scholarly journals Restoration of erectile function in men after prostate surgery in the immediate postoperative period: the needs assessment for patients and their partners to maintain sexual relations

2021 ◽  
Vol 9 (3) ◽  
pp. 12-18
Author(s):  
N. V. Anisimov ◽  
E. V. Kulchavenya ◽  
D. P. Kholtobin
Keyword(s):  
Sexual Function ◽  
Sexual Activity ◽  
Postoperative Period ◽  
Sexual Partner ◽  
Erectile Function ◽  
Sexual Partners ◽  
Sexual Life ◽  
Sexual Relations ◽  
Open Label ◽  
Surgical Methods

Introduction. Despite the advances in the modern pharmacopoeia, a significant place is given to surgical methods of treating benign prostatic hyperplasia (BPH) and prostate cancer (PCa). In the postoperative period in men, sexual function usually deteriorates.Purpose of the study. To study the needs of men after prostate surgery and their sexual partners in restoring their previous sexual life.Materials and methods. The pilot open-label prospective randomized non-comparative study included 50 patients in the age range of 53 – 74 years (average 58.3 years). All patients were consistently admitted and operated on at the “Avicenna” Medical Centre, Ltd. (Novosibirsk) from January to December 2020. Upon admission, all patients completed the International Index of Erectile Function (ICEF) questionnaire; one month later, this questionnaire was re-completed, supplemented with five questions.Results. Twenty-one patients were admitted with a diagnosis of PCa T1c – T2N0M0, all of them underwent laparoscopic prostatectomy with lymphadenectomy. Twenty-nine patients were operated on for BPH. They underwent transurethral resection with a bipolar resectoscope. Only 6 patients (12%) had no comorbidities. Surgical intervention worsened sexual function in all patients, while in men aged 50 – 59 years, the IIEF score decreased by 61.0%, at the age of 60 – 69 years by 39.0%, in patients over 70 years old by 55.2%. Eighteen (36.0%) patients showed interest in restoring sexual function. Thirty-two (64%) patients were against the continuation of sexual activity with the following motivation: 19 (59.4%) – lack of desire for a sexual partner, 8 (25.0%) – lack of desire of the patient himself, 5 (15.6%) – unwillingness to re-operated. Nineteen women out of 36 stable couples (52.8%) objected to the restoration of the sexual function of their sexual partners.Conclusion. Prostate surgery affects male sexual function more severely in younger patients. Thirty-two patients after surgery refused to restore sexual activity, in more than half of cases (59.4%) due to the unwillingness of the sexual partner to resume sexual relations.

scholarly journals Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels

2016 ◽  
Vol 101 (8) ◽  
pp. 3096-3104 ◽  
Author(s):  
Glenn R. Cunningham ◽  
Alisa J. Stephens-Shields ◽  
Raymond C. Rosen ◽  
Christina Wang ◽  
Shalender Bhasin ◽  
...  
Keyword(s):  
Sexual Function ◽  
Sexual Activity ◽  
Sexual Desire ◽  
Erectile Function ◽  
Controlled Trial ◽  
Older Men ◽  
Threshold Effect ◽  
The United States ◽  
Baseline Characteristics ◽  
Estradiol Levels

Context: The Testosterone Trials are a coordinated set of seven trials to determine the efficacy of T in symptomatic men ≥65 years old with unequivocally low T levels. Initial results of the Sexual Function Trial showed that T improved sexual activity, sexual desire, and erectile function. Objective: To assess the responsiveness of specific sexual activities to T treatment; to relate hormone changes to changes in sexual function; and to determine predictive baseline characteristics and T threshold for sexual outcomes. Design: A placebo-controlled trial. Setting: Twelve academic medical centers in the United States. Participants: A total of 470 men ≥65 years of age with low libido, average T <275 ng/dL, and a partner willing to have sexual intercourse at least twice a month. Methods: Men were assigned to take T gel or placebo for 1 year. Sexual function was assessed by three questionnaires every 3 months: the Psychosexual Daily Questionnaire, the Derogatis Interview for Sexual Function, and the International Index of Erectile Function. Results: Compared with placebo, T administration significantly improved 10 of 12 measures of sexual activity. Incremental increases in total and free T and estradiol levels were associated with improvements in sexual activity and desire, but not erectile function. No threshold T level was observed for any outcome, and none of the 27 baseline characteristics predicted responsiveness to T. Conclusions: In older men with low libido and low T levels, improvements in sexual desire and activity in response to T treatment were related to the magnitude of increases in T and estradiol levels, but there was no clear evidence of a threshold effect.

