Journal of Sexual Medicine最新文献

{"title":"Long-term satisfaction after gender-affirming laparoscopic sigmoid vaginoplasty in transgender women: a comparison with penile inversion vaginoplasty.","authors":"Marleen S Vallinga, Julia E Hollander, Tim C van de Grift, Nanne K H de Boer, Jurriaan B Tuynman, Mark-Bram Bouman, Margriet G Mullender, Wouter B van der Sluis","doi":"10.1093/jsxmed/qdag177","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag177","url":null,"abstract":"<p><strong>Background: </strong>Gender-affirming laparoscopic sigmoid vaginoplasty (SV) is an established alternative to penile-inversion vaginoplasty (PIV) when there is insufficient penoscrotal tissue available. However, long-term satisfaction with the sigmoid vagina remains unclear.</p><p><strong>Aim: </strong>To assess the long-term patient-reported outcomes (PROs) after SV in transgender women, and compare these outcomes with a reference group of transgender women who underwent PIV.</p><p><strong>Methods: </strong>A single-center, cross-sectional survey study was conducted, including transgender women who underwent primary SV at least 5 years prior and matched transgender women who underwent PIV. Matching was based on age (±5 years) and operation date (±2 years). Outcomes were compared between groups. Retrieved clinical data comprised medical history, perioperative characteristics, complications, and reoperations.</p><p><strong>Outcomes: </strong>Primary outcomes were satisfaction with vagina (GENDER-Q Vagina and Dilation scales) and genital self-image (Female Genital Self-Image Scale). Secondary outcomes were satisfaction with surgery, current complaints (self-constructed questionnaire), sexual well-being (GENDER-Q Sexual well-being scale), and satisfaction with life (Satisfaction with Life Scale and the Cantril Ladder).</p><p><strong>Results: </strong>Of 58 eligible SV candidates, 35 participated and were matched to 35 PIV participants. Follow-up was 10 years (IQR 7-12). The frequency and severity of intra- and postoperative complications did not differ significantly between groups. Reported satisfaction with the vagina was moderate in both groups (SV 44.4 ± 11.1; PIV 47.3 ± 18.2, P = .43), as was genital self-image (SV 18.8 ± 3.3; PIV 18.9 ± 5.4, P = .89) and sexual well-being (SV 52.2 ± 20.2; PIV 57.2 ± 18.4, P = .33). Sigmoid vaginoplasty and PIV groups rated their satisfaction with the surgical result 7.1 ± 1.7 vs 6.9 ± 1.9 out of 10 (P = .62). Satisfaction with genital appearance and longer time since surgery were associated with higher satisfaction with the vagina, whereas more severe postoperative complications predicted lower satisfaction. In both groups, 69% of individuals reported genital complaints. Stated reasons for dissatisfaction were related to genital esthetics, voiding complaints, genital pain, and an inability to use the vagina as desired.</p><p><strong>Clinical implications: </strong>The present findings support SV as a viable alternative to PIV when indicated and inform preoperative counseling on long-term clinical outcomes and PROs.</p><p><strong>Strengths and limitations: </strong>Strengths of the study include the comparative design with a matched reference group, long-term follow-up, and the use of validated questionnaires. Limitations include a single-center setup, cross-sectional design, and potential response and selection biases.</p><p><strong>Conclusion: </strong>Across all clinical outcomes and PROs, no signi","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The contemporary academic landscape of penile prosthesis surgery: a bibliometric analysis.","authors":"Michael George, Muhammed A Moukhtar Hammad, Mohamed Mubarak, Tiffany Huang, Elia Abou Chawareb, Mohamed Mahdi, Jay Simhan, Faysal A Yafi, Theodora Stasinou, Ian Pearce, Martin S Gross, Vaibhav Modgil","doi":"10.1093/jsxmed/qdag046","DOIUrl":"10.1093/jsxmed/qdag046","url":null,"abstract":"<p><strong>Background: </strong>Penile prosthesis surgery (PPS) has advanced significantly over the past decade with a wealth of research published, yet the key studies shaping contemporary clinical practice remain unclear.</p><p><strong>Aim: </strong>To identify and analyze the 50 most-cited primary research articles on PPS, published between 2014 and 2024, examining bibliometric characteristics, authorship networks, and thematic trends.</p><p><strong>Methods: </strong>A bibliometric analysis using the Web of Science Core Collection identified the most-cited PPS research articles within the study period. Data were extracted, stored, and analyzed using Microsoft Excel. VOSviewer (v1.8) generated authorship networks and keyword co-occurrence maps to visualize collaborations and thematic clusters.</p><p><strong>Outcomes: </strong>Bibliometric data on authorship, year, journal, study design, level of evidence, and keywords were extracted, stored, and analyzed.</p><p><strong>Results: </strong>The 50 most-cited articles accrued 2283 citations (median 39). The most-cited study, by MS Gross, received 128 citations. MS Gross also authored the most first author publications (n = 3). Most studies were observational in nature. Over half were published in The Journal of Sexual Medicine (n = 26), followed by The Journal of Urology (n = 7), Urology (n = 5), and BJU International (n = 5). Thematic analysis identified dominant focuses: surgical outcomes (n = 27), complications (n = 26), devices (n = 17), infection (n = 16), special populations such as transgender or post-radical prostatectomy patients (n = 12), surgical techniques (n = 12), and predictors/risk factors (n = 7).</p><p><strong>Clinical implications: </strong>This bibliometric analysis identifies the research domains shaping contemporary PPS, while highlighting a predominance of retrospective, U.S.-centered evidence and the need for future international, coordinated, prospective multicenter research to advance the field.</p><p><strong>Strengths and limitations: </strong>This study benefits from a transparent methodology and validated bibliometric tools. Limitations include the use of a single database, reliance on citation metrics, dominance of high-volume centers, and the absence of altmetric analysis, which may restrict assessment of quality, generalizability, and contemporary research impact.</p><p><strong>Conclusions: </strong>This bibliometric analysis highlights the most influential PPS publications over the past decade. A concentration of output from U.S.