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Sexual Medicine

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https://www.readbyqxmd.com/read/29936217/simultaneous-monitoring-of-hemodynamic-response-in-the-pre-frontal-cortex-and-genital-organ-during-sexual-arousal-using-near-infrared-spectroscopy
#1
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...
June 20, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29936216/effect-of-oscillation-on-perineal-pressure-in-cyclists-implications-for-micro-trauma
#2
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)...
June 20, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29884471/the-association-between-phosphodiesterase-type-5-inhibitor-use-and-risk-of-non-arteritic-anterior-ischemic-optic-neuropathy-a-systematic-review-and-meta-analysis
#3
REVIEW
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...
June 5, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29803639/premature-ejaculation-among-italian-men-prevalence-and-clinical-correlates-from-an-observational-non-interventional-cross-sectional-epidemiological-study-iper
#4
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...
May 23, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29801714/deep-dyspareunia-and-sexual-quality-of-life-in-women-with-endometriosis
#5
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...
May 22, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29789244/biopsychosocial-management-of-female-sexual-dysfunction-a-pilot-study-of-patient-perceptions-from-2-multi-disciplinary-clinics
#6
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...
May 19, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29731370/recurrent-penile-fracture-case-report-and-alternative-surgical-approach
#7
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...
May 3, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29730134/penile-wobble-effect-proximal-corporal-deformities-as-a-cause-of-penile-prosthesis-failure
#8
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...
May 2, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29706561/sexual-health-during-postgraduate-training-european-survey-across-medical-specialties
#9
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...
April 26, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29706560/androgen-receptor-cag-repeat-length-as-a-risk-factor-of-late-onset-hypogonadism-in-a-korean-male-population
#10
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...
April 26, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29678558/influence-factors-of-sexual-activity-for-internal-migrants-in-china
#11
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
https://www.readbyqxmd.com/read/29678557/improvements-to-the-vulva-vestibule-urethral-meatus-and-vagina-in-women-treated-with-ospemifene-for-moderate-to-severe-dyspareunia-a-prospective-vulvoscopic-pilot-study
#12
Sue W Goldstein, Ashley G Winter, Irwin Goldstein
INTRODUCTION: Ospemifene, an oral selective estrogen receptor modulator approved for the treatment of mild to moderate dyspareunia from menopause, has been shown to moderate sexual pain and vaginal epithelial cell characteristics. However, no prospective vulvoscopic studies have been performed. AIM: To examine, in menopausal women taking ospemifene 60 mg daily, changes to the vulva, vestibule, urethral meatus, and vaginal region over 20 weeks using vulvoscopy in a prospective open-label pilot study...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29661646/physical-activity-to-improve-erectile-function-a-systematic-review-of-intervention-studies
#13
REVIEW
Helle Gerbild, Camilla Marie Larsen, Christian Graugaard, Kristina Areskoug Josefsson
INTRODUCTION: The leading cause of erectile dysfunction (ED) is arterial dysfunction, with cardiovascular disease as the most common comorbidity. Therefore, ED is typically linked to a web of closely interrelated cardiovascular risk factors such as physical inactivity, obesity, hypertension, and metabolic syndrome. Physical activity (PA) has proved to be a protective factor against erectile problems, and it has been shown to improve erectile function for men affected by vascular ED. This systematic review estimated the levels of PA needed to decrease ED for men with physical inactivity, obesity, hypertension, metabolic syndrome, and/or manifest cardiovascular diseases...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29631858/hormone-levels-and-sexual-functioning-after-risk-reducing-salpingo-oophorectomy
#14
Nora Johansen, Astrid H Liavaag, Lars Mørkrid, Trond M Michelsen
INTRODUCTION: Women after risk-reducing salpingo-oophorectomy (RRSO) can have impaired sexual functioning, but whether there is an association between hormone levels and sexual functioning is unclear. AIM: To determine whether hormone levels are associated with sexual functioning in women after RRSO. METHODS: This is a retrospective cohort study of 198 sexually active and 91 inactive women after RRSO. Participants completed the Sexual Activity Questionnaire, questionnaires concerning hormone replacement therapy (HRT), quality of life, care from partner, body image, and comorbidity and provided blood samples...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29602721/efficacy-and-safety-of-tadalafil-5-mg-once-daily-for-the-treatment-of-erectile-dysfunction-after-robot-assisted-laparoscopic-radical-prostatectomy-a-2-year-follow-up