Arousal disorder in women

2019 ◽  
Vol 1 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Cristian Delcea
Keyword(s):  
Sexual Function ◽  
Sexual Activity ◽  
Sexual Arousal ◽  
Sexual Life ◽  
Sexual Disorders ◽  
Arousal Disorder ◽  
Interpersonal Difficulty

Recurrent / persistent inability to attain/ maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual arousal. Recurrent inability to get aroused. Your response to stimulation is physiologically / somatically maladaptive. And your perceptions about your inability to get aroused are distorted. The disturbance causes distress. The disturbance causes marked distress or interpersonal difficulty. Worldwide prevalence of arousal disorder in women is 26-43% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: arousal disorder in women, s-on, therapy, testing, evaluation, sexual disorders.

scholarly journals Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

2015 ◽  
Vol 9 (7-8) ◽  
pp. 423 ◽  
Author(s):  
Omid Sedigh ◽  
Marco Falcone ◽  
Carlo Ceruti ◽  
Massimiliano Timpano ◽  
Mirko Preto ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Sexual Function ◽  
Erectile Function ◽  
Penile Cancer ◽  
Sexual Life ◽  
Sexual Outcomes ◽  
Perceived Satisfaction ◽  
Partial Amputation ◽  
Group A ◽  
Group B

Introduction: We compared the postoperative sexual function of patients who underwent wide local excision (WLE) and glansectomy with urethral glanduloplasty for penile cancer.Methods: We retrospectively reviewed clinical data of 41 patients affected by superficial, localized penile cancer (≤cT2a) between 2006 and 2013. Patients with severe erectile dysfunction and not interested in resuming an active sexual life were selected for penile partial amputation. Patients with preoperative satisfying erectile function and concerned about the preservation of their sexual potency were scheduled for WLE (Group A) or glansectomy with urethral glanduloplasty (Group B). Sexual function was assessed with the International Index of Erectile Function (IIEF) questionnaire and the Sex Encounter Profile (SEP). At 1 year, patients were asked to complete the questionnaires again and were questioned about their genital sensibility and ejaculatory reflex persistence. Postoperative complications were reported according to the Clavien-Dindo classification. Statistical analysis was performed by two-tailed test: Student t-test and chi-square.Results: Among the 41 patients enrolled, 12 underwent WLE (29.2%), 23 glansectomy with urethral glanduloplasty (56%) and 6 with penile partial amputation (14.6%). A decrease in postoperative IIEF was recorded in both groups, but was statistically significant only in Group B (p = 0.003). As for the SEP, while no significant changes were recorded postoperatively in Group A, a marked reduction was reported for Group B, with a statistically significant decrease in the possibility of achieving penetrative intercourse (p = 0.006) and in the perceived satisfaction during sexual activity (p = 0.004).Conclusions: WLE lead to better sexual outcomes and less postoperative complications as compared to glansectomy with urethral glanduloplasty.

scholarly journals Sexual dysfunctions after transurethral resection of the prostate (TURP): evidence from a retrospective study on 264 patients

2015 ◽  
Vol 87 (1) ◽  
pp. 8 ◽  
Author(s):  
Carlo Pavone ◽  
Daniela Abbadessa ◽  
Giovanna Scaduto ◽  
Giovanni Caruana ◽  
Cristina Scalici Gesolfo ◽  
...  
Keyword(s):  
Sexual Function ◽  
Sexual Activity ◽  
Transurethral Resection ◽  
Erectile Function ◽  
International Standards ◽  
Retrograde Ejaculation ◽  
Sexual Dysfunctions ◽  
Pathophysiological Mechanism ◽  
Sexually Active ◽  
The Impact

