Articles de revues : « Urinary and sexual dysfunction »

1

Pičmanová, Petra, et Martin Procházka. « Quality of life and sexuality in women with urinary incontinence ». Česká gynekologie 86, n^o 2 (15 mai 2021) : 129–31. http://dx.doi.org/10.48095/cccg2021129.

Texte intégral

Résumé :

Overview Objective: An overview of urinary incontinence and the associated quality of life in women, including sexuality. Methods: Compilation of published data from scientific literature. Conclusion: Urinary incontinence and female sexual dysfunction are common problems that adversely affect a woman’s quality of life. Their cause is often multifactorial. Both of these dysfunctions are common in women, but are often not reported by them and, subsequently, not treated. The symptoms of urinary incontinence, shame and fear can lead to complete social isolation of a woman affected in this way. There are a lot of studies suggesting that coping with a urination problem can subsequently improve a woman’s sexual function and overall quality of life. The prevalence increases significantly with the age. Keywords: female sexual dysfunction – urinary incontinence – Quality of life – women

Styles APA, Harvard, Vancouver, ISO, etc.

2

Shedlock, Kathleen, Davina Porock, Jean K. Brown, Harold Burton, Peter Horvath et Donna Lynn Berry. « Effects of physical activity on symptoms in prostate cancer survivors. » Journal of Clinical Oncology 31, n^o 15_suppl (20 mai 2013) : e20540-e20540. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e20540.

Texte intégral

Résumé :

e20540 Background: Physical activity (PA) in prostate cancer (PC) survivors improves general QOL and fatigue, but the relationship between PA and genitourinary symptoms in PC survivors is unknown. The incidence of sexual dysfunction may be as high as 68% during active surveillance and 78% in men receiving conventional therapies. PA has mitigated erectile dysfunction in non-prostate cancer populations. Objective: To determine the relationships among PA, age, co-morbidities, mental and physical health and symptoms, particularly related to sexual dysfunction, experienced by men with PC prior to therapy. Methods: Study Design: Correlational/cross sectional secondary analysis of de-identified data from 258 men with early stage PC prior to initiation of therapy. Variables: Habitual PA (Baecke Questionnaire- BAQ), physical (PCS) and mental health (MCS) (SF-36) and urinary, bowel and sexual dysfunctional symptoms (UCLA Prostate Cancer Index). Analysis: Descriptive statistics; correlations; hierarchical regressions to assess moderating and mediating relationships. Results: Mean Age = 63.2 + 8.1 yrs. BAQ activity scores, ranged from 2.2 to 12.1 (M and SD= 6.8+1.9), indicating low levels of PA. PCI mean scores = 92+13, urinary; 88 +13, bowel; 52 +29 for sexual. PA was negatively correlated with sexual symptoms (r=0.31; p<0.001). Physical health was negatively associated with all symptoms and age, but positively correlated with PA (r=0.21; p=0.001). Physical health mediates effects of age for urinary symptoms and partially for sexual symptoms. PA’s relationship to sexual dysfunctional symptoms was independent of age and was at least partially mediated by physical health. Conclusions: Urinary, bowel and sexual symptoms experienced by men at time of diagnosis were similar to men of similar age without PC, indicating age as the dominant predictor of symptoms. This study identified potential mechanisms of symptoms in early stage PC that warrant further testing. Symptoms related to sexual dysfunction may be especially amenable to PA.

Styles APA, Harvard, Vancouver, ISO, etc.

3

Moreno López, Marta, Marina De la Plata Daza, Sara Rojo Novo, Zoraida Frías Sánchez et Manuel Pantoja Garrido. « Defectos del suelo pélvico posparto en función del índice de masa corporal pregestacional y ganancia ponderal de la mujer durante el embarazo ». Revista de Obstetricia y Ginecología de Venezuela 82, n^o 01 (25 janvier 2022) : 73–82. http://dx.doi.org/10.51288/00820110.

Texte intégral

Résumé :

Objective: To determine if there is a causal association between the pre-pregnancy maternal body mass index or weight gain, and the presence of postpartum pelvic floor dysfunctions, such as urinary and fecal incontinence and sexual dysfunction. Methods: We carried out a prospective observational cohort study with 500 pregnant women controlled at HUV Macarena (Seville)from january to april of 2012. Patients were categorized according to their pregestational BMI and the weight gain during pregnancy.We analyzed the causes of the presence of urinary and fecal incontinence and sexual dysfunction at 6,12 months and 7 years after delivery. Results: Overweight was observed in 26 %, obesity in 16,6 % and excessive weight gain in 46,7 %. Fetal macrosomia was associated with urinary incontinence and sexual dysfunction in all three periods and with fecal incontinence at 7 years. Statistically significant associations were observed between urinary incontinence at 7 year and obesity, OR 2,737 IC 96 % (1,262-5,938) and between sexual dysfunction at 1 year and at 7 years with obesity, OR 7,321 IC 95 % (1,307-41,006) and with weight gain, OR 8,427 IC 95 % (1,026-69,225). Conclusions: Pregnancy and childbirth are risk factors for pelvic floor dysfunctions, since fetal macrosomia, pre-pregnancy obesity and excessive weight gain have been associated with their development. It is important to advise patients on weight control before and during pregnancy. Keywords: Obesity, Gestational weight gain, Body mass index, Pregnancy, Pelvic floor disorders.

Styles APA, Harvard, Vancouver, ISO, etc.

4

Pischedda, Antonella, Ferdinando Fusco, Andrea Curreli, Giovanni Grimaldi et Furio Pirozzi Farina. « Pelvic floor and sexual male dysfunction ». Archivio Italiano di Urologia e Andrologia 85, n^o 1 (19 avril 2013) : 1. http://dx.doi.org/10.4081/aiua.2013.1.1.

Texte intégral

Résumé :

The pelvic floor is a complex multifunctional structure that corresponds to the genito- urinary-anal area and consists of muscle and connective tissue. It supports the urinary, fecal, sexual and reproductive functions and pelvic statics. The symptoms caused by pelvic floor dysfunction often affect the quality of life of those who are afflicted, worsening significantly more aspects of daily life. In fact, in addition to providing support to the pelvic organs, the deep floor muscles support urinary continence and intestinal emptying whereas the superficial floor muscles are involved in the mechanism of erection and ejaculation. So, conditions of muscle hypotonia or hypertonicity may affect the efficiency of the pelvic floor, altering both the functionality of the deep and superficial floor muscles. In this evolution of knowledge it is possible imagine how the rehabilitation techniques of pelvic floor muscles, if altered and able to support a voiding or evacuative or sexual dysfunction, may have a role in improving the health and the quality of life.

Styles APA, Harvard, Vancouver, ISO, etc.

5

Duralde, Erin R., et Tami S. Rowen. « Urinary Incontinence and Associated Female Sexual Dysfunction ». Sexual Medicine Reviews 5, n^o 4 (octobre 2017) : 470–85. http://dx.doi.org/10.1016/j.sxmr.2017.07.001.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

6

Modh, Rishi A., John P. Mulhall et Scott M. Gilbert. « Sexual dysfunction after cystectomy and urinary diversion ». Nature Reviews Urology 11, n^o 8 (août 2014) : 445–53. http://dx.doi.org/10.1038/nrurol.2014.151.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

7

Preda, Andreia, et Susana Moreira. « Incontinência Urinária de Esforço e Disfunção Sexual Feminina : O Papel da Reabilitação do Pavimento Pélvico ». Acta Médica Portuguesa 32, n^o 11 (4 novembre 2019) : 721. http://dx.doi.org/10.20344/amp.12012.

