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Sexual activity and the cardiovascular patient: guidelines.

Modern cardiac rehabilitation is a comprehensive program of secondary prevention for patients with heart disease. Moreover, it is an important context in which to broach issues of impaired sexual function. Sexual problems plague a large portion of our cardiac patient population. Unspoken+ concerns about impotence, now more correctly called erectile dysfunction (ED), are common, as are concerns about the safety of engaging in sexual activity, especially after major cardiac events or therapeutic interventions. A large proportion of patients do not return to normal sexual activity after a cardiac…

Sexual dysfunction and clomipramine.

Three cases of orgasmic inhibition by clomipramine are reported, one in a male and two in females. All were depressed patients with obsessive-compulsive features. Orgasmic dysfunction manifested shortly after beginning clomipramine therapy despite a return of libido as the depression lifted. Two of these patients switched to desipramine which led to a resolution of sexual dysfunction while maintaining the patients depression free. The third patient manipulated dosage times to diminish the orgastic problem. Strong anticholinergic and/or anti-adrenergic properties of clomipramine are suspected t

The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample.

The aim of this investigation is to determine the sexual history traits, sexual satisfaction level and frequency of sexual dysfunctions in m … sexual dysfunctions. The most common problem was premature ejaculation (50%) and the second one was erectile dysfunction (28%). The transformed GRISS subscale scores provided similar data. It is concluded that the assessment of sexual functions of males who have vaginismic partners should be an integral part of the management procedure of vaginismus for optimal outcom …

Assessing Patient Centered Urological Care for Spina Bifida: A Collaboration Between the European Association of Urology-European Society for Pediatric Urology (EAU-ESPU) Pediatric Urology Guidelines Panel and the International Federation for Spina Bifida and Hydrocephalus (IFSBH).

INTRODUCTION & OBJECTIVES: People with spina bifida (SB) require lifelong care from various specialists, with the organization and availabil … cating female sexual dysfunction. IIEF-5 (Males): Mean score 17.00 ± 6.03, indicating mild-moderate erectile dysfunction. The assessment of organization of care included catheter and medication use, with notable differences in payment methods among countries. Healthcare provider contact revealed difficulties with varied first points of contact. CONCLUSION: The result …

Male Sexual Dysfunction and Infertility in Spinal Cord Injury Patients: State-of-the-Art and Future Perspectives.

Spinal cord injury (SCI) is a relevant medical and social problem. According to the World Health Organization, the commonly estimated worldwide annual incidence of SCI is 40 to 80 cases per million population. After the SCI experience, most men present with sexual dysfunction (erectile dysfunction (ED) and ejaculatory dysfunction), fertility problems (such as impaired spermatogenesis, abnormalities in sperm viability, motility, and morphology), and systemic disorders such as genitourinary infection and endocrine imbalances. The best options available for managing the ejaculatory disorders in p…

Urinary, faecal and sexual dysfunction in patients with multiple sclerosis.

The prevalence and nature of bladder and bowel dysfunction were examined in a population-based study of 221 patients with multiple sclerosis who returned postal questionnaires. This preliminary investigation was supplemented by personal review which also provided information on sexual dysfunction in 174 and laboratory and urodynamic tests in 152 participants. Thirty of 221 (14%) currently used an indwelling catheter, and 84 of the remaining 190 (44%) reported symptoms of urinary dysfunction, of which the most common were urgency and frequency. Thirteen of 144 (9%) patients had biochemical evid

Sexual dysfunction in men seeking treatment for opioid dependence: a study from India.

INTRODUCTION: There is limited literature on opioid dependence patients for the prevalence of sexual dysfunction as assessed by validated questionnaires. AIM: To study the prevalence and specified demographic and clinical correlates of sexual dysfunction in men seeking treatment for opioid dependence by using multiple validated instruments. METHODS: Men with opioid dependence for at least 1 year as per DSM-IV (confirmed by Mini International Neuropsychiatric Interview) (OD group, N=100) and matched healthy controls (HC group, N=50) were evaluated for sexual dysfunction. MAIN OUTCOME MEASURE

Olfactory Sensitivity Is Related to Erectile Function in Adult Males.

BACKGROUND: The olfactory system influences human social behavior, in particular the selection of a spouse. However, there is currently a lack of clinical research on the relationship between the olfactory system and erectile dysfunction (ED) in adult males. AIM: We explored the association between olfactory sensitivity and erectile function and its possible mechanisms. RESULTS: A total of 574 patients, adult males aged between 19 and 42 years, diagnosed with ED in the Department of Infertility and Sexual Medicine of the Third Affiliated Hospital of Sun Yat-sen University from 2015 to 2018 w…

Identification of a novel KISS1R (GPR54) gene variant (c.505+2T>G) in a patient with congenital hypogonadotropic hypogonadism: A case report and literature review.

Congenital hypogonadotropic hypogonadism (CHH) is a rare disorder (incidence, 1/15.000-1/50.000) characterized by delayed or absent puberty … possibility of receptor dysfunction. 2The clinical features included micropenis, reduced body hair, erectile dysfunction and small testes. The hormonal analysis confirmed low testosterone levels with inappropriately normal gonadotropin levels. The pituitary magnetic resonance imaging indicated normal results, and a GnRH stimulation test confirmed a hypothalamic origin …

The Evolving Role of Artificial Intelligence in Andrological Surgery: Current Landscape and Future Direction.