Objectives: Benign prostatic hyperplasia (BPH) and sexual dysfunctions are diseases with a high prevalence in aged men. Several studies have found a link between BPH and LUTS resulting from deterioration in sexual function in men aged 50 years and older for whom TURP is considered the gold standard. The impact of TURP on sexual functions still remain uncertain, nor is it clear what pathophysiological mechanism underlying the emergence of new episodes of Erectile Dysfunction (ED) following TURP in patients with normal sexual function before surgery, while retrograde ejaculation and ejaculate volume reduction represent a clear side effect; derived from BPH treatment. The aim of this study was to retrospectively evaluate the effects of transurethral resection of the prostate (TURP) on sexual function in patients operated in the period 2008-2012 at the Department of Urology of the University Hospital P. Giaccone, and at Villa Sofia-Cervello Hospital- Palermo. Secondary objective was to reconnect the sample data to interventional practice and international standards. Materials and methods: The retrospective longitudinal study was conducted on 264 of the 287 recruitable patients, aged between 50 and 85 years, suffering from BPH who underwent to TURP in the period 2008-2012. Telephone interviews were conducted and the International Index of Erectile Function (IIEF) was administered to assess sexual function. Patients enrolled were asked to respond to the test by referring at first to their sexual status in the period before surgery and subsequently to the state of their sexual function after treatment so as to obtain, for each patient, a pre- and post-TURP questionnaire in order to get comparisons that corresponding to reality and to avoid overestimation of the dysfunctional phenomenon. Results: In the pre-TURP, the 94.32% of the sample reported being sexually active, with good erectile function in 41.3% of cases, ED mild/moderate in 51.5% and complete ED in 1, 5% of cases; good libido in 62.9% of cases, lack of libido in 31.4% of cases and absent in 5.7% of cases (the latter data corresponded to patients not sexually active); to be sexually satisfied in 29.5% of cases, slightly dissatisfied in 11, 7% of cases, moderately in 35.3% of cases, dissatisfied and very dissatisfied in 23.5% of cases (of which 17.8% sexually active and 5.7% non-active).In the post-TURP 89.4% of the sample reported being sexually active, with good erectile function in 39.1% of cases, DE mild/moderate in 46.9% and complete DE in 4% of cases; good libido in 53.8% of cases, lack of libido in 33.7% of cases and absent in 13.5% of cases (including 1.9% of sexually active and 10.6% of non-active); to be sexually satisfied in 29.5% of cases, slightly dissatisfied in 9.5% of cases, moderately in 35.3% of cases, dissatisfied and very dissatisfied in 17.8% of cases (of which 14.8% sexually active and 10.6% inactive). Retrograde ejaculation was referred in 47.8% of those sexually active after TURP (42.8% if we consider the whole sample). Conclusions: TURP had no negative impact on erectile function in contrast to ejaculatory function. Of the109 patients with good erectile function in pre-TURP, 5.8% reported a worsening of erectile function after TURP. Among the 136 patients with ED moderate/mild pre-TURP 3.7% reported a worsening in the post-TURP, 16.2% reported an improvement, while 9.5% stopped any sexual activity. In 3.7% of the cases a complete ED was reported after TURP, while a decline of libido and sexual satisfaction was detected in all patients with worsening of sexual function. Retrograde ejaculation was observed in 48% of those sexually active after TURP. Particular attention has to be paid to the psychological aspects, bothbefore surgery and in the postoperative period, which may become an important factor in the decline of sexual activity.

Sexuality in women with Mayer-Rokitansky-Küster-Hauser syndrome

2021 ◽  
Vol 86 (3) ◽  
pp. 194-199
Author(s):  
Roman Chmel ◽  
◽  
Marta Nováčková ◽  
Nikoleta Chubanovová ◽  
Zlatko Pastor
Keyword(s):  
Sexual Function ◽  
Surgical Techniques ◽  
Functional Results ◽  
Objective Evaluation ◽  
Female Sexual Function Index ◽  
Sexual Life ◽  
Female Sexual Function ◽  
Function Index ◽  
Surgical Methods