Texte intégral

Résumé :

Introduction: The prevalence of urinary incontinence in Portuguese women is 21.4% and has a very negative impact on quality of life including women’s sexual activity. Pelvic floor rehabilitation is the first line treatment used in stress urinary incontinence and may be a tool in the treatment of sexual dysfunction in women with urinary incontinence. The aim of this review is to ascertain whether pelvic floor rehabilitation can improve sexual function in women with stress urinary incontinence.Material and Methods: We reviewed 12 articles in PubMed using the keywords: ‘urinary incontinence’, ‘female sexual dysfunction’ and ‘pelvic floor physical therapy’.Results: Pelvic floor rehabilitation is linked to a decrease in frequency of urinary leakage episodes as well as an improvement of coital incontinence. Furthermore, sexual function evaluation scores post-treatment revealed a positive change. Higher parity, higher adherence to treatment, improvement in the strength of pelvic floor muscles, and a decrease in the frequency of urine leakage were associated with higher improvement in sexual function.Discussion: Sexual function should be considered in the approach of urinary incontinence and standard tools of evaluation are essential tools for clinical assessment and follow-up. More evidence is required to identify the role of pelvic floor rehabilitation in sexual dysfunction of Portuguese women with urinary incontinence.Conclusion: Pelvic floor rehabilitation improves sexual function of women with stress urinary incontinence not only because it decreases the episodes of urine leakage but also because it strengthens pelvic floor muscles.

Styles APA, Harvard, Vancouver, ISO, etc.

8

Park, Eun Jung, et Seung Hyuk Baik. « Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer : A review ». Precision and Future Medicine 5, n^o 4 (31 décembre 2021) : 164–74. http://dx.doi.org/10.23838/pfm.2021.00142.

Texte intégral

Résumé :

Sphincter preservation and organ restoration during rectal cancer surgery avoids permanent stoma creation and diminishes psychosocial damages. However, decreased rectal volumes and sphincter dysfunction—including pelvic nerve damage—results in low anterior resection syndrome, as well as urinary and sexual dysfunction after rectal resection. Bowel habit changes such as fecal incontinence, fecal urgency, frequent bowel movements, clustered stools, and difficulties in bowel emptying can be treated using medications, pelvic floor rehabilitation, sacral neuromodulation, or neorectal reservoir reconstruction. Pelvic nerve damage resulting from superior and inferior hypogastric plexi during sphincter-preserving rectal cancer surgery can induce urologic and sexual dysfunctions. Preoperative voiding difficulty, perioperative blood loss, and autonomic nerve injury are considered independent risk factors for postoperative urinary dysfunction. Retrograde ejaculation and erectile dysfunction, female dyspareunia, and vaginal dryness are manifestations of sexual dysfunction resulting from autonomic nerve injury during rectal cancer surgery. Multifactorial causes for functional outcomes after sphincter- preserving surgeries are considered to improve patient’s quality of life with acceptable oncologic outcomes in the treatment of rectal cancer patients.

Styles APA, Harvard, Vancouver, ISO, etc.

9

Radoja, Ivan, et Dunja Degmečić. « Quality of Life and Female Sexual Dysfunction in Croatian Women with Stress-, Urgency- and Mixed Urinary Incontinence : Results of a Cross-Sectional Study ». Medicina 55, n^o 6 (3 juin 2019) : 240. http://dx.doi.org/10.3390/medicina55060240.

Texte intégral

Résumé :

Background and objectives: Urinary incontinence is defined as the involuntary leakage of urine. Studies have reported that the severity of urinary incontinence symptoms can cause decreased quality of life and female sexual dysfunction in women, but the association between the duration of the incontinence and the aforementioned disturbances has not been evaluated. The objective of this study was to evaluate the differences in the occurrence of decreased quality of life and female sexual dysfunction in Croatian women with urinary incontinence, with regard to the duration and subtype of urinary incontinence. Materials and Methods: We conducted a cross-sectional study from March 2017 to July 2018 at our neurourology and urodynamics outpatient clinic, among 120 women with urinary incontinence symptoms. Based on medical history, physical exam and urodynamic assessment, participants were divided into groups with stress-, urgency- and mixed urinary incontinence. Several quality of life and female sexual dysfunction questionnaires were used for evaluation. The differences between the three UI groups were tested by the Kruskal–Wallis test. All p values were two-sided. The level of significance was set to Alpha = 0.05. Results: The mixed urinary incontinence group had a significantly inferior quality of life (p = 0.003) and lower scores on the female sexual dysfunction questionnaires (p = 0.02). The longer the duration of incontinence King’s Health Questionnaire total score was worse (p = 0.003) and Female Sexual Function Index total score was worse (p < 0.001). Conclusions: Our results showed that there was a statistically significant difference in the occurrence of decreased quality of life and female sexual dysfunction considering the duration and subtype of incontinence in Croatian women.

Styles APA, Harvard, Vancouver, ISO, etc.

10

SzÖllŐsi, K., et L. Szabó. « Postpartum female sexual dysfunctions in Hungary : A cross-sectional study ». Developments in Health Sciences 2, n^o 4 (3 septembre 2020) : 108–13. http://dx.doi.org/10.1556/2066.2019.00006.

Texte intégral

Résumé :

AbstractPurposeAlthough the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.Materials and MethodsWe designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.Results48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.ConclusionsWomen suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.

Styles APA, Harvard, Vancouver, ISO, etc.

11

Sakakibara, Ryuji, Masahiko Kishi, Emina Ogawa, Fuyuki Tateno, Tomoyuki Uchiyama, Tatsuya Yamamoto et Tomonori Yamanishi. « Bladder, Bowel, and Sexual Dysfunction in Parkinson's Disease ». Parkinson's Disease 2011 (2011) : 1–21. http://dx.doi.org/10.4061/2011/924605.

Texte intégral

Résumé :

Bladder dysfunction (urinary urgency/frequency), bowel dysfunction (constipation), and sexual dysfunction (erectile dysfunction) (also called “pelvic organ” dysfunctions) are common nonmotor disorders in Parkinson's disease (PD). In contrast to motor disorders, pelvic organ autonomic dysfunctions are often nonresponsive to levodopa treatment. The brain pathology causing the bladder dysfunction (appearance of overactivity) involves an altered dopamine-basal ganglia circuit, which normally suppresses the micturition reflex. By contrast, peripheral myenteric pathology causing slowed colonic transit (loss of rectal contractions) and central pathology causing weak strain and paradoxical anal sphincter contraction on defecation (PSD, also called as anismus) are responsible for the bowel dysfunction. In addition, hypothalamic dysfunction is mostly responsible for the sexual dysfunction (decrease in libido and erection) in PD, via altered dopamine-oxytocin pathways, which normally promote libido and erection. The pathophysiology of the pelvic organ dysfunction in PD differs from that in multiple system atrophy; therefore, it might aid in differential diagnosis. Anticholinergic agents are used to treat bladder dysfunction in PD, although these drugs should be used with caution particularly in elderly patients who have cognitive decline. Dietary fibers, laxatives, and “prokinetic” drugs such as serotonergic agonists are used to treat bowel dysfunction in PD. Phosphodiesterase inhibitors are used to treat sexual dysfunction in PD. These treatments might be beneficial in maximizing the patients' quality of life.

