scholarly journals Testicular prosthesis: Patient satisfaction and sexual dysfunctions in testis cancer survivors

2016 ◽  
Vol 88 (3) ◽  
pp. 186 ◽  
Author(s):  
Francesco Catanzariti ◽  
Benedetta Polito ◽  
Massimo Polito

Purpose: We studied patient satisfaction about sexual activity after prosthesis implantation using validated questionnaires with the aim to discover if testicular prosthesis could be responsible of sexual dysfunctions (erectile dysfunction or premature ejaculation). Materials and Methods: We evaluated a total of 67 men who underwent radical orchiectomy for testicular cancer and a silicon testicular prosthesis implantation from January 2008 to June 2014 at our Hospital. These patients completed 5 validated questionnaires the day before orchiectomy and 6 months after surgery: the International Index of Erectile Function 5 (IIEF5), the Premature Ejaculation Diagnostic Tool (PEDT), the Body Exposure during Sexual Activities Questionnaire (BESAQ), the Body-Esteem Scale and the Rosenberg Self- Esteem Scale. We also evaluated 6 months after surgery any defects of the prosthesis complained by the patients. Results: The questionnaires completed by patients didn’t show statistically significant changes for erectile dysfunction (p > 0.05) and premature ejaculation (p > 0.05). On the contrary the psychological questionnaires showed statistically significant change for the BESAQ (p < 0.001) and the Body Esteem Scale (p < 0.001), but not for the Rosenberg Self-Esteem Scale (p > 0,05). A total of 15 patients (22.37%) were dissatisfied about the prosthesis: the most frequent complaint (8 patients; 11.94%) was that the prosthesis was firmer than the normal testis. Conclusions: Testicular prosthesis implantation is a safe surgical procedure that should be always proposed before orchiectomy for cancer of the testis. The defects complained by patients with testicular prosthesis are few, they don’t influence sexual activity and they aren’t able to cause erectile dysfunction or premature ejaculation.

Author(s):  
Martina Pintea-Trifu

Erectile dysfunction (ED) and premature ejaculation (PE) are among the most common male sexual dysfunctions. Meta-analytical studies and systematic reviews describe the frequently comorbid appearance of these two pathologies, being correlated with less favorable experiences with young females. People affected by these pathologies are more likely to have anxiety or depression and have a lower prevalence of organic comorbidities such as diabetes, high blood pressure or dyslipidemia (1,2).


2019 ◽  
Vol 26 (8) ◽  
pp. 838-850
Author(s):  
Suzanne L. Osman ◽  
Carolyne Paige Merwin

We examined body-esteem and self-esteem based on rape experience, rape labeling status (yes; no) and recency of rape (recently, within past year; earlier, between age 14 and the past year). Undergraduate women ( n = 1,005) completed the Body-Esteem Scale, Rosenberg Self-Esteem Scale, and Sexual Experiences Survey. Women raped within the past year (recently) reported lower levels of both body-esteem and self-esteem than those raped over a year ago (earlier) and nonvictims, but women raped earlier did not differ from nonvictims. Rape labeling status was not significant. Findings identify lower body-esteem, in addition to lower self-esteem, as correlates of recent rape.


1997 ◽  
Vol 80 (1) ◽  
pp. 347-350 ◽  
Author(s):  
Kelly Kulkoski ◽  
Catherine Kilian

Past studies indicate that sexual assault is negatively associated with victims' general self-esteem, but little is known about how the experience affects body esteem. We hypothesized that sexual assault would have a long-term negative association with measures of both general self-esteem and body esteem. Participants were 76 women, ages 18 to 45 years, 13 of whom had been sexually assaulted at least one year previously. Analysis supported the hypothesis that the sexually assaulted women scored lower than nonassaulted women on Rosenberg's Self-esteem Scale but not on the Body Esteem Scale. When individual body-attitude items were analyzed, the assaulted women's negative ratings of sexual activities fell just short of significance, so further and longitudinal study of a larger group is needed.


Author(s):  
Keesha Ewers

This chapter summarizes the essential principles and approach of India’s traditional medicine, Ayurveda, to healing sexual problems. In Ayurveda there is no one-size-fits-all solution; rather, it defines constitutional types (doshas) according to the balance of elements and gives guidelines for sexual activity for each dosha. Health is said to begin with digestion, and Ayurveda offers a nuanced theory of how digestion may create either toxins (ama) or life force (ojas). Ojas is the basis of cellular reproduction, vitality, and sexual health. This chapter also offers gender- and dosha-specific herbal prescriptions for treating such sexual problems as low libido, premature ejaculation, vaginal dryness, erectile dysfunction, and anorgasmia.


