Sexual medicine reviews最新文献

{"title":"Effectiveness of physiotherapy and its impact on the quality of life of patients compared to other therapeutic approaches in the management of female sexual dysfunction in non-menopausal adult population: a systematic review.","authors":"Laia Blanco-Ratto, Inés Ramírez-García, Stephanie Kauffmann, Montserrat Girabent Farrés","doi":"10.1093/sxmrev/qeaf022","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf022","url":null,"abstract":"<p><strong>Introduction: </strong>Female sexual dysfunction (FSD) affects quality of life, presenting as reduced sexual desire, arousal issues, pain, and orgasm difficulties. Its multifactorial causes include physical and psychological factors, with about 43% of women in the United States affected.</p><p><strong>Objective: </strong>To evaluate the efficacy of physiotherapy compared to other treatments (medical, psychological, pharmacological) in improving sexual function and quality of life in adult women with sexual dysfunction, excluding menopausal women. It synthesizes evidence on physiotherapeutic treatments, such as pelvic floor exercises, manual therapy, biofeedback, electrotherapy, and pelvic function education.</p><p><strong>Methods: </strong>Following PRISMA guidelines, a comprehensive search was conducted in PubMed, Scopus, and Web of Science. Inclusion criteria encompassed studies evaluating the effectiveness of physiotherapy in adult women with sexual dysfunction, excluding postmenopausal. Data extraction and quality assessment were performed using standardized tools.</p><p><strong>Results: </strong>Of the 708 identified studies, 8 met the inclusion criteria. The studies demonstrated significant improvements in Female Sexual Function Index (FSFI) domains following physiotherapeutic interventions, notably reducing pain and enhancing desire and arousal. However, heterogeneity among studies precluded meta-analysis, necessitating qualitative synthesis.</p><p><strong>Discussion: </strong>Physiotherapy, particularly pelvic floor muscle training and multimodal approaches, proved effective in enhancing sexual function and reducing pain. While physiotherapy offers a non-invasive alternative with fewer side effects compared to surgical options, variability in intervention protocols indicates the need for standardization. Psychological and emotional factors are key in sexual dysfunction, highlighting the value of integrated treatments. Capacitive resistive monopolar radiofrequency with manual therapy improved sexual function in women with dyspareunia, though benefits were short-lived, underscoring the need for maintenance strategies.</p><p><strong>Conclusions: </strong>Physiotherapy is an effective intervention for FSD, significantly improving quality of life. Incorporating physiotherapy into clinical rehabilitation programs is recommended. Further research with standardized protocols and long-term follow-ups is necessary to consolidate evidence and optimize treatment strategies.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blue balls: a brief history.","authors":"Diederik F Janssen","doi":"10.1093/sxmrev/qeaf015","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf015","url":null,"abstract":"<p><strong>Introduction: </strong>Blue balls is a mundane complaint that generates substantive popular lore but has little coverage in the sexual medicine literature.</p><p><strong>Objectives: </strong>To draft a first medical history of relevant nosology and etiology.</p><p><strong>Methods: </strong>The Latin, French, German, Dutch, Italian, and English literature was mined.</p><p><strong>Results: </strong>As expected from a period of not only widespread scaremongering concerning masturbation and \"semen loss\" but also \"overly rigid continence,\" scrotal pain reminiscent of blue balls was well covered between the 1820s and 1920s, under variably inclusive nosologic headings: \"hernia seminalis,\" \"orchioncus,\" \"simple spermatocele,\" \"epididymis distensa,\" \"irritable testis,\" \"testicular epilepsy,\" \"testicular neuralgia,\" \"spermatic colic,\" \"stone-ache,\" \"epididymitis sympathica,\" \"epididymitis erotica,\" \"epididymitis antiperistaltica,\" \"paradidymitis erotica acuta,\" and \"epididymo-deferential colic.\" Even an analogical \"ovaralgia erotica\" was hypothesized. Observations had the radical potential of supporting poena naturalis (natural punishment) arguments against \"too strict\" continence and even pro masturbation. This historical push toward concepts of normal and habitual sexuality was fortified by equally tendentious concepts of \"constitutional\" or \"temperamental\" predisposition in some men. Yet the clear potential of the diagnosis to moderate strong prevailing sentiments against masturbation remained poorly realized until well into the early 20th century.</p><p><strong>Conclusion: </strong>Discomfort of the blue balls variety widely animated clinical sexual discourse from the early 18th century onward. It specifically informed interlocking, gendered ideas about sexual entitlement expressed in normative frames for sexual habits, eroto-sexual constitution, and behavioral health.