Styles APA, Harvard, Vancouver, ISO, etc.

12

Lange, Marilyne M., et Cornelis J. H. van de Velde. « Urinary and sexual dysfunction after rectal cancer treatment ». Nature Reviews Urology 8, n^o 1 (7 décembre 2010) : 51–57. http://dx.doi.org/10.1038/nrurol.2010.206.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

13

Batista, Patricia Andrade, Claudia de Oliveira, Kerolin L. Carvalho Kaneto, Rafaela Alkmin da Costa, Fabio Roberto Cabar, Clarice Tanaka et Rossana Pulcineli Vieira Francisco. « Urinary incontinence and sexual dysfunction in type 1 diabetic pregnant women : preliminary results ». Fisioterapia Brasil 23, n^o 6 (22 décembre 2022) : 841–52. http://dx.doi.org/10.33233/fb.v23i6.5111.

Texte intégral

Résumé :

Introduction: Pregnancy and diabetes mellitus can promote various musculoskeletal disorders, predisposing individuals to urinary and sexual dysfunction. Objective: To evaluate the frequency of urinary incontinence and sexual dysfunction in pregnant women with type 1 diabetes. Methods: A cross-sectional, observational, analytical study was conducted. Thirteen pregnant women with type 1 diabetes were assessed from April 2017 to February 2018 using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the Female Sexual Function Index (FSFI). The statistical program SPSS version 20.1 was used for data analysis to determine the mean and standard deviation, central tendency and dispersion, and absolute (n) and relative (%) frequencies. The Pearson linear correlation test was used to evaluate the correlation between the ICIQ-SF and the FSFI. Results: The frequency of urinary incontinence was 38.5%, which produced a slight impact on the quality of life of pregnant women. The FSFI general score was 20.49, identifying the presence of sexual dysfunction (FSFI ≤ 26). In the group of pregnant women, 92.3% (n = 12) presented sexual dysfunction, and the satisfaction and arousal domains showed a higher frequency of problems. The ICIQ-SF and FSFI showed a moderate but not significant correlation (r = 0.534, p = 0.60). The data exhibited a normal distribution according to Levene’s test. Conclusion: The frequency of urinary incontinence in pregnant women with type 1 diabetes was low, but sexual dysfunction was present, and the satisfaction and arousal domains showed the highest frequency of problems.

Styles APA, Harvard, Vancouver, ISO, etc.

14

N. R., Sindhu, Bharathi Rao et Sabah Mohd Zubair. « Analyzing the short term and long-term complication of hysterectomy : a prospective study ». International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n^o 4 (24 mars 2021) : 1478. http://dx.doi.org/10.18203/2320-1770.ijrcog20211124.

Texte intégral

Résumé :

Background: Hysterectomy is the most common surgical procedure done worldwide in women. Although many studies were done regarding short term complications, long term complications are not very well followed up. The objective of the study is to analyze short term and also long-term complications for the different mode of hysterectomy.Methods: It was a time-bound hospital-based prospective study which includes all the women who underwent hysterectomy for benign conditions in the hospital except women with prior psychiatric, bowel, bladder and sexual dysfunctions. All the patients were followed up for one year using a set of questionnaires to study short term and long-term complications.Results: No significant difference in short term post-operative complications concerning the mode of hysterectomy except for UTI was more common in vaginal hysterectomy group and haemorrhage in TAH route. Sexual dysfunction was noted even after 1 year of surgery in all modes of hysterectomy. Mild urinary dysfunction found statistically significant even at 1 year follow up in vaginal hysterectomy mode however there was no bothersome urinary dysfunction persistent after one year.Conclusions: Sexual dysfunction is the most common persistent long-term morbidity following hysterectomy found in the present study.

Styles APA, Harvard, Vancouver, ISO, etc.

15

Penson, David F., Ziding Feng, Alan Kuniyuki, Dale McClerran, Peter C. Albertsen, Dennis Deapen, Frank Gilliland et al. « General Quality of Life 2 Years Following Treatment for Prostate Cancer : What Influences Outcomes ? Results From the Prostate Cancer Outcomes Study ». Journal of Clinical Oncology 21, n^o 6 (15 mars 2003) : 1147–54. http://dx.doi.org/10.1200/jco.2003.07.139.

Texte intégral

Résumé :

Purpose: The goal of this study was to determine the relationship between primary treatment, urinary dysfunction, sexual dysfunction, and general health-related quality of life (HRQOL) in prostate cancer. Methods: A sample of men with newly diagnosed prostate cancer between 1994 and 1995 was randomly selected from six population-based Surveillance, Epidemiology, and End Results registries. A baseline survey was completed by 2,306 men within 6 to 12 months of diagnosis, and these men also completed a follow-up HRQOL survey 2 years after diagnosis. Logistic regression models were used to determine whether primary treatment, urinary dysfunction, and sexual dysfunction were independently associated with general HRQOL outcomes approximately 2 years after diagnosis as measured by the Medical Outcomes Study 36-item Short Form Health Survey. The magnitude of this effect was estimated using least square means models. Results: After adjustment for potential confounders, primary treatment was not associated with 2-year general HRQOL outcomes in men with prostate cancer. Urinary function and bother were independently associated with worse general HRQOL in all domains. Sexual function and bother were also independently associated with worse general HRQOL, although the relationship was not as strong as in the urinary domains. Conclusion: Primary treatment is not associated with 2-year general HRQOL outcomes in prostate cancer. Although both sexual and urinary function and bother are associated with quality of life, men who are more bothered by their urination or impotence are more likely to report worse quality of life. This implies that future research should be directed toward finding ways to improve treatment-related outcomes or help patients better cope with their posttreatment urinary or sexual dysfunction.

Styles APA, Harvard, Vancouver, ISO, etc.

16

Clark, Jack A., Thomas S. Inui, Rebecca A. Silliman, Barbara G. Bokhour, Steven H. Krasnow, Richard A. Robinson, Monica Spaulding et James A. Talcott. « Patients’ Perceptions of Quality of Life After Treatment for Early Prostate Cancer ». Journal of Clinical Oncology 21, n^o 20 (15 octobre 2003) : 3777–84. http://dx.doi.org/10.1200/jco.2003.02.115.

Texte intégral

Résumé :

Purpose: Treatment for early prostate cancer produces problematic physical side effects, but prior studies have found little influence on patients’ perceived health status. We examined psychosocial outcomes of treatment for early prostate cancer. Patients and Methods: Patients with previously treated prostate cancer and a reference group of men with a normal prostate-specific antigen (PSA) level and no history of prostate cancer completed questionnaires. Innovative scales assessed behavioral consequences of urinary dysfunction, sexuality, health worry, PSA concern, perceived cancer control, treatment decision making, decision regret, and cancer-related outlook. Urinary, bowel, and sexual dysfunction were assessed with symptom indexes; health status was assessed by the Physical and Mental Summaries of the Short Form (SF-12) Health Survey. Results: Compared with men without prostate cancer, prostate cancer patients reported greater urinary, bowel, and sexual dysfunction, but similar health status. They reported worse problems of urinary control, sexual intimacy and confidence, and masculinity, and greater PSA concern. Perceptions of cancer control and treatment decisions were positive, but varied by treatment: prostatectomy patients indicated the highest and observation patients indicated the lowest cancer control. Bowel and sexual dysfunction were associated with poorer sexual intimacy, masculinity, and perceived cancer control; masculinity and PSA concern were associated with greater confidence in treatment choice; and diminished sexual intimacy and less interest in PSA were associated with greater regret. Conclusion: The lack of change in global measures of health status after treatment for early prostate cancer obscures important influences in men’s lives; cancer diagnosis and treatment complications may result in complex outcomes. Aggressive treatment may confer confidence in cancer control, yet be countered by diminished intimate relationships and masculinity, which accompany sexual dysfunction.

