Evaluación de los cambios en la función sexual en pacientes sometidos a cirugía endoscópica de la litiasis del tracto urinario superior

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2024-12-01 DOI:10.1016/j.acuro.2024.06.002

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.

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评价上尿路碎石症内镜手术患者的性功能变化

目的探讨内镜下手术对上尿路结石患者性功能的影响。材料和方法我们对接受输尿管镜（URS）、逆行肾内手术（RIRS）或内窥镜联合肾内手术（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个月用问卷评估患者的性反应。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）。结果70名患者（34名男性，36名女性）完成了研究。在男性中，IIEF-t在基线得分（64.1±7.50）与3个月时的得分（63.8±9.51）之间无显著差异，在第一个月时的得分（61.4±10.4）无显著下降（p = 0.054）。子域在3个月时没有恶化，desire （IIEF-SD）从7.3±1.9改善到8.0±1.8。在女性中，术后FSFI-t无明显变化：基线评分（27.3±4.1），1个月评分（26.8±3.7）和3个月评分（27.5±4.2）。第三个月没有子域名恶化。结论内镜下手术治疗UUT是一种安全的技术，对两性均无不良影响。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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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.