Journal of Sexual Medicine最新文献

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Persistent genital arousal disorder following urinary tract infection: a case report. 尿路感染后持续性生殖器觉醒障碍1例报告。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf124
Meltem H Şimşek, Ulaş Korkmaz
{"title":"Persistent genital arousal disorder following urinary tract infection: a case report.","authors":"Meltem H Şimşek, Ulaş Korkmaz","doi":"10.1093/jsxmed/qdaf124","DOIUrl":"10.1093/jsxmed/qdaf124","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1296-1297"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129606","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}
引用次数: 0
Vaginal-mucosal graft metoidioplasty: a novel surgical technique for urethral reconstruction in transmasculine surgery. 阴道-粘膜移植子宫内膜成形术:跨男性手术中尿道重建的新技术。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf125
Kanae Nakamura, Toru Sakurai, Aiko Sakamoto, Kumi Watanabe, Rei Ogawa
{"title":"Vaginal-mucosal graft metoidioplasty: a novel surgical technique for urethral reconstruction in transmasculine surgery.","authors":"Kanae Nakamura, Toru Sakurai, Aiko Sakamoto, Kumi Watanabe, Rei Ogawa","doi":"10.1093/jsxmed/qdaf125","DOIUrl":"10.1093/jsxmed/qdaf125","url":null,"abstract":"<p><strong>Background: </strong>Metoidioplasty is a genital-masculinization surgery for transmen with gender dysphoria that creates a small penis from a hormonally enlarged clitoris, and while standing urination is currently facilitated by urethroplasty using buccal (Belgrade method) or labia-minora (Ring method) mucosal grafts combined with a vaginal flap, these techniques involve buccal wounds and are associated with high urethral-fistula rates.</p><p><strong>Aim: </strong>This study aims to describe our vaginal-mucosal graft metoidioplasty technique and report early outcomes from a case series of seven patients, based on the hypothesis that our approach may offer advantages over existing methods by avoiding buccal wounding seen in the Belgrade method and potentially reducing urinary complications compared to the Ring method.</p><p><strong>Methods: </strong>We performed vaginal-mucosal graft metoidioplasty on seven patients who expressed a desire to undergo metoidioplasty during preoperative counseling. At our institution, metoidioplasty is performed simultaneously with hysterectomy, oophorectomy, and vaginal closure, which allows us to harvest long vaginal flaps and vaginal-mucosal grafts of various sizes. We incorporate these grafts into urethroplasty to improve surgical outcomes.</p><p><strong>Outcomes: </strong>Primary outcome was the incidence of urinary complications, namely, urethral fistula and stricture.</p><p><strong>Results: </strong>Median blood loss was 1610 mL. Median operative time was 4:57 h:min. Median postoperative follow-up period was 5 (range 2-11) months. One patient developed urethral fistula requiring closure surgery. Another had mild urethral stricture that is still under observation. The remaining patients had no noticeable complications.</p><p><strong>Clinical implications: </strong>Vaginal-mucosal graft metoidioplasty does not involve buccal wounding and it had similar urethral-fistula rates in our small series as the Belgrade method (14% vs. 7%-15%).</p><p><strong>Strengths & limitations: </strong>The technique permits urethral reconstruction with readily available vaginal mucosa. Blood loss was high because the vaginal flap is elevated with scissors and the vaginal-mucosal graft must be harvested in a circumferential manner. However, we believe blood loss will improve with experience. Our case series also only involved seven patients and follow-up of 2-11 months, and patient satisfaction regarding cosmetic, urinary, and sexual outcomes was not routinely recorded. Longer follow-up, more cases, and the use of patient-recorded outcome measures are needed to determine long-term surgical, urinary, cosmetic, and sexual outcomes.</p><p><strong>Conclusion: </strong>Vaginal-mucosal graft metoidioplasty provides an accessible method for urethral reconstruction and may have acceptable urinary-complication rates, although further studies are required to confirm its safety and efficacy.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1275-1279"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144347","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}
引用次数: 0
