ORGASMIC DYSFUNCTION IN MEN

В современной сексологии в последние десятилетия большое внимание стало уделяться аноргазмии у женщин. Действительно, оргазмическая дисфункция чаще наблюдается у женщин, чем у мужчин. Но оргазмическая дисфункция у мужчин – не менее важная клиническая проблема.

The Prevalence and the Use of the Questionnaire’s Related to the Neglected Sexual Side Effects After Prostate Cancer Treatment: A Scoping Review of the Literature

Background: Early prostate cancer (PCa) treatment interventions may leave men with debilitating sexual side effects. These side effects may remain permanent, often undiagnosed, and undermanaged. The objective of this study was to map the evidence pertaining to the prevalence, and use of questionnaires, related to the neglected sexual side effects (NSSE) after PCa treatment consisting of radical prostatectomy (RP) surgery or radiation treatment (RT).Methods: This systematic scoping review’s search strategy involved the search of PubMed, Science Direct, and Google Scholar databases. Following title searching, two-independent reviewers conducted screening of abstracts and full articles. The screenings were guided by the eligibility criteria. Data were extracted from the included studies and the emerging themes were analysed. The review team analysed the implications of the findings in relation to the research question and aims of the study. The Mixed Method Appraisal Tool was employed for quality appraisal of included studies.Discussion: Twenty-three studies about the prevalence and questionnaire use for NSSE after early PCa treatment were included. Two studies investigated most of the collective group of NSSE’s, and all the other studies mostly looked at a single NSSE. No single validated questionnaire was found that investigates the NSSE after early PCa treatment. Most studies incorporated some aspects of other questionnaires. Two studies used non-validated questionnaires that picked up on the majority of the collective group of NSSE.Conclusion: NSSEs are prevalent in men after RP and RT. Peyronie’s Disease, orgasmic Dysfunction and Penile Length Shortening are all similarly prevalent after RP and RT. Anejaculation was only found to be prevalent after RT*. Orgasm associated incontinence resulted from RP and RT, but the prevalence in RP patients was 6 times that of RT patients. Study participants felt inadequately informed about possible sexual side effects caused by their treatment choices. Questionnaires are effective at detecting NSSE after PCa treatment, but there is no valid and reliable questionnaire currently available to detect all the collective NSSE after PCa treatment. There is a scope to develop a validated and reliable PCa NSSE questionnaire. The NSSE questionnaire must be quick, straightforward, and effective.

Determinants of Sexual Functionality Among Men Who Utilize Sex Enhancing Drugs

This paper is based on the findings of a study carried out on the determinants of sexual functionality among men who utilize sex enhancing drugs (SEDs). The study was submitted as a thesis in partial fulfillment for the award of a degree of Master of Public Health Maseno University in the year 2019. The research design was cross sectional. Data for this study was collected using socio-demographic and International Index for Erectile Function (IIEF) questionnaires from a sample of 67 men above the age of 18 who were sampled purposively. The results from descriptive analysis indicated that 55% of the study participants are aged between 30 and 49 years, 64% are educated to secondary school and above, 68% have an occupation, 71% are non-smokers, 40% ride a bicycle, 91% are physically active and 30% have co-morbidity. On sexual functionality, 95% have some level of erectile dysfunction, at 85% a similar number have varying levels of orgasmic dysfunction and sexual desire. 98% have some level of intercourse dysfunction. The study demonstrate that the determinants of sexual functionality include age, marital status, education, alcohol consumption, bicycle riding, physical activity and co-morbidity. The study identifies socio-demographic factors, lifestyle and co-morbidity as risk factors to sexual functionality. It recommends that sexual functionality be given deserving public health attention.