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of recent data on disorders of ejaculation and orgasm in men: recommendations from the Fifth International Consultation on Sexual Medicine.","authors":"Alan W Shindel, Ege Can Serefoglu, Stanley Althof, Mohamed Arafa, Gajanan Bhat, Eelke Snoeren, Yan Zhang, Amr El-Meliegy","doi":"10.1093/sxmrev/qeaf016","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf016","url":null,"abstract":"<p><strong>Introduction: </strong>Disorders of ejaculation and orgasm (DEO) in men are poorly understood and can pose a substantial burden to men and their sexual partners.</p><p><strong>Objectives: </strong>Under the aegis of the International Consultation on Sexual Medicine, a multinational, multidisciplinary panel of experts was convened to review the world literature and generate a consensus on management of DEO in men. This document represents a summary of the panel's report on physiology of ejaculation and orgasm, mental health conditions, and specific DEO that are not related to the timing of climax (ie, premature and delayed ejaculation).</p><p><strong>Methods: </strong>Narrative review of existing literature and consensus recommendations from the expert panel.</p><p><strong>Results: </strong>The processes of ejaculation and orgasm are complex and include neuronal and hormonal factors as well as psychological and interpersonal dynamics. Care of the patient presenting with a potential DEO centers on sensitive history taking and selective testing. Declines in semen volume may occur naturally with age and can be seen in the context of medical or surgical therapies. Pain with ejaculation/orgasm has a myriad of potential etiologies and may be part of a complex chronic pelvic pain syndrome; assessment for related diagnoses that may be contributory is warranted. Hematospermia can be distressing but is often benign; management when indicated is geared toward detecting potentially reversible etiologies. Climacturia is a troublesome condition of urine loss common after prostate surgeries; Behavioral and physical therapy and surgical intervention may be of value in these cases. Management strategies for anhedonic orgasm and post-orgasmic illness syndrome are not well established. Dhat is a complex syndrome oftentimes centered around pathological fear of semen loss that is best managed with a sensitive and culturally appropriate focus.</p><p><strong>Conclusions: </strong>An understanding of the processes of ejaculation and what is known about DEO can aid clinicians and researchers in providing optimal care.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual satisfaction in people and couples belonging to sexual orientation and gender diversities: a bibliometric analysis.","authors":"Pablo Mangas, Juan Carlos Sierra","doi":"10.1093/sxmrev/qeaf019","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf019","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual satisfaction is a key component of individual and relational well-being and is defined as the subjective perception of enjoyment and fulfillment in sexual life. For individuals and couples belonging to sexual orientation and gender diversities (SOGDs), this satisfaction may be influenced by unique factors related to the experience of their sexual orientation and gender identity. However, the scientific literature exploring sexual satisfaction in these groups remains scarce. The present work analyzes the growth and characteristics of scientific production in this field of study.</p><p><strong>Objectives: </strong>Mapping scientific articles indexed in Scopus and Web of Science on the scientific production of sexual satisfaction in SOGD individuals and couples and identifying the production growth, sources, authors, countries and affiliations, relevant terms, and collaborative networks.</p><p><strong>Methods: </strong>A bibliometric analysis of 333 articles published in scientific journals was performed. The selected studies included terms related to the SOGD population and sexual satisfaction in the title, abstract and keywords. The articles covered the period 1976-2023 and were analyzed in terms of temporal production; authors, countries and institutions; relevant terms; trend topics; co-occurrence; and collaborations, using R-bibliometrix and VOSviewer.</p><p><strong>Results: </strong>The analysis revealed a progressive growth in scientific production, especially in the last decade. The main journals that published on the subject include The Journal of Sexual Medicine, Archives of Sexual Behavior, and The Journal of Sex Research. The studies were mainly concentrated in North American and European countries. Recurring terms such as HIV and relationship satisfaction were identified, while some SOGD collectives remained underrepresented. Additionally, limited intellectual collaboration networks were observed.</p><p><strong>Conclusions: </strong>This analysis highlights the need to expand research on sexual satisfaction in SOGD populations to include underrepresented regions and groups. A more inclusive and collaborative approach is recommended, addressing experiences of sexual satisfaction from affirmative and multicultural perspectives.