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Sexual Medicine Reviews

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https://www.readbyqxmd.com/read/30122339/masculinizing-genital-gender-confirmation-surgery
#1
REVIEW
Miriam Hadj-Moussa, Shailesh Agarwal, Dana A Ohl, William M Kuzon
INTRODUCTION: This article is the third in a 3-part series focused on the comprehensive treatment of gender dysphoria. Multidisciplinary gender dysphoria care may involve a combination of counseling, social gender transition, hormone therapy, and gender confirmation surgery (GCS) to maximize physical characteristics congruent with a patient's gender identity. Nonoperative management of gender dysphoria was covered in part 1. The focus of part 2 was feminizing GCS. In part 3, surgical considerations for masculinizing GCS are summarized, including a review of different phalloplasty techniques...
August 16, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30098986/do-5%C3%AE-reductase-inhibitors-raise-circulating-serum-testosterone-levels-a-comprehensive-review-and-meta-analysis-to-explaining-paradoxical-results
#2
REVIEW
Abdulmaged M Traish, Yonah Krakowsky, Gheorghe Doros, Abraham Morgentaler
INTRODUCTION: Many studies have reported that 5α-reductase inhibitors (finasteride and dutasteride) raise serum testosterone (T) levels, yet there is lack of consistency among studies on this point. AIM: To review and meta-analyze available studies reporting changes in serum T concentrations in men treated with 5α-reductase inhibitors (5α-RIs). METHODS: A Medline search using PubMed and EMBASE was performed including the following key words: "finasteride," "dutasteride," "testosterone and 5α-reductases...
August 8, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30078620/urethral-injury-and-the-penile-prosthesis
#3
REVIEW
Evan C Carlos, Stephanie J Sexton, Aaron C Lentz
INTRODUCTION: The relative infrequency of urethral injuries during penile prosthesis implantation has caused the event to be understudied relative to the morbidity and cost associated with their management. AIM: To draw attention to both acute intraoperative and delayed urethral injuries via cylinder erosion by compiling and evaluating the available literature on their cause, diagnosis, and management. METHODS: A literature review was performed through PubMed from 1985 to 2018 regarding urethral injuries in the setting of penile prosthesis implantation...
August 2, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30057140/perioperative-educational-interventions-and-contemporary-sexual-function-outcomes-of-radical-prostatectomy
#4
REVIEW
Anna E R Faris, Drogo K Montague, Bradley C Gill
INTRODUCTION: Men undergoing prostatectomy can have unrealistic preoperative expectations regarding sexual function after surgery and may desire more education on recovery and symptom management. AIM: To present contemporary data on recovery of sexual function after prostatectomy and characterize how it is impacted by perioperative patient educational interventions. METHODS: A comprehensive review of the English-language literature available by PubMed search...
July 26, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30057139/management-strategies-in-opioid-abuse-and-sexual-dysfunction-a-review-of-opioid-induced-androgen-deficiency
#5
REVIEW
Alan Hsieh, Lorenzo DiGiorgio, Mary Fakunle, Hossein Sadeghi-Nejad
INTRODUCTION: Over the last several decades, the opioid epidemic has become a national crisis, largely spurred by the spike in the use of prescription painkillers. With the epidemic came a concomitant rise in the incidence of opioid-induced androgen deficiency (OPIAD). Although OPIAD can significantly impact male sexual function and quality of life, it is an overlooked and poorly understood clinical entity that requires more attention from healthcare providers. AIM: The objectives of the current review are to highlight the increasing incidence of OPIAD and the importance of an integrated, multidisciplinary approach to identify and treat patients with the condition...
July 26, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30057138/how-well-do-measurement-scales-reflect-the-actual-experience-of-sexuality-in-mid-life-and-beyond
#6
Ashley Macleod, Marita P McCabe
BACKGROUND: There is limited evidence that current sexuality measures accurately reflect the experience of sexuality among older people. AIM: This review investigates whether sexuality scales that examine aspects of sexuality for heterosexual men and women in mid-life and beyond accurately reflect the experiences of these individuals as discussed within qualitative studies. METHODS: Online databases and reference lists were searched for articles from 1997 that investigated experiences of sexuality, aging, and validated sexuality scales...
