scholarly journals The impact of orthotopic reconstruction on female sexuality and quality of life after radical cystectomy for non-malignant bladder conditions

2021 ◽  
Vol 93 (3) ◽  
pp. 255-261
Author(s):  
Chiara Borghi ◽  
Margherita Manservigi ◽  
Elena Sofia Milandri ◽  
Carmelo Ippolito ◽  
Pantaleo Greco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Cystectomy ◽  
Sexual Life ◽  
Surgical Reconstruction ◽  
Female Population ◽  
Reconstructive Procedures ◽  
Female Quality ◽  
Pubmed Database ◽  
The Impact

Objective: To review the literature on the impact on female quality of life and sexual function of orthotopic reconstruction after radical cystectomy for non-malignant bladder conditions. Radical cystectomy is commonly required to treat malignant conditions but may also be considered for the treatment of non-malignant diseases. These heterogeneous group of disorders includes interstitial cystitis, painful bladder syndrome, neurogenic bladder, haemorrhagic/ radiation cystitis, endometriosis and refractory genitourinary fistula. Treatment begins with non-invasive medical therapies but, in non-responder cases, a surgical solution should be considered. Such invasive techniques include urinary diversion and reconstructive procedures that have an impact on healthrelated quality of life, physical, social, and mental status. Materials and methods: This narrative review research was done using the PubMed database up until 2020, July. All papers referring to cystectomy for benign indication were considered. Results: In comparison to other reconstructive options, orthotopic neobladder allows the restoration of a normal self-image and consequently it is the most suitable procedure when a surgical reconstruction is necessary for non-malignant conditions. However, women can face many disorders that impact on everyday life, such as voiding dysfunction or sexual activity problems. Conclusions: Scant data is available about quality of life, sexual life and self-perception in women treated by cystectomy for benign conditions and most literature is dedicated to those indicators in cancer patients. More research is needed to understand the tolerability and the quality of life results of the female population affected by benign conditions undergoing this kind of surgical approach.

Quality of Life in People Living With HIV: An Exploratory Cross-Sectional Survey in Belgium

2021 ◽  
Vol 33 (3) ◽  
pp. 249-264
Author(s):  
Gert Scheerder ◽  
Sandra Van den Eynde ◽  
Patrick Reyntiens ◽  
Ria Koeck ◽  
Jessika Deblonde ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Sexual Life ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Related Stigma ◽  
Living With Hiv ◽  
The Impact

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.

scholarly journals The Burden of Endometriosis on Women’s Lifespan: A Narrative Overview on Quality of Life and Psychosocial Wellbeing

2020 ◽  
Vol 17 (13) ◽  
pp. 4683 ◽  
Author(s):  
Luigi Della Corte ◽  
Claudia Di Filippo ◽  
Olimpia Gabrielli ◽  
Sabrina Reppuccia ◽  
Valentina Lucia La Rosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Relationships ◽  
Health Resources ◽  
Chronic Inflammatory Disease ◽  
Reproductive Age ◽  
Sexual Life ◽  
Women's Lives ◽  
Pain Symptoms ◽  
The Impact

Endometriosis is a chronic, inflammatory disease affecting more than 170 million women worldwide and up to 10% of women of reproductive age. As a consequence of inflammatory reaction and infiltration of anatomic structures, endometriosis can cause “pain symptoms” including dysmenorrhea, dyspareunia, dyschezia, dysuria, and chronic pelvic pain. In this review, we summarized the impact of endometriosis on quality of life in all its aspects including sexual life, work, and social relationships. The data research was conducted using web-based search engines and/or various electronic research databases querying for all articles related to endometriosis and quality of life from the inception of the database up to February 2020. Endometriosis has not only physical but also psychological effects, causing depression, anxiety, and compromising social relationships. Furthermore, endometriosis negatively impacts sexual life and social relationships. At last, the economic burden of endometriosis should not be underestimated, both individually and for the community, as this pathology leads to a loss of productivity at work and large use of health resources. Thus, endometriosis-related symptoms control women’s lives compromising the quality of life in all aspects. In this review, we summarized the impact of endometriosis on various aspects of women’s lives.

scholarly journals COPD burden on sexual well-being

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Zysman ◽  
J. Rubenstein ◽  
F. Le Guillou ◽  
R. M. H. Colson ◽  
C. Pochulu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Dysfunction ◽  
Sexual Activity ◽  
Sexual Experience ◽  
Well Being ◽  
Sexual Life ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
The Impact