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of erectile function in laboratory animals: an overview.","authors":"Jianxiong Ma, Yuhe Si, Yihao Chen, Jiahua Qian, Chenxi Wang, Qiang He","doi":"10.1093/sxmrev/qeaf017","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf017","url":null,"abstract":"<p><strong>Introduction: </strong>Erectile dysfunction (ED) is a common male sexual disorder that diminishes quality of life significantly. Despite extensive research, little is known about the complex physiological mechanisms of ED, in part owing to disparities between animal and human physiology. Comprehensive and objective assessment methods for animal models are crucial to bridge this translational gap.</p><p><strong>Objectives: </strong>Various experimental approaches for evaluating erectile function in rodent models are explored.</p><p><strong>Methods: </strong>A search of the medical literature was carried out in PubMed and Medline, focusing on original research and systematic reviews of original research on the evaluation of erectile function in experimental animals. Studies without erectile assessment methods or insufficient data, editorials, letters, commentaries, and non-English articles were excluded.</p><p><strong>Results: </strong>The ICP-to-mean arterial pressure ratio remains a valuable indicator for evaluating erectile function. Furthermore, laser speckle blood perfusion imaging technology offers an approach for assessing changes in cavernous blood flow, whereas infrared thermal imaging technology enables real-time temperature monitoring during erectile responses. Microscopic ultrasound and magnetic resonance imaging allow high-resolution observation of hemodynamic and histological changes in the rat model penis, real-time assessment of blood flow, and detailed anatomical information. Human-rat homologous marker detection using blood tests has high clinical relevance and translational potential. In addition, wearable adaptive penile rigidity monitoring (WARM) dynamically monitors erectile function by accurately and continuously detecting changes in the girth of the rat penis in a non-invasive manner. Utilizing ex vivo models of cavernous tissue, such as the cavernous artery and smooth muscle, can provide valuable insights into the mechanisms underlying ED and the pharmacological effects and efficacy of drugs.</p><p><strong>Conclusion: </strong>This comprehensive review covers diverse approaches, including new technologies, for assessing erectile function in rodent models, including new technologies. By addressing the limitations of the existing methodologies and providing a framework for accurate and reliable evaluations, this review provides a basis for further research on the pathophysiology of ED and potential therapeutic interventions.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testosterone deficiency and treatments: common misconceptions and practical guidance for patient care.","authors":"Mohit Khera, James M Hotaling, Martin Miner","doi":"10.1093/sxmrev/qeaf011","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf011","url":null,"abstract":"<p><strong>Introduction: </strong>Misconceptions about testosterone therapy are prevalent and there is an unmet need for a review of current literature that can be leveraged by physicians to deliver safe and effective care for men with hypogonadism.</p><p><strong>Objectives: </strong>This review aims to address common misconceptions about testosterone therapy using current literature and synthesize practical guidance for clinicians with patients who are starting testosterone therapy.</p><p><strong>Methods: </strong>A literature search of PubMed, Embase, CINAHL was carried out to identify associations between testosterone therapy and prostate cancer, cardiovascular risk, and hepatic toxicity; definitions of hypogonadism; and practical guidance for clinician with patients starting testosterone therapy.</p><p><strong>Results: </strong>There is no evidence to support the misconception that testosterone therapy leads to or promotes progression of prostate cancer, no evidence that testosterone therapy increases cardiovascular risk, no evidence that newer oral testosterone therapy formulations (eg, testosterone undecanoate) are associated with hepatic toxicity, and no consistent definition of hypogonadism among regulatory agencies and expert bodies. Clinicians should diagnose hypogonadism using testosterone concentrations and/or symptoms of testosterone deficiency, help patients select a testosterone therapy formulation that best fits their needs and preferences (including considerations for dose adjustment), ensure appropriate laboratory monitoring before and during treatment, and assess how patients are feeling during treatment.</p><p><strong>Conclusions: </strong>Testosterone therapy is not associated with increased prostate cancer or increased cardiovascular risk, newer oral testosterone therapy formulations are not associated with hepatic toxicity, and a strict definition of hypogonadism is difficult because patient individualization is required. Each patient in real-world clinical practices has unique baseline characteristics and will likely respond differently to testosterone therapy. As the primary goal of testosterone therapy is to provide relief from symptoms of hypogonadism, physicians should work with their male patients to create a comprehensive treatment plan that suits the patient's specific needs and preferences.