1982 ◽  
Vol 54 (3) ◽  
pp. 899-905 ◽  
Author(s):  
Beverley Katz Mendelson ◽  
Donna Romano White

36 elementary school children (20 subjects were below and 16 subjects above 15% overweight) completed a self-esteem and body-esteem questionnaire. The Body-esteem Scale was reliable and suitable for children as young as 7 yr. Body-esteem shared a significant amount of variance with self-esteem and percentage overweight. Although body-esteem and relative weight were correlated, self-esteem and relative weight were not significantly related. Furthermore, body-esteem and self-esteem were not differentially related for 20 normals versus 16 obese children in this sample.


2013 ◽  
Vol 59 (1) ◽  
pp. 57-61
Author(s):  
A L Vertkin ◽  
L Iu Morgunov

Erectile dysfincion is a complicated pathology having negative influence on the man's self-esteem, the quality of sexual satisfaction, interpersonal relationships, and the quality of life at large. An innovative formulation of Levitra ODT has been developed that enables men to more effectively control their sexual activity. The new preparation ensures the maximum comfortable intake and high functional effectiveness.


2019 ◽  
Vol 13 (2) ◽  
pp. 29-34
Author(s):  
Alicja Głębocka ◽  
Magdalena Rudlicka ◽  
Grzegorz Kulik

Background: Research on the consequences of fear of death often consists of classical investigations within the sphere of social psychology. However, the aspect of body image regarding this issue remains largely unexplored. Aim of the study: The goal of the conducted experiment was to examine the mechanisms reducing the fear of death. The respondents had two options to choose from: (1) increasing self-esteem in terms of physical attractiveness, or (2) lowering the rating of the body image presented in the photographs. Material and methods: The study was conducted using the following tests: (1) the Memory Test, developed by Łukaszewski and Buczny; (2) the Body-Esteem Scale (BE S), developed by Franzoi and Shields; (3) the UMACL Mood Adjective Checklist, developed by Mathews, Chamberlain, and Jones; and (4) the Body Shape Attractiveness Questionnaire. In this report, we present results of an analysis of 221 respondents (108 women and 113 men). Results: Death-related thoughts influence the perception of female body attractiveness. Respondents with awareness of mortality salience rated the attractiveness of body shape as lower than respondents from the control group. Conclusions: The present experiment confirmed the influence of fear of death on the evaluation of cultural and biological standards of female physical attractiveness, as well as, the hesitation of participants’ self-esteem and mood related to sex. The lack of critical evaluation of others and a positive self-evaluation effectively protects an individual against mood deterioration, and these effects were observed among men. However, these mechanisms do not apply to women, since women reacted critically to both body shapes in the photographs and their own bodies.


2019 ◽  
Vol 01 (03) ◽  
pp. 126-130
Author(s):  
Thanh Tam Thi Ho ◽  
Minh Tam Le ◽  
Quang Vinh Truong ◽  
Vu Quoc Huy Nguyen ◽  
Ngoc Thanh Cao

Objectives: The frequency of, and relationship between, the various manifestations of male sexual dysfunction in infertile couples have been poorly investigated, especially in Vietnam. Our study aims to assess the prevalence of premature ejaculation and erectile dysfunction in infertile couples using validated instruments, and the relationship between these disorders. Method: Cross-sectional descriptive study, using validated questionnaires including the Premature Ejaculation Diagnostic Tool (PEDT) and the International Index of Erectile Function-15 (IIEF-15), to measure the incidence of these problems in 255 male partners of infertile couples who were examined from January through December 2017, at the Center for Reproductive Endocrinology & Infertility, Hue University Hospital. Results: The prevalence of overt premature ejaculation was 4.7%, probable premature ejaculation was 7.1%, and erectile dysfunction was 26.3% (mild: 19.3%, mild-to-moderate: 3.9%, moderate: 2.7%, and severe: 0.4%). The PEDT total score was negatively correlated to IIEF-15-EFD and IIEF-15 total scores (r [Formula: see text]0.322 and r [Formula: see text]0.348, respectively). Conclusions:In light of the identified prevalence of premature ejaculation and erectile dysfunction in the studied population, screening for these conditions should be included in the evaluation of infertile couples. These two disorders could negatively reciprocal effect on each other.