#15
Soodong Kim, Gyung Tak Sung
BACKGROUND: Although nerve-sparing robot-assisted radical prostatectomy (NS-RALP) is performed, a large number of patients still experience erectile dysfunction (ED) after surgery. AIM: To evaluate the efficacy and safety of tadalafil 5 mg once daily (OaD) in ED treatment over 2 years and investigate the cause of vascular ED after NS-RARP. METHODS: We retrospectively evaluated 95 men who underwent NS-RARP and had a penile rehabilitation treatment with tadalafil 5 mg OaD...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29559206/retrospective-study-of-the-prevalence-and-risk-factors-of-clitoral-adhesions-women-s-health-providers-should-routinely-examine-the-glans-clitoris
#16
Leen Aerts, Rachel S Rubin, Michael Randazzo, Sue W Goldstein, Irwin Goldstein
INTRODUCTION: The glans clitoris is covered by a prepuce that normally moves over the glans surface and can be retracted beyond the corona. Clitoral adhesions, ranging from mild to severe, occur when preputial skin adheres to the glans. Physical examination consistent with clitoral adhesions is based on the inability to visualize the entire glans corona. In this closed compartment, the space underneath the adherent prepuce and clitoris can become irritated, erythematous, or infected and can result in sexual dysfunction...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29550252/intralymphatic-immunotherapy-with-autologous-semen-in-a-korean-man-with-post-orgasmic-illness-syndrome
#17
Tae Beom Kim, Young Sup Shim, Sang Min Lee, Eun Suk Son, Jung Woo Shim, Sang Pyo Lee
Post-orgasmic illness syndrome (POIS) is a very rare disease characterized by local allergic symptoms and transient flu-like illness that nearly always occur after masturbation, coitus, or spontaneous ejaculation and last for 2 to 7 days. In a previous case report, 2 patients with POIS received hyposensitization therapy composed of multiple subcutaneous injections of autologous semen that resulted in a gradual decrease of symptoms. However, this procedure requires patients to endure pain and discomfort during frequent subcutaneous injections and preceding masturbations to obtain the autologous semen used for therapy...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29525539/dynamic-penile-corpora-cavernosa-reconstruction-using-bilateral-innervated-gracilis-muscles-a-preclinical-investigation
#18
Zhuming Yin, Liqiang Liu, Bingjian Xue, Jincai Fan, Wenlin Chen, Zheng Liu
INTRODUCTION: Prosthesis-assisted penile reconstruction has been performed extensively to restore a cosmetically acceptable phallus. However, a large number of patients will undergo revision surgery for various prosthesis-related complications. AIM: To develop a 1-stage prosthesis-free dynamic cavernosa reconstruction method using bilateral innervated gracilis muscles and to investigate the feasibility and reliability of the surgical design. METHODS: 10 fresh cadavers were dissected to assess the availability of bilateral gracilis muscles for functional cavernosa rebuilding...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29523489/male-sexual-quality-of-life-is-maintained-satisfactorily-throughout-life-in-the-amazon-rainforest
#19
Thiago Teixeira, Maira Nazima, Jorge Hallak
INTRODUCTION: The Amazon Rainforest is a cradle of biodiversity, where different ethnic groups have specific sexual habits. AIMS: To define the average sexual quality of life of Amazonian men 18 to 69 years old, evaluate the influence of aging on their sexual function, and calculate the prevalence of premature ejaculation, delayed ejaculation, and hypoactive sexual desire disorder. METHODS: A cross-sectional quantitative probability sample study was performed with a demographically representative population (N = 385), with data collected privately at participants' houses, including men who had been sexually active for a minimum of 6 months...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29523488/evaluation-and-management-of-hypoactive-sexual-desire-disorder
#20
REVIEW
Anita H Clayton, Sheryl A Kingsberg, Irwin Goldstein
INTRODUCTION: Hypoactive sexual desire disorder (HSDD) often has a negative impact on the health and quality of life of women; however, many women do not mention-let alone discuss-this issue with their physicians. Providers of gynecologic services have the opportunity to address this subject with their patients. AIM: To review the diagnosis and evidence-based treatment of low sexual desire in women with a focus on strategies that can be used efficiently and effectively in the clinic...
June 2018: Sexual Medicine
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