Styles APA, Harvard, Vancouver, ISO, etc.

17

Priyadarshi, Shivam. « Sexual Dysfunction in Aging Males : A Review ». Journal of Psychosexual Health 1, n^o 1 (janvier 2019) : 48–51. http://dx.doi.org/10.1177/2631831818822021.

Texte intégral

Résumé :

Assaults on sexuality in aging males result from changes in sexual physiology, psychosocial changes, irregular sexual activity, androgen deficiency, cardiovascular disease and risk factors, and lower urinary tract symptoms. Chronic illness, side effects of medications, and different kinds of surgery which the male may undergo during the aging process may all have its deleterious effects on sexual functions. A healthy sexual attitude combined with lifestyle changes and addressing the physical problems provide a greater potential for enjoying a more fulfilled sexual life as one ages.

Styles APA, Harvard, Vancouver, ISO, etc.

18

Vodušek, David B. « Urogenital dysfunction in patients with multiple sclerosis ». Acta Neuropsychiatrica 21, S2 (juin 2009) : 22–27. http://dx.doi.org/10.1017/s0924270800032658.

Texte intégral

Résumé :

Abstract:The occurrence of urogenital dysfunction as an isolated early symptom in multiple sclerosis (MS) is rare, but the prevalence thereof becomes high with progression of disease. Lower urinary tract dysfunction may add to the cause of death (particularly through urinary infections), but both urinary and sexual dysfunction significantly affect quality of life of patients.Both storage and evacuation of urine may be affected by MS, and ultimatively the functional diagnosis can only be made by urodynamic testing. As upper urinary tract affection is, however, rare (and can be prevented by timely ultrasound imaging), a first stage diagnostics in the MS center by the neurologist and specialized nurse is appropriate. History, urine tests and post void residual urine determination (preferably by ultrasound) should provide necessary data for treatment of infections, and also symptomatic management of frequency, urgency and incontinence by bladder training, anticholinergics, and intermittent self catheterization (as indicated); the referral to urologist may be reserved for patients who fail first line treatment. Treatment in the late stages of MS is as yet little researched, but eventually a suprapubic catheter is the preferred method of bladder emptying. Sexual dysfunction should be actively sought in MS patients (in men erectile and ejaculation dysfunction, in women deficient lubrication and genital hyper- or hyposensitivity are frequent). Clinical examination contributes little to clarification of neurogenic sexual dysfunction, but defines the extent of other deficits due to MS, which may be relevant for sexual counseling (spasticity, sensory loss). Sildenafil has been demonstrated to be effective in treatment of men, but not in women. Other management options exist, and the doctor and nurse in the MS center should be proactive in providing first line counseling and management.

Styles APA, Harvard, Vancouver, ISO, etc.

19

Liu, Yan, Xiao-Ming Lu, Yan-Feng Niu, Kai-Xiong Tao et Guo-Bin Wang. « Application of laparoscopic total mesorectal excision combined with sphincter-preserving surgery in low or ultralow rectal cancer ». Journal of Innovative Optical Health Sciences 09, n^o 05 (18 juillet 2016) : 1643002. http://dx.doi.org/10.1142/s1793545816430021.

Texte intégral

Résumé :

This study aimed to investigate the influence of laparoscopic total mesorectal excision combined with sphincter-preserving surgery on the postoperative defecation function, urinary function and sexual function in low or ultralow rectal cancer. A retrospective study was undertaken on 107 patients (65 laparoscopic resection and 42 laparoctomic resection) with rectal cancer undergoing laparoscopic or open laparoscopic total mesorectal excision combined with sphincter-preserving surgery from April 2009 to April 2013. The quality of life outcomes of all patients, including defection, urinary and sexual function, were assessed at 6, 12 and 24 months after operation. Gastrointestinal quality of life index (GQOLI) was used to evaluate the fecal incontinence and bowel dysfunction. Urinary and sexual functions were studied by means of questionnaires on the basis of the international prostatic symptom score (IPSS) and international index of erectile function (IIEF), respectively. In laparoscopic surgery group, there were two cases of anastomotic leakage, three cases of anastomotic stricture, seven cases of local recurrence, ten cases of hepatic metastasis and five cases of lung metastasis. The satisfaction rates of patients about their defecation function reached 60.3% (35/58, 84.5% (49/58) and 91.3% (53/58) at 6, 12, and 24 months follow-up, respectively. The assessment after one year showed that the overall incidence of urinary dysfunction was 10.7% (7/65); Among male patients, 18.4% (7/36) suffered from erectile dysfunction and 27.8% (10/36) suffered from ejaculatory dysfunction; 65.5% (19/29) female patients investigated were satisfied with their postoperative sexual life. In open surgery group, there were two cases of anastomotic leakage, two cases of anastomotic stricture, nine cases of local recurrence, ten cases of hepatic metastasis and seven cases of lung metastasis. The satisfaction rates of patients about their defecation function were 56.4% (22/39), 82.1% (32/39) and 94.8% (37/39) at 6, 12, and 24 months follow-up, respectively. The assessment after one year showed that the overall incidence of urinary dysfunction was 11.9% (5/42); 25% (4/16) male patients suffered from erectile dysfunction and 31.3% (5/16) suffered from ejaculatory dysfunction; 69.2% (19/26) female patients investigated were satisfied of their postoperative sexual life. There was no statistic difference in the two groups. Laparoscopic total mesorectal excision combined with sphincter-preserving surgery in low or ultralow rectal carcinoma is safe and practicable. It can be helpful for enhancing the probability of anus reservation, and obtains satisfactory defecation, sexual and urinary functions.

Styles APA, Harvard, Vancouver, ISO, etc.

20

Zahran, M. H., O. Fahmy, A. S. El-Hefnawy et B. Ali-El-Dein. « Female sexual dysfunction post radical cystectomy and urinary diversion ». Climacteric 19, n^o 6 (20 septembre 2016) : 546–50. http://dx.doi.org/10.1080/13697137.2016.1225714.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

21

Vodušek, David B. « Lower Urinary Tract and Sexual Dysfunction in Neurological Patients ». European Neurology 72, n^o 1-2 (2014) : 109–15. http://dx.doi.org/10.1159/000360529.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

22

Frankel, S. J., J. L. Donovan, T. I. Peters, P. Abrams, N. F. Dabhoiwala, D. Osawa et A. Tong Long Lin. « Sexual Dysfunction in Men with Lower Urinary Tract Symptoms ». Journal of Clinical Epidemiology 51, n^o 8 (août 1998) : 677–85. http://dx.doi.org/10.1016/s0895-4356(98)00044-4.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

23

Eveno, C., A. Lamblin, C. Mariette et M. Pocard. « Sexual and urinary dysfunction after proctectomy for rectal cancer ». Journal of Visceral Surgery 147, n^o 1 (février 2010) : e21-e30. http://dx.doi.org/10.1016/j.jviscsurg.2010.02.001.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

24

Pace, Gianna, Vanuska Silvestri, Luana Gualá et Carlo Vicentini. « Body mass index, urinary incontinence, and female sexual dysfunction ». Menopause 16, n^o 6 (novembre 2009) : 1188–92. http://dx.doi.org/10.1097/gme.0b013e3181a6b491.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

25

Salonia, Andrea, Alberto Briganti, Andrea Gallina, Giuseppe Zanni, Federico Dehò, Patrizio Rigatti et Francesco Montorsi. « Lower urinary tract symptoms and sexual dysfunction in women ». Current Sexual Health Reports 4, n^o 2 (juin 2007) : 85–90. http://dx.doi.org/10.1007/s11930-007-0007-0.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

26

Hryhorenko, А. P., О. H. Horbatiuk, А. S. Shatkovska, А. M. Binkovska et V. Y. Onyshko. « Correction of sexual dysfunction in women of perimenopausal age with stress urinary incontinence ». Reports of Vinnytsia National Medical University 22, n^o 1 (8 août 2018) : 104–7. http://dx.doi.org/10.31393/reports-vnmedical-2018-22(1)-20.

