Gesthimani Mintziori, Juan Luis Vásquez, Anna J M Aabakke, Mikkel Fode
BACKGROUND: Sexual health problems are common. Therefore, training in sexual health is relevant for the clinical practice of trainees and early-career specialists in several specialties who deal with patients with sexual health problems. However, little is known about how sexual health training is provided across countries and specialties. AIM: To assess (i) sexual health training during postgraduate training programs in psychiatry, obstetrics and gynecology, urology, and endocrinology across Europe; (ii) the confidence of trainees and early-career specialists in dealing with patients with sexual health problems; and (iii) their need for further training in sexual health during postgraduate training programs...
September 2018: Sexual Medicine
Jong Wook Kim, Young Dae Bae, Sun Tae Ahn, Jin Wook Kim, Je Jong Kim, Du Geon Moon
BACKGROUND: Testosterone action is mediated through the androgen receptor (AR), whose sensitivity is influenced by the AR CAG repeat polymorphism. However, the relation between late-onset hypogonadism (LOH) and AR CAG repeat length is unclear and studies of Asian populations are limited. AIM: To investigate the relation between AR CAG repeat length and LOH in Korean men. METHODS: 263 Korean men (mean age = 63.43 ± 10.9 years) were enrolled from 2014 to 2015...
September 2018: Sexual Medicine
Junguo Zhang, Junqing Wu, Yuyan Li, Ying Zhou, Yiran Li, Rui Zhao, Yuanming Shi, Zheng Li, Wei Huang, Jian Chen
BACKGROUND: Sexual frequency is associated with the quality of life. China's internal migrants that are sexually active are more likely to participate in sexual behavior. However, less work has been undertaken to assess the sexual frequency and its predictors in migrants. AIM: This study seeks to explore which factors were related to sexual frequency in migrants and how the association varies with different levels of sexual frequency. METHODS: A total of 10,834 men and 4,928 women aged 20-49 years from 5 cities in China were enrolled by multi-stage sampling during August 2013-August 2015...
June 2018: Sexual Medicine
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