July 26, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30057137/the-impact-of-thyroid-disease-on-sexual-dysfunction-in-men-and-women
#7
REVIEW
Andrew T Gabrielson, Rita A Sartor, Wayne J G Hellstrom
BACKGROUND: Individually, thyroid disease and sexual dysfunction are common conditions that can have a detrimental effect on quality of life. Recent reports have documented an increased prevalence of sexual dysfunction among patients with thyroid disorders. As such, it is important for sexual medicine physicians to be primed on the presentation of patients with overlying sexual and thyroid dysfunction to allow for proper management. AIM: To review the available literature exploring the relationship between thyroid disease and sexual dysfunction in men and women...
July 26, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30057136/novel-treatment-for-premature-ejaculation-in-the-light-of-currently-used-therapies-a-review
#8
REVIEW
Hartmut Porst, Andrea Burri
INTRODUCTION: Besides erectile dysfunction, premature ejaculation (PE) is the most frequent male sexual disorder and shows a high level of bother and distress. The negative consequences of long-term and unsuccessfully treated PE on both patient and partner are well established in the literature and include personal distress, impairment of the partner's sexual function, and interpersonal difficulties. AIM: To outline the consequences of untreated PE and the advantages and disadvantages of currently available treatment options with a special focus on a new topical eutectic lidocaine/prilocaine metered dose spray (Fortacin; Lidocaine/Prilocaine, Recordati, Milan, Italy) which represents the second officially approved drug in this indication...
July 26, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/30033128/penile-prosthesis-complications-planning-prevention-and-decision-making
#9
REVIEW
Nickolas D Scherzer, Brian Dick, Andrew T Gabrielson, Laith M Alzweri, Wayne J G Hellstrom
INTRODUCTION: Inflatable penile prosthesis (IPP) is an established treatment option for men with erectile dysfunction (ED) refractory to medical therapy. Standardization of surgical technique and improvements in device construction have reduced all-cause complication rates to less than 5% in recent reports. Nonetheless, complications do exist, and can strongly impact morbidity and the quality of life of patients. Prosthetic urologists must be aware of the constellation of complications that can arise during or after IPP placement...
July 19, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29914753/treatments-for-hypoactive-sexual-desire-disorder-hsdd-and-the-pursuit-of-sexual-health-for-women-amidst-inglorious-rhetoric
#10
EDITORIAL
Noel N Kim, Irwin Goldstein, Lisa Larkin, Susan Kellogg-Spadt, James A Simon
No abstract text is available yet for this article.
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29606552/sexual-activity-recommendations-in-high-risk-pregnancies-what-is-the-evidence
#11
REVIEW
Sally E MacPhedran
BACKGROUND: While sexual activity in normal, healthy pregnant women is safe, concern regarding elements of the sexual act have led to restrictions in pregnancies experiencing complications that are frequently insufficiently addressed in clinical practice. AIM: To comprehensively review the literature for evidence that supports or refutes specific sexual activity restrictions in high-risk pregnancy conditions. METHODS: A search of PubMed, MEDLINE, Ovid, UpToDate, Google Scholar, and Google for relevant publications related to any aspect of sexual activity affecting high-risk pregnancies complicated by history of pre-term delivery, shortened cervix, presence of cerclage, pre-mature rupture of membranes, placenta abruption, placenta previa, multiple gestation, or history of classical cesarean section was performed...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29576442/effect-size-in-efficacy-trials-of-women-with-decreased-sexual-desire
#12
REVIEW
Robert E Pyke, Anita H Clayton
BACKGROUND: Regarding hypoactive sexual desire disorder (HSDD) in women, some reviewers judge the effect size small for medications vs placebo, but substantial for cognitive behavior therapy (CBT) or mindfulness meditation training (MMT) vs wait list. However, we lack comparisons of the effect sizes for the active intervention itself, for the control treatment, and for the differential between the two. AIM: For efficacy trials of HSDD in women, compare effect sizes for medications (testosterone/testosterone transdermal system, flibanserin, and bremelanotide) and placebo vs effect sizes for psychotherapy and wait-list control...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29477573/objective-assessments-of-peyronie-s-disease
#13
REVIEW
Jessie Y Chen, Mark S Hockenberry, Larry I Lipshultz
INTRODUCTION: Penile deformity is the most obvious manifestation of Peyronie's disease (PD) and key to determining the optimal method of treatment. Other aspects of PD to consider include plaque size, location, and density; amount of calcification; erection quality; disease progression; and penile anatomy. Few standards exist for the objective assessment of these parameters. AIM: To describe current options and new trends in the objective evaluation of PD with a focus on penile curvature and imaging modalities...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29463441/perineal-ultrasound-a-review-in-the-context-of-ejaculatory-dysfunction