Texte intégral

Résumé :

The article presents the data on a study of sexual function in perimenopausal age women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month. Purpose — to assess the effectiveness of influence transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month on sexual function in perimenopausal age women with stress urinary incontinence. We evaluate the recovery of sexual function in 16 perimenopausal age (45-50 years) women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month using the Incontinence Quality of Life (I-QOL) questionnaire. In 1 month after the treatment we found an improvement in the daily activity of women in 3 times, self-esteem in 2.6 times, sexual function in 2 times, the overall quality of life in 3.3 times, a decrease of emotional stress in 2.8 times, the reduction of additional effort in 3.3 times. A decrease in sexual discomfort was found in the postoperative period in 75% of women, number women with lack of libido decreased by 31.25%, and a number of women who had orgasms during coitus increased by 25%. Thus, transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month normalized sexual dysfunction in perimenopausal age women with stress urinary incontinence.

Styles APA, Harvard, Vancouver, ISO, etc.

27

Firmeza, Mariana Alves, Camila Teixeira Moreira Vasconcelos, José Ananias Vasconcelos Neto, Luiz Gustavo de Oliveira Brito, Flávio Mendes Alves et Natália Maria de Vasconcelos Oliveira. « The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer : A Systematic Review ». Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 44, n^o 08 (août 2022) : 790–96. http://dx.doi.org/10.1055/s-0042-1748972.

Texte intégral

Résumé :

Abstract Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n = 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.

Styles APA, Harvard, Vancouver, ISO, etc.

28

La Torre, Antonio, Caterina Palleria, Irene Tamanini, Andrea Scardigli, Tommaso Cai, Manuela Colosimo, Lucia Muraca et al. « Sexual Dysfunctions Related to Drugs Used in the Management of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia : A Narrative Review on α-Blockers and 5-Alpha Reductase Inhibitors ». Uro 1, n^o 3 (5 juillet 2021) : 82–98. http://dx.doi.org/10.3390/uro1030012.

Texte intégral

Résumé :

This is a critical review of the current literature data about sexual dysfunction as a potential side effect related to drugs commonly used for the treatment of Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms. In this narrative review, we analyzed data from the literature related to the development of sexual dysfunctions during the treatment of BPH or LUTS. Both α-blockers and 5-alpha reductase inhibitors (5-ARIs) can induce erectile dysfunction, ejaculatory disorders and a reduction in sexual desire. The sexual side effect profile of these drugs is different. Among the α-blockers, silodosin appears to have the highest incidence of ejaculatory disorders. Persistent sexual side effects after the discontinuation of finasteride have been recently reported; however, further studies are needed to clarify the true incidence and the significance of this finding. However, most of the published studies are affected by a weak methodology and other important limitations, with only a few RCTs available. Therefore, it is desirable that future studies will include validated tools to assess and diagnose the sexual dysfunction induced by these medications, especially for ejaculation and sexual desire disorders.

Styles APA, Harvard, Vancouver, ISO, etc.

29

Vela-Desojo, Lydia, Daniele Urso, Monica Kurtis-Urra, Pedro J. García-Ruiz, Elia Pérez-Fernández, Eva Lopez-Valdes, Ignacio Posada-Rodriguez et al. « Sexual Dysfunction in Early-Onset Parkinson’s Disease : A Cross-Sectional, Multicenter Study ». Journal of Parkinson's Disease 10, n^o 4 (27 octobre 2020) : 1621–29. http://dx.doi.org/10.3233/jpd-202066.

Texte intégral

Résumé :

Background: Sexual dysfunction (SD) is one of the least studied non-motor symptoms in Parkinson’s disease (PD). Objectives: To assess sexual function in a cohort of patients with early-onset PD (EOPD) and compare it to a group of healthy controls. Methods: In this cross-sectional multicenter study, SD was assessed with gender-specific multi-dimensional self-reported questionnaires: The Brief Male Sexual Function Inventory (BSFI-M) and the Female Sexual Function Index (FSFI). Scores between patients and controls were compared and associations between SD and demographical and clinical variables were studied. Results: One hundred and five patients (mean age 47.35±7.8, disease duration 6 (3–11) years, UPDRS part III 17 (10–23) and 90 controls were recruited. The BSFI-M total score was lower in EOPD men than in controls, and specific items were also significantly lower, such as drive, erections, ejaculation, and satisfaction. EOPD women had lower scores than controls in total FSFI, and certain domains such as lubrication and pain. SD was present in 70.2% of patients and 52.5% of controls. Sexual satisfaction in 35.2% of patients and 81.2% of controls. By gender, male and female patients had more SD than controls but only male patients had more dissatisfaction than controls. Gender, higher depression scores and urinary dysfunction were associated with SD in multivariate analysis; and gender, UPDRS and urinary dysfunction with sexual satisfaction Conclusion: In this Spanish cohort, SD and sexual dissatisfaction was more prevalent in EOPD patients than in the general population. Gender and urinary disfunction were associated with SD and sexual dissatisfaction.

Styles APA, Harvard, Vancouver, ISO, etc.

30

P., Leelakrishna, et Saravanan J. « A prospective study of sexual dysfunction in patients with benign prostatic hyperplasia ». International Surgery Journal 5, n^o 3 (26 février 2018) : 802. http://dx.doi.org/10.18203/2349-2902.isj20180500.

Texte intégral

Résumé :

Background: Benign prostatic hyperplasia (BPH)/ lower urinary tract symptoms (LUTS) patients have been found to be more prevalence of sexual dysfunction than in men with no BPH/LUTS. In this study, the authors aimed to evaluate the prevalence of sexual dysfunction in the BPH patient to see the correlation between BPH and sexual dysfunction.Methods: All patients who attended Urology outpatient department or admitted in Government Kilpauk Medical College and Hospital and Government Royapettah hospital during October 2013 to October 2014 for symptoms of BPH were enrolled for the study.Results: The prevalence of sexual dysfunction in patients with LUTS is70%. The severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of LUTS/BPH.Conclusions: Though the sample size is small and the follow up is limited, it can be suggested that treatment of sexual function should be combined with management of sexual dysfunction for better patient satisfaction.

Styles APA, Harvard, Vancouver, ISO, etc.

31

Mishra, Gourav Kumar, Urvashi Mishra, Arshad Hasan, Ahsan Ahmad, Nusrat Jabin et Vipin Kumar Chandra. « Lower urinary tract symptoms in pre-menopausal women and its association with sexual dysfunction ». Asian Journal of Medical Sciences 12, n^o 8 (30 juillet 2021) : 94–99. http://dx.doi.org/10.3126/ajms.v12i8.36141.