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the erectile dysfunction-cardiovascular disease connection: clinical and pathophysiological insights.","authors":"Jinshun An, Boyu Xiang, Jingxuan Peng, Dongjie Li","doi":"10.1093/sxmrev/qeaf014","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf014","url":null,"abstract":"<p><strong>Introduction: </strong>Erectile dysfunction (ED) and cardiovascular disease (CVD) share common pathophysiological mechanisms and molecular pathways, with ED serving as an independent risk factor and prognostic marker for CVD.</p><p><strong>Objectives: </strong>This review aims to explore the relationship between ED and CVD, analyze their shared pathophysiological mechanisms, and discuss the implications of these findings for clinical practice.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted using PubMed, MEDLINE, and Web of Science databases, with keywords including \"erectile dysfunction,\" \"cardiovascular disease,\" \"endothelial dysfunction,\" \"inflammation,\" \"oxidative stress,\" \"NO/cGMP/PKG signaling pathway,\" \"RhoA/ROCK pathway,\" and \"testosterone deficiency.\"</p><p><strong>Results: </strong>The study found a positive correlation between ED and the incidence rate and severity of CVD, with shared mechanisms such as endothelial dysfunction, oxidative stress, and systemic inflammation. Mendelian randomization studies provided evidence of a causal relationship between genetically predicted CVD and ED risk, although reverse causality remains less clear. Early detection of ED may help prevent and manage CVD, with ED serving as a sentinel marker for asymptomatic coronary artery disease. The review also highlighted the potential of combining treatments like phosphodiesterase type 5 inhibitors with rho-associated protein kinase inhibitors or glucagon-like peptide-1 receptor agonists with testosterone therapy to optimize both cardiovascular and sexual outcomes.</p><p><strong>Conclusions: </strong>Understanding the association between ED and CVD is crucial for improving patients' quality of life and cardiovascular prognosis. Future research should focus on elucidating the mechanistic pathways underlying ED and CVD, validating causal relationships through long-term, multimodal studies, and developing standardized risk algorithms for early intervention. For clinical practice, proactive ED screening in high-risk populations and interdisciplinary collaboration between cardiologists and urologists are essential to prevent CVD progression and enhance patient quality of life.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the functional significance of the labia minora: a scoping review on sexual physiology.","authors":"Sara Perelmuter, Sarah Ponce, Meghana Chapalamadugu, Katelyn Maliszewski, Gabrielle Smotrich, Rachel Rubin","doi":"10.1093/sxmrev/qeaf018","DOIUrl":"https://doi.org/10.1093/sxmrev/qeaf018","url":null,"abstract":"<p><strong>Background: </strong>The labia minora, an essential yet understudied component of female genital anatomy, has been hypothesized to play a role in the female sexual function. Despite its potential importance, empirical evidence linking the labia minora's anatomical characteristics to sexual function remains limited.</p><p><strong>Aim: </strong>Through critically assessing the current literature on the labia minora, this scoping review aims to consolidate existing research on the labia minora's anatomy, vascularization, innervation, and its role in female sexual function.</p><p><strong>Methods: </strong>Scoping review methods according to (PRISMA-ScR) were followed. A comprehensive literature search was conducted across multiple databases, including PubMed, Web of Science, and Scopus, from database inception to March 31, 2024. Studies were screened for original research on anatomy, vascularization, innervation, and sexual function of the labia minora, and data were extracted from those meeting the inclusion criteria. The quality of the studies was assessed using the Oxford Centre for Evidence-Based Medicine Levels of Evidence and the JBI Critical Appraisal Tool.</p><p><strong>Results: </strong>Of the 480 studies identified, a total of 27 studies met the inclusion criteria, with the majority (56%) rated as \"good\" quality evidence. The labia minora was consistently found to have rich vascularization and a high density of nerve endings, suggesting a role in sexual arousal and engorgement. However, significant variations in labial morphology were noted, and the impact of these variations on sexual function remains unclear. Additionally, the role of hormonal influences, particularly androgens, on labial anatomy and function is poorly understood.Conclusion: The labia minora likely plays a critical role in female sexual function, yet many aspects of its anatomy and function are not well understood. Future research should prioritize detailed studies of its vascular and neural structures and the effects of hormonal changes to improve clinical outcomes and therapeutic interventions for vulvar-related conditions.