Summary: Objective: Evaluation of the quality of sexual life of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) after neovagina creation using dilation and surgical techniques. Methods: Literature search of articles published in the years 2000–2021 using the databases Web of Science, Google Scholar and PubMed by key words: Mayer-Rokitansky-Küster-Hauser syndrome, neovagina, female sexuality and Female Sexual Function Index. We used a standardized international Female Sexual Function Index and other quantitative and qualitative parameters of sexual satisfaction to assess sexual function and overall satisfaction in women with neovagina. Results: It is possible to develop functional neovagina in women with MRKHS by either conservative or surgical techniques. The choice of the method used depends on the experience and skill of the surgeon, on the technical possibilities and equipment of the department, and on the anatomical predispositions and preferences of the patient. Satisfaction with sexual life also depends on the psychosexual maturity and sexual demands of both partners as well as on regular vaginal rehabilitation and quality of long-term psychological support. The functional results of dilation and surgical methods are comparable according to objective criteria. They only differ in individual aspects which correspond to the overall personality traits as well as to the character and quality of cohabitation. Conclusion: Women with MRKHS are primarily handicapped by coital insufficiency and inability to reproduce naturally. Creating a neovagina technically allows them to realize satisfactory coitus, but in most cases, they are still frustrated by the primary problem of „physical indisposition“ and complicated path to motherhood.

Neurofibroma of the penis: Case report

1997 ◽  
Vol 64 (4) ◽  
pp. 458-460
Author(s):  
M. De Marco ◽  
N. Angileri ◽  
M. Ferrera ◽  
G. Di Natale ◽  
G. Galfano
Keyword(s):  
Case Report ◽  
Sexual Activity ◽  
Clinical Picture ◽  
Negative Impact ◽  
Sexual Life ◽  
Sexual Relations ◽  
Corpora Cavernosa ◽  
Von Recklinghausen's Neurofibromatosis ◽  
Operation Results ◽  
Von Recklinghausen’S Neurofibromatosis

– The reported case concerns an unusual localisation of “Royal Tumour” connected with von Recklinghausen's neurofibromatosis. Surgery was necessary because of the increasing difficulty of the patient in having sexual relations due to the progressive swelling of the penile neoformation. The typical clinical picture, the integrity of the corpora cavernosa and the negative impact of the neoformation on the patient's sexual life all indicated the necessity for operation. Results were satisfactory both surgically and functionally/aesthetically and the patient regained normal sexual activity.

Nurses' and Midwives' Views on Approaches to Hymen Examination

2003 ◽  
Vol 10 (5) ◽  
pp. 485-496 ◽  
Author(s):  
Elif Gürsoy ◽  
Gülsen Vural
Keyword(s):  
Sexual Activity ◽  
Structural Changes ◽  
Sexual Life ◽  
Sexual Relations ◽  
Special Significance ◽  
Young Girls ◽  
The Social ◽  
Social Structural ◽  
Premarital Sexual ◽  
Nurses And Midwives

Premarital sexual relations are unacceptable for women within Turkish society's understanding and perception of honour. If there is any suspicion about virginity, young girls are forced to undergo hymen examination against their will, which frequently results in attemped suicide. The most frequent cause of suicide in young Turkish girls is hymen examination. Nurses and midwives are always involve in this procedure. The purpose of this study was to determine the views of and approaches to hymen examination by nurses and midwives. Of those who participated in this study, 80.2% had been present during a hymen examination, 40.4% indicated that virginity had a special significance in the society owing to social pressures, and 37.5% indicated that they agreed with the view that the idea of virginity puts restraints on a woman's sexual life, whereas sexual activity is a physiological need. They also indicated their opposition to hymen examination imposed without the individual's consent. They agreed that stopping this practice depended more on the social structural changes required than on legal measures.

scholarly journals Redheaded women are more sexually active than other women, but it is probably due to their suitors

2021 ◽  
Author(s):  
Kateřina Sýkorová ◽  
Vojtěch Fiala ◽  
Jana Hlaváčová ◽  
Šárka Kaňková ◽  
Jaroslav Flegr
Keyword(s):  
Sexual Activity ◽  
Sexual Behaviour ◽  
Sexual Desire ◽  
Structural Equation ◽  
Life History Strategy ◽  
Sexual Partners ◽  
Sexual Life ◽  
Hair Colour ◽  
Red Hair ◽  
Using Data