2014 ◽  
Vol 86 (3) ◽  
pp. 193
Author(s):  
Onder Canguven ◽  
Raidh A. Talib ◽  
Ahmed Shamsodini ◽  
Abdulla Al Ansari

Objectives: Penile prosthesis implantation is the final treatment option for patients who have erectile dysfunction. Most of the patients use their penile prosthesis successfully and frequently for penile-vaginal intercourse. Previous literature showed that decrease in sexual activity resulted in decreased serum testosterone levels and vice versa. The aim of this study was to examine the impact of sexual activity on serum sex hormone levels after penile prosthesis usage. Material and methods: In this study, we examined sixtyseven patients for their sex hormone changes who had penile prosthesis surgery 2.7 ± 1.5 years ago. Results: Patients were using their penile prosthesis for sexual activity with a mean of 9.9 ± 5.7 times per month. Dehydroepiandrosterone sulfate was significantly higher compared to pre-surgery results (5.3 ± 2.6 vs 4.5 ± 2.9; p = 0.031). Mean serum total testosterone levels of patients before and after penile prosthesis usage were clinically significant 15.78 ± 4.8 nmol/L and 16.5 ± 6.1 nmol/L, respectively. Mean serum luteinizing hormone levels of patients before and after penile prosthesis usage were 3.98 ± 2.16 IU/L and 5.47 ± 4.76 IU/L, respectively. No statistical significance difference was observed in the mean total and free testosterone, estradiol and luteinizing hormone levels between pre- and post-surgery. Conclusion: This study results demonstrated that sexual activity changed sex hormone levels positively among those men who were implanted penile prosthesis because of erectile dysfunction.


2016 ◽  
Vol 23 (06) ◽  
pp. 646-654
Author(s):  
Muhammad Umar Khan ◽  
Muhammad Tanveer Alam ◽  
Darshan Kumar ◽  
Muhammad Adnan ◽  
Muhammad Adnan ◽  
...  

Objectives: To determine the frequency of different types of self-reported sexualdysfunction among male type 2 diabetic patients attending diabetic clinics of National Instituteof Diabetes & Endocrinology (NIDE) at Karachi, Pakistan. Study Design: Descriptive crosssectional.Place and Duration of Study: National Institute of Diabetes & Endocrinology at DowUniversity Hospital, Ojha Campus, Karachi. From August 2014 to January 2015. Methodology:This study was conducted at diabetic clinics of NIDE at Karachi from August 2014 to January2015. Type 2 diabetic males with self-reported complaints of sexual dysfunction were selectedby non-probability convenient sampling after obtaining well informed consent. Inclusioncriteria was married type 2 diabetic males of age between 35 to 65 years with at least fiveyears duration of type 2 diabetes, taking oral hypoglycemic agents, HbA1c levels between6.5% to 9.4% and living in a stable relation with a female partner for at least one year. Patient’sdemographic, anthropometric, biochemical parameters and sexual history was recorded onpre-designed questionnaire. Arizona Sexual Experience Scale and Diagnostic and StatisticalManual of Mental Disorder-5th edition were used for quantification of sexual dysfunction. Datawas analyzed by SPSS-18, to compute mean ± SD, frequencies and percentages. P-value of<0.05 was taken significant. Results: 95 Patients Type 2 diabetic male patients were recruited;who attended diabetic clinics of NIDE with different types of SD complaints. The mean ageof patients was 53.92 ± 8.17 years with 11.59 ± 3.52 years mean duration of type 2 diabetesmellitus. 81% patients had HbA1c levels of more than 7.4% and overweight patients were52.6%. 77.9% of patients were non-smokers. According to ASEX scale, 100% participantshad clinically significant sexual dysfunction with mean score 17 ± 2.3. 58 patients had singlesexual dysfunction and among them 26.3% had erectile dysfunction, while 36 patients haddouble sexual dysfunctions and among them 20% had combination of erectile dysfunction andpremature ejaculation. Data analysis showed no significant differences in age, duration of type2 diabetes mellitus, HbA1c levels and BMI with participant’s sub-groups having single, doubleand triple sexual dysfunctions. Erectile dysfunction was the most common sexual dysfunctionself-reported by 64.2% patients either as a sole complaint or in combination with other typesof sexual dysfunction, premature ejaculation was reported by 38.9% participants, hypoactivesexual desire disorder was found in 22.1% patients while the least common sexual dysfunctionreported was delayed ejaculation by 14.7% participants. Conclusion: The combination oferectile dysfunction and premature ejaculation is most frequent, followed by the combinationof erectile dysfunction and hypoactive sexual desire disorder. All diabetic men should be askedcarefully about the probable existence of any variety of sexual dysfunctions during their medicalevaluation.


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