Abstract Background Sexual function is often affected in patients suffering from chronic diseases especially chronic obstructive pulmonary disease (COPD). However, the effect of COPD on sexual satisfaction is underappreciated in clinical practice. The aim of this study is to evaluate the impact of COPD on patient’s sexuality and the explanatory variables of sexual dissatisfaction. Methods Questionnaires were emailed to participants and they submitted their responses on the Santé Respiratoire France website. Data about sexual well-being (Arizona Sexual Experience Scale, ASEX), Quality of life (VQ11), anxiety, depression (Hospitalized anxiety and depression, HAD) and self-declared COPD grade were collected. Results Seven hundred and fifty one subjects were included and were characterized as follows: women—51%, mean age—61 years, in a couple—62% and 70%—retired. Every grade of COPD was represented. Out of 751 participants, 301 participants (40%) had no sexual activity and 450 (60%) had sexual activity. From the 450 participants, 60% needed to change their sexual life because of their disease (rhythm, frequency and position). Subjects often used medications to improve sexual performance (43% used short-acting bronchodilator and 13% -specific erectile dysfunction drugs). ASEX questionnaire confirmed patients’ dissatisfaction (diminution of sexual appetite for 68% and sexual desire for 60%) because of breathlessness and fatigue. Eighty one percent of the responders had an altered quality of life (VQ11 mean score 35) and frequent suspected anxiety or depression (HAD mean score 10.8). Ninety percent declared that sexual dysfunction had never been discussed by their doctors, while 36% of patients would have preferred to undergo a specialized consultation. Conclusion Sexual dysfunction is frequent among COPD patients and leads to an altered well-being, however being a cultural taboo, it remains frequently neglected. Sexual guidance should be a part of patient’s consultations improve quality of sexual life.

The Impact of Reconstructive Procedures Following Bariatric Surgery on Patient Well-being and Quality of Life

2009 ◽  
Vol 20 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Eva S. J. van der Beek ◽  
Wouter te Riele ◽  
Tom F. Specken ◽  
Djamila Boerma ◽  
Bert van Ramshorst
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Well Being ◽  
Reconstructive Procedures ◽  
The Impact

scholarly journals Psychological well-being in people with multiple sclerosis: a descriptive review of the effects obtained with mindfulness interventions

2021 ◽  
Author(s):  
Di Cara Marcella ◽  
Grezzo Denise ◽  
Palmeri Rosanna ◽  
Lo Buono Viviana ◽  
Cartella Emanuele ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Psychological Symptoms ◽  
Positive Impact ◽  
Well Being ◽  
Psychological Well Being ◽  
Pubmed Database ◽  
Mindfulness Interventions ◽  
The Impact

Abstract Multiple sclerosis is a neuroinflammatory and neurodegenerative disease causing several psychosocial problems that significantly impairs quality of life. The most common physical and mental symptoms are anxiety, depression, stress, fatigue, and pain. Several studies investigated the effectiveness of non-pharmacological approaches in improving psychological well-being. This review focused on the impact of mindfulness interventions in patients with multiple sclerosis to reduce psychopathological symptoms and improve well-being. We searched on PubMed database and screening references of included studies and review articles for additional citations. From initial 107 studies, only 8 met search criteria. Our studies showed the efficacy of mindfulness treatment with a reduction in depressive symptoms, a better quality of life (both mental and physical), and a decreased level of fatigue. Findings demonstrated that mindfulness is useful for the improvement of psychological symptoms and pain management and this improvement has also been shown to have a positive impact on the quality of life and coping and adaptation strategies. However, according to the poor available clinics evidence, on cannot conclude that mindfulness interventions are superior to other active interventions in the treatment of psychological symptoms of SM.

Effects of combined oral contraceptives on the sexuality and quality of life of women

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 66-70
Author(s):  
Rushanya I Gabidullina ◽  
Elvira I Galimyanova ◽  
Rufat R Bagirli ◽  
Anastasiya M Sharapova
Keyword(s):  
Quality Of Life ◽  
Oral Contraceptives ◽  
Sexual Desire ◽  
Control Method ◽  
Sexual Interest ◽  
Sexual Life ◽  
Cochrane Library ◽  
High Concentration ◽  
The Impact

Aim. Examine the impact of combined oral contraceptive on sexuality and the quality of women’s life. Materials and methods. The article presents a review of Electronic literature databases MEDLINE, PubMed, EMBASE, Cochrane Library and Elibrary. Results. Since its first introduction in the 1960s, hormonal contraception has been widely used as a highly effective birth control method. However, the hormonal components of oral contraceptives affect the neuroendocrine system of women, exerting various effects on mood, libido, on sexuality and quality of life in general. Based on literature data the effect of contraception on sexuality, the physiological and emotional state of women are various. It is known that the hormonal supplementation of sexual desire is associated with ovarian hormones. At the same time, a high concentration of estrogen and testosterone receptors has been determined in the hypothalamus, which controls sexual function and mood. The mechanisms to implement the effects of androgen and progesterone on sexual desire are ambiguous. It was found a positive relationship between a sexual interest, sexual response, sexual fantasy, frequency of sexual intercourse and a testosterone level. At the same time, it is known that estradiol can increase the ability of women to orgasmic response and sexual satisfaction by acting on specific brain structures. Conclusion. The effect of contraception on women’s sexual life is an important factor when choosing a method of contraception and an integral part in the obstetrician-gynecologist’s practice, which requires further research in this direction.