Women with red hair colour, i.e., 1–9% of female Europeans, tend to be the subject of various stereotypes about their sexually liberated behaviour. The aim of the present case-control study was to explore whether a connection between red hair colour and sexual behaviour really exists using data from 110 women (34% redheaded) and 93 men (22% redheaded). Redheadedness in women, but not in men, correlated with various traits related to sexual life, namely with higher sexual desire as measured by Revised Sociosexual Orientation Inventory, with higher sexual activity and more sexual partners of the preferred gender over the past year, earlier initiation of sexual life, and higher sexual submissiveness. Structural equation modelling, however, showed that sexual desire of redheaded women meditated neither their higher sexual activity nor most of the variability of having more sexual partners. These results indicate that the apparently more liberated sexual behaviour in redheaded women could be the consequence of frequent attempts of potential mates to have sex with redheaded women. Other hypotheses, based on different physiology, faster life history strategy, or altered self-perception of red-haired women induced by stereotypes about them, were also tested and discussed.

Sexuality and Ageing

1986 ◽  
Vol 6 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Ole J. Thienhaus ◽  
Elizabeth A. Conter ◽  
H. Bruce Bosmann
Keyword(s):  
Sexual Function ◽  
Sexual Activity ◽  
Old Age ◽  
Social Factors ◽  
Erectile Function ◽  
Demographic Factors ◽  
The Elderly ◽  
Physiological Changes ◽  
Vaginal Tissue ◽  
Physiological Conditions

ABSTRACTAgeing itself abolishes neither the need nor the capacity for sexual activity. A number of studies confirm the continuance of sexual activity in old age. Normal physiological changes with age affect erectile function and ejaculation in males, and the vaginal tissue in females. Psychological and social factors that affect sexual function in old age include the individual's degree of sexual activity throughout earlier life, the psychological resiliency in adapting to the altered physiological conditions, demographic factors, and society's attitudes towards sex in old age. Furthermore, pathologies that are more prevalent among the elderly can interfere with sexual function.

Sexual Behaviour in the City of Lisbon

1995 ◽  
Vol 6 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Fausto Amaro ◽  
Ana M. Dantas ◽  
Louise da Cunha Teles
Keyword(s):  
Young People ◽  
Sexual Behaviour ◽  
Significant Risk ◽  
Sexual Partners ◽  
Sexual Life ◽  
Sexual Relations ◽  
Significant Discrepancy ◽  
Men And Women ◽  
Risk Of Exposure ◽  
The City

This study of sexual behaviour in the city of Lisbon is based on data obtained from 2 random samples, one of individuals aged 16–20 ( n = 400) and another of individuals over the age of 20 ( n = 400). Samples have been stratified by district, gender and age. Data were obtained by personal interview and by questionnaires completed confidentially by the interviewees. The data include the age of first sexual intercourse, the number of sexual partners, the prevalence of casual relations and the type of sexual practices according to sex and age group. Results show that despite the high risk of exposure to HIV in a significant percentage of the population, AIDS is seen as a personal threat by only 20% of the population. Six per cent of the adults (aged 21 and over) and 12% of the young people (16–20) replied that they had not yet considered the problem; 73.5% of the adults and 67.4% of the young people stated that they did not feel threatened by the disease. Data suggest that the differences between men and women have decreased. Among the sexually active population, only 12% of individuals under 21 and 8% of the adults use condoms regularly. The awareness of infidelity among couples is much lower than in reality. A significant discrepancy was found between the ‘awareness' and ‘reported reality’ for men and women who carry on casual extramarital relations: 14.9% of the women were convinced that their husbands or companions are unfaithful; 27.7% of the men reported they had been unfaithful in the years preceding the study; 3.7% of the men believed their wives had been unfaithful, whereas 8.9% of the women admitted to having been unfaithful over the same period. Data on sexual initiation reveal that contrary to young people (3.5%), 25.0% of the men over 20 begin their sexual life by resorting to prostitutes. At least one of the following behaviours can be attributed to two-thirds of the adults (21 and over) in the year preceding the study; extramarital relations; 2 or more sexual partners; did not use condoms; sexual relations with prosititutes, sexual relations with people whose sexual past they did not know. In conclusion, our study illustrates that the pattern of sexual behaviour in this population is associated to a significant risk of exposure to HIV and that a marked unawareness of such risk prevails. The differences in sexual behaviour patterns between men and women and between young and older people are important to formulate appropriate educational programmes.

Sign in / Sign up

Export Citation Format

Share Document