#14
REVIEW
Connor M Forbes, Ryan Flannigan, Darius A Paduch
BACKGROUND: Ejaculation consists of the emission of semen from seminal vesicles and prostate, followed by expulsion. Ejaculatory dysfunction may take several forms including premature ejaculation, delayed or anejaculation, retrograde ejaculation, and painful ejaculation. Ejaculation is what we can see whereas orgasm is what we feel. The presence of ejaculate does not indicate the ability to experience orgasm. Hence, for the purpose of this work we consider orgasm and ejaculation as 2 separate neurobiological phenomena...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29454634/feminizing-genital-gender-confirmation-surgery
#15
REVIEW
Miriam Hadj-Moussa, Dana A Ohl, William M Kuzon
INTRODUCTION: For many patients with gender dysphoria, gender-confirmation surgery (GCS) helps align their physical characteristics with their gender identity and is a fundamental element of comprehensive treatment. This article is the 2nd in a 3-part series about the treatment of gender dysphoria. Non-operative management was covered in part 1. This section begins broadly by reviewing surgical eligibility criteria, benefits of GCS, and factors associated with regret for transgender men and women...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29396283/urological-survivorship-issues-among-adolescent-boys-and-young-men-who-are-cancer-survivors
#16
REVIEW
Troy Sukhu, Sherry Ross, R Matthew Coward
BACKGROUND: Urological survivorship issues encompass an area that may potentially be overlooked after treatment of childhood cancer in adolescent boys and young men. Side effects of cancer therapy may include subsequent development of erectile dysfunction (ED), hypogonadism, and infertility in adulthood. AIM: The purpose of this review is to focus on the etiology and prevalence of the range of sexual and gonadal dysfunction in adolescent boys and young men who are cancer survivors, while discussing current recommendations for evaluation and treatment...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29396282/male-orgasmic-dysfunction-post-radical-pelvic-surgery
#17
REVIEW
Nora M Haney, Laith M Alzweri, Wayne J G Hellstrom
BACKGROUND: Pelvic surgeries are recognized to cause dysfunction of the male sexual response, which consists of erection, emission, expulsion, and orgasm. However, the least attention has been paid to male orgasmic dysfunction after invasive pelvic surgery. AIM: To describe the available literature on post-pelvic surgery orgasmic dysfunction disorders. METHODS: A literature search was performed on PubMed using the search strings related to dysfunction of the male sexual cycle and orgasm after pelvic surgery...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29371146/couplepause-a-new-paradigm-in-treating-sexual-dysfunction-during-menopause-and-andropause
#18
REVIEW
Emmanuele A Jannini, Rossella E Nappi
BACKGROUND: At midlife and beyond, both men and women face organic changes that can affect sexual functioning. For women, ovarian exhaustion causes estrogen deficiency, leading to genitourinary syndrome of menopause, which may include vaginal dryness, irritation/itching, inadequate lubrication, and dyspareunia. Hypoactive sexual desire disorder also can result from biopsychosocial factors. For men, erectile dysfunction prevalence increases with age, and some men develop testosterone deficiency...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29371145/assessment-of-sexual-desire-for-clinical-trials-of-women-with-hypoactive-sexual-desire-disorder-measures-desire-related-behavior-and-assessment-of-clinical-significance
#19
REVIEW
Robert E Pyke, Anita H Clayton
BACKGROUND: The Female Sexual Function Index-desire subscale is the standard measure for clinical trials of hypoactive sexual desire disorder (HSDD), but lacks items assessing sexually related behaviors and attitudes toward partner. Counting satisfying sexual events is criticized, but sexual behavior remains important. Mean treatment differences cannot define clinical significance; responder and remitter analyses help. We reviewed measures on sexual desire and sexual behavior relevant to HSDD, and how to assess clinical significance...
July 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29371144/traditional-chinese-medicine-for-sexual-dysfunction-review-of-the-evidence
#20
REVIEW
Barbara Chubak, Alaethia Doctor
INTRODUCTION: Despite the growing popularity of traditional Chinese medicine (TCM) in the Western world, biomedical students and practitioners struggle to understand TCM and how it relates to their standard diagnosis and treatment practices. AIMS: To describe the fundamentals of TCM theory and practice relevant to sexual dysfunction; to review and critique the current state of TCM research within Western biomedical literature; and to identify sites for improvement of future research and for collaborative integration of TCM and biomedicine in practice...
July 2018: Sexual Medicine Reviews
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