Texte intégral

Résumé :

Background: Sexual dysfunction (SD) is one of the common problems observed by premenopausal women and it frequently exists along with other associated lower urinary tract symptoms (LUTS). Aims and Objective: The present study was planned to evaluate the correlation between SD in pre-menopausal women with LUTS. Materials and Methods: This was a prospective observational study conducted between March 2018 to February 2019. All sexually active premenopausal women, who presented with complains of LUTS were enrolled in this study. All included patients were given two types of questionnaires (Bristol female lower urinary tract symptom [BFLUTS] and pelvic organ prolapse-urinary incontinence sexual function [PISQ-12]). These were for the assessment of LUTS and sexual function. Assessment of association between presence of LUTS and sexual dysfunction was done. Results: A total of 105 women were enrolled in the study. Their mean age was 43.70 years and BMI was 29.49. The total mean BFLUTS score recorded was 28.12. Their sub-dimension scores recorded for the filling, voiding, incontinence symptoms, sexual function and quality of life were 8.21, 34.32, 12.21, 4.49, and 10.65, respectively. Total mean score of PISQ-12 was 23.72 in all women and the mean values for the sub-dimension scores were 5.21 for the behavioural-emotive state, 11.78 for the physical state, and 6.2 for the partner-related state. There was Negative association observed between the total of PISQ-12 scores and total and sub-dimension of the BFLUTS scores (p<0.01). Conclusion: This study observes the presence of LUTS in women with sexual dysfunction. LUTS directly or indirectly increase the sexual problems in premenopausal women. These results highlight the clinical importance of evaluating LUTS in premenopausal women with sexual dysfunction.

Styles APA, Harvard, Vancouver, ISO, etc.

32

Chen, Ronald C., Bryce B. Reeve, Allison Mary Deal, Dominic T. Moore et James Austin Talcott. « Association between baseline physical function and comorbidity status with patient-reported quality of life after prostate cancer treatments : Combined analysis of two prospective cohort studies. » Journal of Clinical Oncology 30, n^o 15_suppl (20 mai 2012) : 6107. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.6107.

Texte intégral

Résumé :

6107 Background: Treatment-related bowel, urinary, and sexual dysfunction in prostate cancer patients varies by treatment type, baseline function and other patient factors. To better predict patient outcomes after treatment, we examined the impact of comorbidity on these quality of life (QOL) outcomes in a secondary data analysis of two pooled, prospective cohort studies. Methods: A total of 697 patients from 3 academic hospitals who received radical prostatectomy, external beam radiation, or brachytherapy were included. Using a validated instrument, patients reported bowel, urinary, and sexual symptoms pretreatment, and at 3, 12, 24, and 36 months after treatment. Baseline physical function was measured by the physical component summary score (PCS) of the SF-12 using patient report. Comorbidity as measured by the Index of Co-Existent Disease (ICED) was obtained from medical record review. Repeated QOL measurements were analyzed using a mixed modeling method, by random coefficient modeling. Separate models were built for each outcome using bowel, urinary, and sexual scale scores at each time point.Covariates in all models included baseline age, education, ICED, and PCS. Results: Approximately 70% of patients had one or more comorbid conditions at baseline. After adjusting for age and education in mixed-models, we found baseline comorbidity was independently associated with more sexual dysfunction (p<.001) and urinary incontinence (p=.03). Worse baseline physical functioning was independently associated with more bowel problems (p<.001) and sexual dysfunction (p<.001). There were no treatment by comorbidity or physical functioning interactions. Conclusions: Comorbidity and worse physical functioning at baseline are significantly associated with poorer bowel, urinary, and sexual function after treatment for prostate cancer, but the associations do not appear to differ by treatment. Patients with comorbidity recovered more slowly. This information may help patients and their physicians anticipate outcomes after surgical and radiation treatments.

Styles APA, Harvard, Vancouver, ISO, etc.

33

Talcott, James A., Judith Manola, Jack A. Clark, Irving Kaplan, Clair J. Beard, Sonya P. Mitchell, Ronald C. Chen, Michael P. O’Leary, Philip W. Kantoff et Anthony V. D’Amico. « Time Course and Predictors of Symptoms After Primary Prostate Cancer Therapy ». Journal of Clinical Oncology 21, n^o 21 (1 novembre 2003) : 3979–86. http://dx.doi.org/10.1200/jco.2003.01.199.

Texte intégral

Résumé :

Purpose: Understanding the distinctive patterns of treatment-related dysfunction after alternative initial treatments for early prostate cancer (PC) may improve patients’ choice of treatment and later help them adjust to its consequences. We characterized the time course of treatment complications while adjusting for potentially confounding pretreatment factors hindering other observational studies. Patients and Methods: In a prospective cohort study of 417 men we assessed urinary, bowel, and sexual function from before primary treatment to 24 months after. To control for potential confounding, we measured sociodemographic and PC prognostic factors, medical comorbidity, and pretreatment function commonly affected by PC and its treatment. Results: Patients who underwent external beam radiotherapy (EBRT), radical prostatectomy (RP), and brachytherapy (BT) differed significantly in sociodemographic factors, cancer prognostic factors, and pretreatment symptom status, especially sexual function. Urinary incontinence increased sharply after RP, while bowel problems and urinary irritation/obstruction rose after EBRT and BT. Sexual dysfunction increased in all patients, particularly after radical prostatectomy, and nerve-sparing surgical technique had little apparent benefit. There was no change in urinary function and little change in overall bowel function after 12 months, but the time course of sexual dysfunction varied by treatment and, for bowel function, by symptom. Multiple regression modeling confirmed that treatment influences all 24-month outcomes, but residual confounding persisted. Conclusion: Pretreatment function and the primary treatment modality for early stage PC strongly predict the affected organ systems and time course of dysfunction. With this information, patients and their physicians may refine their choice of treatment and better anticipate its consequences.

Styles APA, Harvard, Vancouver, ISO, etc.

34

Eroğlu, Ali, Muammer Aydın, Özkan Onuk, Nusret Can Çilesiz et Barış Nuhoğlu. « Investigation of Sexual Dysfunction in Premenopausal Women with Urinary Incontinence ». Journal of Academic Research in Medicine 10, n^o 2 (30 août 2020) : 160–65. http://dx.doi.org/10.4274/jarem.galenos.2020.3081.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

35

Littlejohn, J. O. Jr, et S. A. Kaplan. « An unexpected association between urinary incontinence, depression and sexual dysfunction ». Drugs of Today 38, n^o 11 (2002) : 777. http://dx.doi.org/10.1358/dot.2002.38.11.740199.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

36

McVARY, KEVIN. « Lower urinary tract symptoms and sexual dysfunction : epidemiology and pathophysiology ». BJU International 97, s2 (avril 2006) : 23–28. http://dx.doi.org/10.1111/j.1464-410x.2006.06102.x.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

37

Giuliano, François. « Lower urinary tract symptoms and sexual dysfunction : a common approach ». BJU International 101, s3 (mars 2008) : 22–26. http://dx.doi.org/10.1111/j.1464-410x.2008.07494.x.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

38

Duralde, E. R., et T. S. Rowen. « 026 Review of Urinary Incontinence and Associated Female Sexual Dysfunction ». Journal of Sexual Medicine 14, n^o 6 (juin 2017) : e359-e360. http://dx.doi.org/10.1016/j.jsxm.2017.04.031.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

