Other issues in gastrointestinal care

2021 ◽  
pp. 525-530
Author(s):  
Jennie Burch ◽  
Brigitte Collins
Keyword(s):  
Body Image ◽  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Clinical Environment ◽  
Psychological Issues

The final chapter is about other issues in gastrointestinal (GI) care and incorporates other important issues related to GI care that do not easily fall into other categories. This will ensure that as many GI-related topics as possible are covered to provide the nurse with a fuller understanding of GI nursing. This chapter incorporates issues related to scars, such as changes in body image and how this can cause psychological issues. Finally, issues related to sexuality, such as sexual dysfunction and erectile dysfunction, will be explored. Concise explanations of the issues within this chapter can aid the nurse, although it is often difficult for nurses to discuss these topics in a busy clinical environment.

scholarly journals Spermatorrhea in a Chinese patient with temporal lobe epilepsy: a case report

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Sexual Dysfunction ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Neurological Disorder ◽  
Premature Ejaculation ◽  
Chinese Patient ◽  
Left Temporal Lobe ◽  
Rare Manifestation

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.

scholarly journals Obesity, Body Image Dissatisfaction, and Sexual Dysfunction: A Narrative Review

Sexes ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 20-39
Author(s):  
Sean M. McNabney
Keyword(s):  
Body Image ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Adult Population ◽  
Body Image Dissatisfaction ◽  
The United States ◽  
The Body ◽  
Narrative Review ◽  
Health Concern ◽  
Clinical Samples

With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.

scholarly journals SEXUAL DISORDERS AFTER HEART TRANSPLANT

2020 ◽  
Vol 73 (10) ◽  
pp. 2277-2281
Author(s):  
Kamila Fuczyło ◽  
Magdalena Piegza ◽  
Robert Pudlo
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Heart Transplantation ◽  
Heart Transplant ◽  
Sexual Disorders ◽  
State Of Health ◽  
Review Of The Literature ◽  
Pubmed Database

The aim: To systematize and bring the reader closer to knowledge about the occurrence of sexual disorders in people after heart transplantation based on available bibliography. Material and methods: A review of the literature on this topic from the last 30 years made with using the PubMed database, using a total of 17 articles. Conclusions: The incidence of sexual dysfunction (SD) is higher in heart recipients than in the general population and erectile dysfunction is the most common. When the symptoms of dysfunction occur before the transplant – they do not improve, rather they get worse, which reduces the improvement in the quality of life of these patients compared to patients without sexual dysfunction. Improvement in quality of life is observed in patients with SD after heart transplantation, but not as pronounced as in subjects without sexual dysfunction. Some patients notice an increase in libido, with the genital response being insufficient or completely disappearing, which results in a decrease in the quality of relationships between partners and a deterioration in the quality of life. The cause of SD in heart recipients is unclear, but it is associated with the type of immunosuppression used, the level of sexual activity and the state of health of patients prior to transplantation. Nowadays patients after ortotrophic heart transplant live longer and their quality of life improves, but not in sexual terms. The articles concerned almost exclusively men, that is why the topic requires exploration in subsequent research.

scholarly journals Childhood sexual abuse and sexual dysfunction in gay and bisexual men: the role of substance use, emotion dysregulation, and coping strategies.

2021 ◽  
Author(s):  
Marie Faaborg-Andersen
Keyword(s):  
Sexual Abuse ◽  
Substance Use ◽  
Erectile Dysfunction ◽  
Childhood Sexual Abuse ◽  
Sexual Dysfunction ◽  
Coping Strategies ◽  
Emotion Dysregulation ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual

Sexual dysfunction has been associated with considerable mental health and interpersonal problems. Gay and bisexual men report a higher rate of sexual dysfunction and childhood sexual abuse (CSA) compared to heterosexual men. The relationship between CSA and adult sexual health problems has been well established; however, the pathways leading from CSA to erectile dysfunction are poorly understood. The role that coping strategies, emotion dysregulation, and substance use play in the association between CSA and erectile dysfunction was examined using a mediational model. Results were not found to be statistically significant, with the exception of a significant relationship between CSA and avoidant coping. Possible explanations for the lack of significant findings are discussed, including problems with the measurement of ED. This study provided support for the disproportionately high rates of CSA among gay men.

scholarly journals Consenting for pelvic nerve injury in colorectal surgery: need to address age and gender bias

2010 ◽  
Vol 92 (5) ◽  
pp. 391-394 ◽  
Author(s):  
Prabhu N Nesargikar ◽  
Vasha Kaur ◽  
Daniel M Cocker ◽  
John Lengyel
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Colorectal Surgery ◽  
Nerve Injury ◽  
Medical Records ◽  
Pelvic Nerve ◽  
Elective Colorectal Surgery ◽  
Consent Forms ◽  
Pelvic Dissection ◽  
Operative Notes

INTRODUCTION Pelvic nerve injury is a recognised complication following pelvic dissection in colorectal surgery. It can lead to urinary and sexual dysfunction in men and women, which varies from 5-40% depending on the surgery and the underlying pathology. Sexual dysfunction can manifest as erectile dysfunction in men and as dyspareunia and failure to achieve sexual arousal/orgasm in women. The aim of this study was to evaluate consent for these complications prior to surgery. PATIENTS AND METHODS We carried out a retrospective audit on patients who had undergone elective colorectal surgery involving pelvic dissection over a 2-year period (June 2006 to June 2008) at University Hospital of North Staffordshire. We reviewed the consent forms and medical records of these patients, specifically looking for documentation of pelvic nerve injury, sexual dysfunction or erectile dysfunction prior to surgery. Only patients who had documented pelvic dissection in their operative notes were included in the audit, and those who were deemed unable to consent were excluded. RESULTS Medical records of 118 patients were reviewed. Of this cohort, 31% were women (n = 37). Malignancy was the indication for surgery in 79% of women and 88% of men. Consent for the procedure was obtained by a consultant in 73% (n = 86) of patients and by a middle-grade surgeon in the remaining 27% (n = 32). Only two women were consented for pelvic nerve injury whilst this number was 41 for men (5% vs 51%). Patients younger than 50 years were more consistently informed of the risks (50%) compared to the over 50-year-olds (34%). Only eight patients (males 6, females 2) were consented for urinary dysfunction. CONCLUSIONS The risk of pelvic nerve injury is not frequently stated, which is more common in women and the elderly. Overall, only 36% of patients were consented for pelvic nerve injury, while only 5% of women were consented. Is this professional discretion, or evidence that surgeons are not being assiduous enough when obtaining consent, which may leave them vulnerable to medicolegal claims? Introduction of procedure-specific consent forms would be a method to address this issue.

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