-based authors and high-volume centers, as well as a tendency toward observational designs, underscores the current research landscape. Future work with thematic and geographic diversity as well as prospective and multicenter studies may further advance the field.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes in Peyronie's disease: impact of curvature severity and disease phase on symptom resolution and treatment response.","authors":"Beatriz Hernandez, Peyton Coady, Arnaav Walia, Geneva Pantoja, Gal Saffati, Aidan Boyne, Alex Beck, David E Hinojosa-Gonzalez, Haarika Gudlavalleti, Shannon E Dunnam, Mohit Khera","doi":"10.1093/jsxmed/qdag171","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag171","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Guidance on the use of oral testosterone undecanoate: background, clinical considerations, and best practices.","authors":"","doi":"10.1093/jsxmed/qdag204","DOIUrl":"10.1093/jsxmed/qdag204","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readability of sexual health educational materials: a comparative analysis of ISSM resources and large language model-generated content.","authors":"Giorgio Ivan Russo, Maria Giovanna Asmundo, Eric Chung, Helen L Bernie, Run Wang, Aalamnoor S Pannu, Giovanni Cacciamani, Michael Pignanelli","doi":"10.1093/jsxmed/qdag178","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag178","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent self-amputation after successful penile replantation in a psychiatric patient.","authors":"İbrahim Göksoy, Anıl Mert Güleryüz, Ömer Büyüktepe, Selamettin Demir","doi":"10.1093/jsxmed/qdag195","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag195","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testosterone prescription rates in gay and bisexual men with erectile dysfunction: a cross-sectional study.","authors":"Kyle Hansen-Gonzalez, Ryan Armijo, Jillian Rhodes, Joshua St Louis","doi":"10.1093/jsxmed/qdag198","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag198","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective associations between couples' childbirth-related posttraumatic stress and their postpartum sexual well-being.","authors":"Lara Seefeld, Natalie O Rosen, Bianka Vollert, Ionna Hansen, Ariane Göbel, Susan Garthus-Niegel","doi":"10.1093/jsxmed/qdag183","DOIUrl":"10.1093/jsxmed/qdag183","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;New parents' postpartum sexual satisfaction and function is often disrupted. Poor postpartum mental health, such as symptoms of childbirth-related posttraumatic stress disorder (CB-PTSD), may increase the risk of experiencing sexual difficulties.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To investigate the prospective association between mothers'/birthing parents' and fathers'/non-birthing parents' CB-PTSD symptoms at 8 weeks postpartum and their own and their partners' overall sexual satisfaction and postpartum-specific sexual function at 6 months postpartum.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used data from 344 couples, who were mostly recruited at maternity hospitals in Dresden, Germany. Parents' birth characteristics and CB-PTSD symptoms (City Birth Trauma Scale) were assessed during a structured telephone interview at 8 weeks postpartum and their depression symptoms (Edinburgh Postnatal Depression Scale) were assessed via online survey at 6 months postpartum. Data were analyzed using Actor-Partner Interdependence Models and multiple regression analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;An online questionnaire at 6 months postpartum assessed overall sexual satisfaction with a single item and postpartum sexual function using the Sexual Function Questionnaire's Medical Impact Scale, previously adapted and validated for the impact of childbirth.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Both parents' higher CB-PTSD symptoms at 8 weeks postpartum predicted their own lower sexual satisfaction at 6 months postpartum. When adding perineal lacerations and parents' depressive symptoms at 6 months postpartum, these effects were no longer significant. Instead, fathers'/non-birthing parents' higher depressive symptoms at 6 months postpartum was associated with their own lower sexual satisfaction at 6 months postpartum. Mothers'/birthing parents' higher CB-PTSD symptoms at 8 weeks postpartum predicted their own higher postpartum sexual function problems at 6 months postpartum, even when controlling for postpartum depression. Fathers'/non-birthing parents' depression symptoms also predicted mothers'/birthing parents' postpartum sexual function.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical implications: &lt;/strong&gt;Findings highlight the importance of postpartum mental health screenings for both parents, integration of sexual health discussions into routine care, and couple-focused interventions to support parents' postpartum sexual satisfaction and function.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Strengths and limitations: &lt;/strong&gt;This study is the first to prospectively and dyadically examine the associations between CB-PTSD symptoms and overall sexual satisfaction and postpartum-specific sexual function. Limitations include a lack of sample diversity, low endorsement of CB-PTSD symptoms, use of a one-item sexual satisfaction measure, and poor reliability of the sexual function measure for fathers/non-birthing parents.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our findings suggest that new parents' CB","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-centered analysis of preoperative information before genital feminizing surgery: a multicenter French mixed-methods study.","authors":"Louise Moniod, François-Xavier Madec, Lucas Freton, Damien Carnicelli, Thomas Bujon, Marie de la Cheneliere, Celine Chauleur, Lucie Jurek, Nicolas Morel-Journel, Paul Neuville","doi":"10.1093/jsxmed/qdag162","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag162","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive behavioral therapy in long-term unconsummated marriage: a clinical 5-couple case series.","authors":"Arezou Aliabadian, Zeinab Pahlavan, Maryam Nikpour","doi":"10.1093/jsxmed/qdag147","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag147","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 7","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}