Background: With the rapid advancement of artificial intelligence (AI), its applications in andrology are expanding across diagnostic assess … earch strategy utilized combinations of keywords including "artificial intelligence," "andrology," "erectile dysfunction," "male infertility," "microsurgery," and "robotic-assisted surgery." Original research and review articles published in English were selected based on their clinical relevance to surgical practice. Results: AI has shown promise in the evaluation an …

Attachment Styles and Sexual Function Among Survivors of Autologous Hematopoietic Stem Cell Transplantation: A Multicenter Study.

Background and Objectives: Autologous hematopoietic stem cell transplantation (AHSCT) offers life-saving treatment for hematologic malignancies but can result in persistent sexual dysfunction and relationship challenges. Attachment theory provides a valuable framework for understanding how enduring relational patterns influence sexual well-being. This study aimed to assess sexual function and attachment styles in AHSCT survivors and examine correlations between attachment and sexual health outcomes. Materials and Methods: A multicenter, cross-sectional study was conducted from December 2019 to

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… Each item requires a single response, typically rated on a scale of 0 (or 1) to 5, where lower cumulative scores suggest erectile dysfunction requiring further clinical investigation [ 24 ]. … The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction Urology 1997 49 822 830 10.1016/S0090-4295(97)00238-0 9187685 25. Hatzimouratidis K. Tsimtsiou Z. Karantana A. Chatzichristou D. …

Penile Prosthesis Implantation After Radical Prostatectomy in the United States.

INTRODUCTION: The aim of this study was to describe national trends in the use of penile prosthesis implantation (PPI) after radical prostat … radical prostatectomy to PPI of 22.9 months (IQR: 13.6-34.8). The strongest predictor of PPI was an erectile dysfunction diagnosis before radical prostatectomy (HR: 1.98; 95% CI: 1.74-2.25), followed by diabetes (HR: 1.36; 95% CI: 1.18-1.57) and Charlson Comorbidity Index ≥ 4 (HR: 1.35; 95% CI: 1.17-1.56). For those with erectile dysfunction preoperatively, the probab …

A Comparative Study of Simultaneous and Delayed Penile Prosthesis During Robot-Assisted Radical Prostatectomy.

OBJECTIVES: To compare sexual rehabilitation outcomes in prostate cancer patients with preexisting erectile dysfunction (ED) undergoing simultaneous vs. delayed inflatable penile prosthesis (PP) placement during robot-assisted radical prostatectomy (RARP). METHODS: Fifty-six patients with refractory ED and prostate cancer (2011-2023) were included. Simultaneous RARP and inflatable PP placement was done in 29 patients. Twenty-seven patients underwent RARP followed by delayed inflatable PP placement after a mean of 3.28 years. The same surgeon performed both RARP and inflatable PP implantation.…

Cutting Costs, Not Care: New Models for Affordable Men's Health Medications.

OBJECTIVE: To determine the cost savings that the Mark Cuban Cost Plus Drug Company (CDPC) and GoodRx could provide, in comparison to Medicaid, for drugs commonly prescribed in men's health-related conditions: erectile dysfunction, benign prostatic hyperplasia, premature ejaculation, and male infertility. METHODS: We reviewed several of the most commonly prescribed drugs for each indication at various doses, including Tamsulosin, Anastrozole, Clomiphene, Sildenafil, Tadalafil, Vardenafil, Finasteride, Paroxetine, and Sertraline. Using publicly available Medicare data sheets, we determined the…

Impact of the Advent of Collagenase Clostridium histolyticum on the Surgical Management of Peyronie's Disease: A Population-Based Analysis.

BACKGROUND: Peyronie's disease (PD) is a progressive fibrotic disorder of the penis that can induce pain and erectile dysfunction and has various treatment modalities, including surgical, pharmaceutical, and Clostridium histolyticum injection therapies. METHODS: The authors used electronic medical records from Kaiser Permanente Southern California, an integrated health care system that consists of 15 medical centers, and identified patients diagnosed with stable PD without concomitant erectile dysfunction from January 1, 2004, to December 31, 2020. Baseline characteristics between surgical an…

The association of smoking with urinary and sexual function recovery following radical prostatectomy for localized prostate cancer: a systematic review and meta-analysis.

BACKGROUND: Urinary and sexual dysfunction after radical prostatectomy remains a major cause of morbidity, despite widespread availability of pharmacological and rehabilitative treatments. Smoking is a modifiable risk factor known to correlate with erectile and urinary dysfunction and we hypothesise that smoking cessation may improve post-prostatectomy urinary and sexual function recovery. Our objective is to systematically evaluate literature describing the association of smoking status with urinary and sexual function in men following radical prostatectomy. METHODS: In total, 310 unique rec

Increasing Role of the Advanced Practice Provider in Men's Health Clinics: An Analysis of Medicare and Commercial Claims in the United States.

INTRODUCTION: As urological care delivery in the U.S. continues to evolve to meet patient needs, we aim to clarify the role of advanced prac … using Current Procedural Terminology codes and grouped into 4 categories: testicular hypofunction, erectile dysfunction and Peyronie's disease, benign prostatic hyperplasia, and scrotal pain. The proportion of procedures submitted by advanced practice providers was calculated for each year and category. RESULTS: From 2010 to 2021, the proportion of advanced practice …

Nontransecting Anastomotic Repair in Urethral Reconstruction: Surgical and Functional Outcomes.

PURPOSE: We evaluated the surgical and functional outcomes, and the effect of the learning curve of nontransecting anastomotic repair for sh … plication, respectively. Seven of 32 (21.9%) and 2 of 42 evaluable patients (4.7%) reported de novo erectile dysfunction and post-void dribbling, respectively, 3 months after nontransecting anastomotic repair. No difference in outcomes was observed among the 3 patient groups. CONCLUSIONS: Nontransecting anastomotic repair appears to be safe without a substantial lear …