Assessment of changes in sexual function in patients undergoing endoscopic surgery for upper urinary tract lithiasis.

J Tabares Jiménez, G Bueno Serrano, M P Alcoba García, R González López, B Gómez Jordana, I Mahillo Fernández, C González Enguita
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Abstract

Objective: To evaluate the effect of endoscopic surgery on sexual function in patients with upper urinary tract (UUT) lithiasis.

Material and methods: We conducted an observational, prospective, longitudinal study with a single cohort of cases undergoing ureteroscopy (URS), retrograde intrarenal surgery (RIRS), or endoscopic combined intrarenal surgery (ECIRS). Patients' sexual response was assessed with questionnaires in the 30 days prior to surgery, and at one and three months after surgery. The International Index of Erectile Function (IIEF-t) was used in male patients, and the Female Sexual Function Index (FSFI) was used in female patients.

Results: Seventy patients - 34 men and 36 women - completed the study. Among men, the IIEF-t did not show significant difference between baseline scores (64.1 ± 7.50) and those obtained at 3 months (63.8 ± 9.51), with a non-significant decrease (p = 0.054) at the first month (61.4 ± 10.4). Subdomains did not worsen at 3 months, and desire (IIEF-SD) improved from 7.3 ± 1.9 to 8.0 ± 1.8. Among women, the FSFI-t did not change significantly after surgery: baseline score (27.3 ± 4.1), 1-month score (26.8 ± 3.7) and 3-month score (27.5 ± 4.2). No subdomain worsened at the third month.

Conclusion: Endoscopic surgery for UUT is a safe technique in both sexes with no negative effect on sexual function. There are no differences between the baseline IIEF-t and FSFI-t scores and those obtained at 3 months.

评估接受内窥镜手术治疗上尿路结石患者的性功能变化。
目的:评估内窥镜手术对上尿路结石(UUT)患者性功能的影响:评估内窥镜手术对上尿路(UUT)结石患者性功能的影响:我们对接受输尿管镜检查(URS)、逆行肾内手术(RIRS)或内镜联合肾内手术(ECIRS)的病例进行了一项观察性、前瞻性、纵向研究。在手术前30天、手术后1个月和3个月,对患者的性反应进行了问卷评估。男性患者采用国际勃起功能指数(IIEF-t),女性患者采用女性性功能指数(FSFI):共有 70 名患者完成了研究,其中男性 34 人,女性 36 人。在男性患者中,IIEF-t 的基线分数(64.1 ± 7.50)与 3 个月后的分数(63.8 ± 9.51)之间没有明显差异,第一个月的分数(61.4 ± 10.4)下降不明显(p = 0.054)。3 个月后,子域的情况没有恶化,欲望(IIEF-SD)从 7.3 ± 1.9 改善到 8.0 ± 1.8。在女性中,FSFI-t 在术后没有明显变化:基线分数(27.3 ± 4.1)、1 个月分数(26.8 ± 3.7)和 3 个月分数(27.5 ± 4.2)。结论:内窥镜手术治疗 UUT 是一种有效的方法:结论:内窥镜手术治疗 UUT 是一种安全的技术,对男女性功能均无负面影响。基线IIEF-t和FSFI-t评分与3个月时的评分没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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