39

Panicker, J., M. Lad, M. Parkinson, M. Rai, M. Pandolfo, P. Mihaylova-Bogdanova, R. A. Walsh, S. Murphy, A. Emmanuel et P. Giunti. « Lower urinary tract, bowel and sexual dysfunction in Friedreich’s ataxia ». Journal of the Neurological Sciences 381 (octobre 2017) : 891–92. http://dx.doi.org/10.1016/j.jns.2017.08.2510.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

40

Tomoda, Hirotsugu, et Motonosuke Furusawa. « Sexual and urinary dysfunction following surgery for sigmoid colon cancer ». Japanese Journal of Surgery 15, n^o 5 (septembre 1985) : 355–60. http://dx.doi.org/10.1007/bf02469930.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

41

Park, Jonathan K., Tobias S. Köhler et Kevin T. McVary. « Lower urinary tract symptoms, benign prostatic hyperplasia, and sexual dysfunction ». Current Bladder Dysfunction Reports 3, n^o 4 (25 novembre 2008) : 233–40. http://dx.doi.org/10.1007/s11884-008-0034-3.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

42

Hennessey, A., N. P. Robertson, R. Swingler et D. A. S. Compston. « Urinary, faecal and sexual dysfunction in patients with multiple sclerosis ». Journal of Neurology 246, n^o 11 (22 novembre 1999) : 1027–32. http://dx.doi.org/10.1007/s004150050508.

Texte intégral

Styles APA, Harvard, Vancouver, ISO, etc.

43

Bronner, Gila, et David B. Vodušek. « Management of sexual dysfunction in Parkinson’s disease ». Therapeutic Advances in Neurological Disorders 4, n^o 6 (2 septembre 2011) : 375–83. http://dx.doi.org/10.1177/1756285611411504.

Texte intégral

Résumé :

Nonmotor symptoms, among them sexual dysfunction, are common and underrecognized in patients with Parkinson disease; they play a major role in the deterioration of quality of life of patients and their partners. Loss of desire and dissatisfaction with their sexual life is encountered in both genders. Hypersexuality (HS), erectile dysfunction and problems with ejaculation are found in male patients, and loss of lubrication and involuntary urination during sex are found in female patients. Tremor, hypomimia, muscle rigidity, bradykinesia, ‘clumsiness’ in fine motor control, dyskinesias, hypersalivation and sweating may interfere with sexual function. Optimal dopaminergic treatment should facilitate sexual encounters of the couple. Appropriate counselling diminishes some of the problems (reluctance to engage in sex, problems with ejaculation, lubrication and urinary incontinence). Treatment of erectile dysfunction with sildenafil and apomorphine is evidence based. HS or compulsive sexual behaviour are side effects of dopaminergic therapy, particularly by dopaminergic agonists, and should be treated primarily by diminishing their dose. Neurologists should actively investigate sexual dysfunction in their Parkinsonian patients and offer treatment, optimally within a multidisciplinary team, where a dedicated professional would deal with sexual counselling.

Styles APA, Harvard, Vancouver, ISO, etc.

44

Brigham, Christopher R., et Randolph Soo Hoo. « Impairment Assessment of Female Sexual Dysfunction ». Guides Newsletter 21, n^o 3 (1 mai 2016) : 8–9. http://dx.doi.org/10.1001/amaguidesnewsletters.2016.mayjun02.

Texte intégral

Résumé :

Abstract Impairment assessment of female sexual dysfunction using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth or Sixth Edition, must be performed using appropriate evaluation and objective findings to support ratable sexual dysfunction. In both editions, sexual dysfunction is discussed in Chapter 7, The Urinary and Reproductive Systems, and Chapter 13, The Central and Peripheral Nervous System. In the fifth edition, the maximum impairment rating for female sexual functioning is 35% whole person impairment; in the sixth edition, the maximum is 20%. In terms of rating female reproductive organ impairment, the fifth edition gives consideration to the differences between premenopausal and postmenopausal women. Table 7-9, Criteria for Rating Permanent Impairment Due to Vulval and Vaginal Disease in the fifth edition is used to rate female sexual dysfunction; three classes are identified, and, although age is not a specific consideration, this edition discusses differences between premenopausal and postmenopausal women. In the AMA Guides, Sixth Edition, Table 7-10, Criteria for Rating Permanent Impairment Due to Vulval and Vaginal Disease, is used and provides four classes, two of which have severity grades. Each class addresses historical signs and symptoms of vulvar or vaginal diseases, vulval and vaginal physical alterations, and potential effect of altered vaginal anatomy for vaginal delivery (if premenopausal). Neurogenic sexual dysfunction is combined with other related impairments using the Combined Values Chart.

Styles APA, Harvard, Vancouver, ISO, etc.

45

Kurniawati, Eighty Mardiyan, Gatut Hardianto, Hari Paraton, Azami Denas Azinar, Tri Hastono Setyo Hadi et Nur Anisah Rahmawati. « Trends in delivery mode occurring during the Covid-19 pandemic and risks in long-term urogynecology cases : A narrative review ». Majalah Obstetri & ; Ginekologi 29, n^o 3 (25 novembre 2021) : 136. http://dx.doi.org/10.20473/mog.v29i32021.136-140.

Texte intégral

Résumé :

HIGHLIGHT 1. Trend of delivery types during Covid-19 pandemic and the risk of urogynecology cases, particularly sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence, was reviewed.2. Cesarean section was found higher than normal deliveries due to the consideration of possiblee exposure to the virus.3. Sexual dysfunction was found not to have relations to mode of delivery, but those with mode of delivery other than normal likely had dyspareunia at 18 months postpartum.4. The choice of method of delivery needs to be determined wisely by considering medical indications and the risk factors. ABSTRACTWomen's quality of life in the long term is also influenced by their reproductive health. Various diseases appear related to urogynecology cases such as sexual dysfunction, pelvic floor dysfunction and stress urinary incontinence. The study reviews the trend of types of delivery during the pandemic and the risk of urogynecology cases, especially in the three cases. The narrative review study was conducted using the PubMed, Science Direct, and Google Scholar databases. The results showed that the percentage of cesarean section was higher than normal deliveries because of the view on the safety of exposure to the virus. Several studies have found that sexual dysfunction was not related to mode of delivery but women who delivered by emergency caesarean section, vacuum extraction, or caesarean section were more likely to report dyspareunia at 18 months postpartum but adjusted for maternal age and other confounders. Meanwhile, compared with spontaneous vaginal delivery, cesarean delivery with a protective effect or reduction of stress urinary incontinence, overactive bladder, and pelvic organ prolapse. There is a tendency to choose a certain pattern of delivery so that the choice of method needs to be chosen wisely and through medical indications and consider risk factors for long-term reproductive health problems.

Styles APA, Harvard, Vancouver, ISO, etc.

46

Brigham, Christopher R., et Randy Soo Hoo. « Impairment Assessment of Male Sexual Dysfunction ». Guides Newsletter 21, n^o 2 (1 mars 2016) : 9–10. http://dx.doi.org/10.1001/amaguidesnewsletters.2016.marapr02.