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of the safety and efficacy of inflatable penile prosthesis ectopic reservoir placement.","authors":"Britney Atwater, Aaron Krug, Martin S Gross, Robyn Marty-Roix, Laura Chapin, Allen F Morey","doi":"10.1093/sxmrev/qeae067","DOIUrl":"10.1093/sxmrev/qeae067","url":null,"abstract":"<p><strong>Introduction: </strong>Patient medical and surgical history factors, such as prior prostatectomy, may lead surgeons to opt for ectopic reservoir placement rather than the standard reservoir location in the retropubic space (RPS) during inflatable penile prosthesis (IPP) placement.</p><p><strong>Objective: </strong>To examine the safety and effectiveness of ectopic reservoir placement used with three-piece IPPs in relation to reservoir placement in the RPS.</p><p><strong>Methods: </strong>A systematic review of MEDLINE/Pubmed and Embase databases was performed for literature between 1970 and 2022. Clinical studies and case reports describing three-piece IPP reservoir placement and clinical outcomes on AMS 700, similar products (such as Coloplast Titan), and three-piece IPPs where the manufacturer is not specified were included.</p><p><strong>Results: </strong>Seventy articles were identified that reported clinical outcomes on three-piece IPP reservoir placement, which included data on 9565 patients. Of these, 67% of the reservoirs (n = 6413) were placed in ectopic locations. These locations were defined as submuscular (n = 5207), retroperitoneal (n = 405), sub-external oblique (n = 50), peritoneal (n = 42), subcutaneous (n = 10), and did not specify the ectopic location (n = 694). A total of 670 patients had ectopic placement of the AMS 700 reservoirs specifically. Overall, there were no elevated rates in safety outcomes between RPS and ectopic placement. Fourteen studies directly compared safety and/or efficacy outcomes between RPS and ectopic placement and did not report any significant differences between patient groups.</p><p><strong>Conclusions: </strong>Ectopic reservoir placement of three-piece IPPs, including AMS 700, is comparable in terms of safety, efficacy, and patient satisfaction to RPS reservoir placement. Ectopic reservoir placement of the AMS 700 device is also similarly comparable to ectopically placed reservoirs of other IPPs as reported in the literature. Surgeons should consider ectopic implantation for patients at higher risk of complications associated with reservoir placement into the RPS.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"20-32"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review on the prevalence of a silent female disorder in Arabic-speaking countries and the Middle East: sexual dysfunctions and the role of culture.","authors":"Stephanie Zakhour, Walter Gonçalves, Aline Sardinha, Michelle Levitan, Antonio Egidio Nardi","doi":"10.1093/sxmrev/qeae070","DOIUrl":"10.1093/sxmrev/qeae070","url":null,"abstract":"<p><strong>Introduction: </strong>Female sexual dysfunction (FSD) remains a silent problem, especially in Arabic-speaking countries and the Middle East and most of the data are from Western countries. Sociocultural determinants haven't been getting the same attention as biological and psychological factors when studying sexual health.</p><p><strong>Objectives: </strong>To assess the prevalence of FSD in the Arab and Middle Eastern world and understand the sociocultural determinants related.</p><p><strong>Methods: </strong>On January 13, 2024, we searched electronic databases including Pubmed, Scielo, PsycArticles, Scopus, Cochrane Library and Google Scholar, Middle East Current Psychiatry, and Journal of Middle East Women's Studies, following PRISMA guidelines. Female participants, aged at least 16 years old from Middle East or Arabic-speaking countries, including North Africa, and cross-sectional studies in Arabic, English, and/or French were included. After careful screening of titles, abstracts, and full texts, ineligible articles were excluded.</p><p><strong>Results: </strong>A total of 19 papers were included in the present review. The most common FSD in each country were as follows: in Egypt, Turkey, Morocco, and Jordan, desire problems. In Iran, orgasm problems, and pain. In Palestine, pain. In Saudi Arabia, arousal. Sociocultural determinants such as language, poor sexual education, poor sexual self-awareness-and of partners-, lack of training, and help-seeking were related to FSD.</p><p><strong>Conclusions: </strong>FSD is prevalent in Arabic-speaking countries and the Middle East, yet little to no attention is given to this matter. Causes for FSD are mainly cultural, and Arab and Middle Eastern healthcare professionals lack training. Culturally sensitive, evidence-based studies regarding sexual health need to be conducted.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":"62-78"},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}