Quality of Life in Patients with Stoma

2021 ◽  
Vol 17 (3) ◽  
pp. 255-259
Author(s):  
Abeer Irshad ◽  
Muhammad Fahim Ahsan ◽  
Mumtaz Ahmed Khan ◽  
Isbah Rasheed ◽  
Muhammad Asif
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Demographic Data ◽  
Tertiary Care ◽  
Bed Rest ◽  
Sexual Life ◽  
Care Hospital ◽  
Stoma Formation ◽  
The Impact

Objective: To determine the quality of life of patients with stoma at tertiary care Hospital. Methodology: This prospective study has been conducted at the general surgery department, Pakistan Institute of Medical Sciences hospital Islamabad (PIMS). The study was conducted from September 2019 to February 2020. All the patients having age more than 12 years, underwent intestinal stoma formation and either gender were included for study. Patients were interviewed regarding their routine activities after stoma and the impact of it on their social life including working status, sexual activities and life satisfaction. All the information of patients including demographic data was documented via self-derived proforma. Analysis of data was done by SPSS version 20. Results: Total 46 patients were studied having a stoma and were interviewed regarding their quality of life. The patient's mean age was 44.93+6.78 years. Out of all 34.8% were working currently and rest of the patients were still on bed rest.  34.8% were satisfied with sexual life. 71.7% were depressed after stoma surgery and 52.2% were hopeful about their future. 63% were socialised with peoples as before, 58.7% replied that stoma has affected their recreational activities and 52.2% answered that they can’t travel in any way. However according to overall satisfaction, 32.6% of patients were disagreeing, 34.8% were agreeing and 30.4% were undecided. Conclusion: It was concluded that almost half of the patients were satisfied and they are performing social and daily life activities however almost half of the patients needed psychological, financial, and relative support. Key words: Stoma, Quality of life

scholarly journals Promoting quality of life: impact evaluation of the program “Strength for a healthy life”

2009 ◽  
Vol 2 (1) ◽  
pp. 24-34
Author(s):  
Javiera Falcone Castillo ◽  
Borja Castro Serrano ◽  
Paula Serrano Pérez ◽  
Valeria Ortiz Ramírez ◽  
Magdalena Toral Chaignea
Keyword(s):  
Quality Of Life ◽  
Low Income ◽  
Impact Evaluation ◽  
Longitudinal Design ◽  
Healthy Life ◽  
Female Population ◽  
Life Impact ◽  
The Difference ◽  
The Impact

In the female population, depression and anxiety are two of the most common health problems. In addition, worry, irritability and fatigue are symptoms by which women commonly seek consultation at health centers. If to this scenario we add living in poverty, the situation is intensified. This is why we see with more frequent studies that show the difference between men and women when they experience these kind of situations. This study aims at observing the relationship between quality of life, poverty, and the Program: Strength for a Healthy Life (PSFHL). This program promotes the development of cognitive and emotional capacities to strengthen the lives of low-income women (the average household income is of $444.00 dollars). The impact evaluation is descriptive, with a non-experimental and longitudinal design. Results show that the PSFHL has a significant impact that prevails through time, that women increase their quality of life, and that they decrease their symptoms.

scholarly journals Depression after Subarachnoid Hemorrhage: A Systematic Review

2020 ◽  
Vol 22 (1) ◽  
pp. 11-28 ◽  
Author(s):  
Wai Kwong Tang ◽  
Lisha Wang ◽  
George Kwok Chu Wong ◽  
Gabor S. Ungvari ◽  
Fumihiko Yasuno ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Subarachnoid Hemorrhage ◽  
Time Course ◽  
Coping Styles ◽  
Pubmed Database ◽  
Traumatic Subarachnoid Hemorrhage ◽  
And Coping ◽  
The Impact

Background and Purpose Depression is common and debilitating illness accompanying many neurological disorders including non-traumatic subarachnoid hemorrhage (SAH). The aim of this systematic review was to identify and critically appraise all published studies that have reported the frequency, severity and time course of depression after SAH, the factors associated with its development and the impact of depression on patients’ quality of life after SAH.Methods The PubMed database was searched for studies published in English that recruited at least 40 patients (>18 years old) after SAH who were also diagnosed with depression.Results Altogether 55 studies covering 6,327 patients met study entry criteria. The frequency of depression ranged from 0% to 61.7%, with a weighted proportion of 28.1%. Depression remained common even several years after the index SAH. Depression after SAH was associated with female sex, premorbid depression, anxiety, substance use disorders or any psychiatric disorders, and coping styles. Comorbid cognitive impairment, fatigue, and physical disability also increased the risk of depression. Aneurysmal SAH and infarction may be related to depression as well. Depression reduces the quality of life and life satisfaction in patients after SAH.Conclusions Depression is common after SAH and seems to persist. Further research is needed to clarify its time course and identify the neuroendocrine and neurochemical factors and brain circuits associated with the development of post-SAH depression. Randomized controlled treatment trials targeting SAH-related depression are warranted.

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