Texte intégral

Résumé :

Abstract Impairment assessment of male sexual dysfunction using both the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth and Sixth Editions, must be done with appropriate evaluation and objective findings in order to support ratable sexual dysfunction. The fifth edition specified that the absence of sexual functioning results in a maximum rating of 20% whole person impairment (WPI); in the sixth edition, the maximum is 15%. In the AMA Guides, Fifth and Sixth Editions, sexual dysfunction is discussed in Chapter 7, The Urinary and Reproductive Systems, and in Chapter 13, The Central and Peripheral Nervous System. In the fifth edition, Section 7.7, Male Reproductive Organs, provides guidance for impairment percentages for male reproductive organs for men aged 40–65 years; age adjustment is made for males younger than 40 (WPI is increased 50%) and older than 65 (WPI is decreased 50%). Section 13.7d, Sexual System Neurologic Impairments, in the fifth edition of the AMA Guides directs evaluators to use Table 13-21, Criteria for Rating Neurologic Sexual Impairments. In the sixth edition, Section 7.7 similarly offers guidance for impairment percentages for male reproductive organs for men aged 40–65 years but, unlike the fifth edition, allows a 10% upward or downward adjustment at the evaluator's discretion based on the individual's age and level of premorbid sexual functioning. In the sixth edition, Table 7-6, Criteria for Rating Permanent Impairment Due to Penile Disease, presents four classes and three grades.

Styles APA, Harvard, Vancouver, ISO, etc.

47

Mirone, Vincenzo, Roberto Carone, Giuseppe Carrieri, Elisabetta Costantini, Giuseppe Morgia, Giuseppe Mario Ludovico, Donata Villari et Fabio Parazzini. « Urinary symptoms and sexual dysfunction among Italian men : The results of the #Controllati survey ». Archivio Italiano di Urologia e Andrologia 89, n^o 1 (31 mars 2017) : 75. http://dx.doi.org/10.4081/aiua.2017.1.75.

Texte intégral

Résumé :

Objective: Prevention may improve the quality of life and sexual and reproductive health. To improve prevention require a comprehensive research approach that examines the frequency and risk factors for urologic conditions. In June 2016 the Italian Urologic Society coordinated a preventive initiative : the 1st Week of Male Urologic Prevention ”#Controllati”. Material and methods: During the 1st Week of Male Urologic Prevention “#Controllati”, men aged 18 years or more were invited to attend participating urologic centers for a free of charge visit for counseling about urologic or andrologic conditions. Each participating man underwent a physical examination. Further he was asked about his a medical history and about his urologic symptoms, sexual activity and possible related problems. Results: Data were collected in 81 centers: 2380 men answered the questionnaire. A total of 1226 subjects participating in the study reported one or more urinary symptom [51.5% (IC 95% 48.9%-54.5%)]. The risk of any urinary symptoms increased with age: in comparison with men aged < = 30 years or less the risk of any urinary symptoms was 2.31, 2.92, 5.12, 7.82 and 17.02 respectively in the class age 31-40, 41-50, 51-60, 61-70 and > = 71. Overweight/obese men were at increased risk of any urinary symptoms [OR1.35 (95% CI 1.12-1.64)]. 27.2% (IC 95% overall 25.2% -29.3%) of the subjects had at least a sexual disorder (erectile dysfunction, premature ejaculation, hypoactive sexual desire). The erectile dysfunction and hypoactive sexual desire increased with age, but premature ejaculation tended to be higher among younger aged men aged 40 years or more. Current any urinary symptoms [OR 1.85 (CI 1.40-2.43)], hypertension [OR 1.66 (95% CI 1.21-2.26) and diabetes (OR 2.37 (95% CI 1.45-3.88)] increased the risk of erectile dysfunction. Conclusions: This large survey gives a picture of the burden of the more frequent urologic conditions offering useful information in order to focus preventive campaign.

Styles APA, Harvard, Vancouver, ISO, etc.

48

Hennenfent, Bradley R., et Antonio Novak Feliciano. « Release of Obstructive Prostatic Disease and Improvement of Erectile Dysfunction by Repetitive Prostatic Massage and Antimicrobial Therapy ». Scientific World JOURNAL 4 (2004) : 166–70. http://dx.doi.org/10.1100/tsw.2004.63.

Texte intégral

Résumé :

We report on a 69-year-old male who presented with an indwelling urinary catheter due to obstructive prostatic disease. The patient also complained of impotence. With repetitive prostatic massage combined with antimicrobial therapy the urinary obstruction was released, the patient's urinary symptoms resolved, and sexual function improved.

Styles APA, Harvard, Vancouver, ISO, etc.

49

Li, Vivien, Prasad Malladi, Sara Simeoni, Mahreen Pakzad, Rosie Everett, Chanjira Satukijchai, Maria Isabel Leite, Jacqueline Palace et Jalesh N. Panicker. « A clinico-neurophysiological study of urogenital dysfunction in MOG-antibody transverse myelitis ». Neurology 95, n^o 21 (12 octobre 2020) : e2924-e2934. http://dx.doi.org/10.1212/wnl.0000000000011030.

Texte intégral

Résumé :

ObjectiveTo assess the clinical, urodynamic, and neurophysiologic features of patients with persisting bladder, bowel, and sexual dysfunction after transverse myelitis in myelin oligodendrocyte glycoprotein antibody (MOG-Ab) disease.MethodsPatients with a history of MOG-Ab disease–related transverse myelitis seen prospectively in a tertiary center uro-neurology service between 2017 and 2019 were included. They received cross-sectional clinical assessment; completed standardized questionnaires on bladder, bowel, and sexual symptoms; and underwent urodynamic and pelvic neurophysiologic investigations.ResultsTwelve patients (9 male) were included with a total of 17 episodes of transverse myelitis. Mean age at first attack was 26 (SD 9) years, and median follow-up duration was 50 (interquartile range 32–87) months. Acute urinary retention requiring bladder catheterization occurred in 14 episodes and was the first symptom in 10 episodes. Patients with lesions affecting the conus medullaris required catheterization for significantly longer durations than those without a conus lesion (median difference 15.5 days, p = 0.007). At follow-up, all patients had recovered full ambulatory function, but persisting bladder and bowel dysfunction moderately or severely affected quality of life in 55% and 36%, respectively, and 82% had sexual dysfunction. Pelvic neurophysiology demonstrated abnormal residual conus function in 6 patients. Urodynamic findings predominantly showed detrusor overactivity and/or detrusor-sphincter dyssynergia, indicative of a supraconal pattern of lower urinary tract dysfunction.ConclusionsPersisting urogenital and bowel dysfunction is common despite motor recovery. Although a proportion of patients had neurophysiologic evidence of residual conus abnormalities at follow-up, predominant urodyamic findings suggest that ongoing lower urinary tract dysfunction results from supraconal injury.

Styles APA, Harvard, Vancouver, ISO, etc.

50

Rogers, Rebecca G. « Sexual function in women with pelvic floor disorders ». Canadian Urological Association Journal 7, n^o 9-10 (8 octobre 2013) : 199. http://dx.doi.org/10.5489/cuaj.1625.

Texte intégral

Résumé :

Pelvic floor disorders (PFDs) can impact sexual function. This summary provides an overview of the impact of stress urinary incontinence and pelvic organ prolapse and their treatments on sexual function. In general, interventions that successfully address PFDs will generally improve sexual function as well. However, there are patients whose sexual function will remain unchanged despite treatment, and a small but significant minority who will report worsened sexual function following treatment for their pelvic floor dysfunction.

Styles APA, Harvard, Vancouver, ISO, etc.

Articles de revues sur le sujet « Urinary and sexual dysfunction »

Créez une référence correcte selon les styles APA, MLA, Chicago, Harvard et plusieurs autres