Preserving erectile and ejaculatory function in patients undergoing minimally invasive techniques: the first randomized clinical trial comparing convective water vapor ablation and transperineal laser ablation. 微创技术患者保持勃起和射精功能:第一个比较对流水蒸气消融和经会阴激光消融的随机临床试验。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf150
Alessandro Zucchi, Riccardo Bartoletti, Petar Antonov, Andrea Salonia, Atanas Ivanov, Giada Macrì, Eleonora Sollazzi, Riccardo Autorino, Giovanni Liguori, Vittorio Bini, Matteo Pacini
{"title":"Preserving erectile and ejaculatory function in patients undergoing minimally invasive techniques: the first randomized clinical trial comparing convective water vapor ablation and transperineal laser ablation.","authors":"Alessandro Zucchi, Riccardo Bartoletti, Petar Antonov, Andrea Salonia, Atanas Ivanov, Giada Macrì, Eleonora Sollazzi, Riccardo Autorino, Giovanni Liguori, Vittorio Bini, Matteo Pacini","doi":"10.1093/jsxmed/qdaf150","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf150","url":null,"abstract":"<p><strong>Background: </strong>Benign prostatic hyperplasia (BPH) significantly impacts patients' quality of life, both from a urinary and sexual perspective. Surgical techniques for the treatment of BPH, such as transurethral resection of the prostate and laser enucleation techniques, are associated with postoperative sexual and ejaculatory dysfunctions. For these reasons, there has been growing interest in minimally invasive techniques (MISTs), which aim to improve urinary symptoms while preserving erectile and ejaculatory function.</p><p><strong>Aim: </strong>With this randomized trial (RCT), our aim is to analyze the impact of transperineal laser ablation (TPLA) and convective water vapor ablation (CWVA) on erectile and ejaculatory function of patients undergoing these MISTs and to compare the two techniques to assess any potential differences between them.</p><p><strong>Methods: </strong>This RCT included 80 patients 1:1 randomized to TPLA and CWVA between January and July 2024 based on their International Prostate Symptoms Score. Inclusion criteria included prostate volume > 30 ml, age > 50 years, IPSS>7, PSA < 4 ng/ml, and maximum flow rate < 15 ml/s with post-void residual>50 ml. Categorical variables were compared using the χ2 test with Yates' correction or Fisher's exact test. A General Linear Model for repeated measures was used to evaluate within- and between-group differences over time.</p><p><strong>Outcomes: </strong>The Male Sexual Health Questionnaire-Ejaculatory Dysfunction (MSHQ-EjD) and International Index of Erectile Function 5 (IIEF5) were collected 3- and 6-months after treatment.</p><p><strong>Results: </strong>Among 61 sexually active patients (31 CWVA, 30 TPLA), baseline characteristics were comparable, except for a larger prostate volume in the TPLA group (P < 0.001). IIEF-5 scores remained stable at 6 months, with no significant differences between groups [19 (9-24) TPLA vs. 16.5 (1.75-20) CWVA, P = 0.11]. A transient decline at 3 months in the TPLA group resolved by 6 months. At 6 months, MSHQ-EjD scores improved significantly in both groups (+51% TPLA, +33.3% CWVA, P < 0.0001). The MSHQ-EjD Bother domain also showed significant improvement (P < 0.0001). All patients, except one, were same day discharged and were free from prostate medications at the last evaluation.</p><p><strong>Clinical implications: </strong>The results indicate that both TPLA and CWVA effectively preserve patients' sexual function.</p><p><strong>Strengths and limitations: </strong>Although this is the first randomized study comparing these MISTs, the exclusion of sexually inactive patients from the analysis reduced the sample size. Furthermore, the findings are limited to short-term outcomes.</p><p><strong>Conclusions: </strong>Both techniques effectively preserve erectile function and improve MSHQ-EjD scores.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530983","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}
引用次数: 0
Depression, selective serotonin reuptake inhibitors, and sexual wellbeing in assigned females: exploring the moderating role of sexual flexibility. 抑郁、选择性血清素再摄取抑制剂和指定女性的性幸福感:探索性灵活性的调节作用。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf097
Finnoula I O'Neill-King, Robyn A Jackowich, Caroline F Pukall
{"title":"Depression, selective serotonin reuptake inhibitors, and sexual wellbeing in assigned females: exploring the moderating role of sexual flexibility.","authors":"Finnoula I O'Neill-King, Robyn A Jackowich, Caroline F Pukall","doi":"10.1093/jsxmed/qdaf097","DOIUrl":"10.1093/jsxmed/qdaf097","url":null,"abstract":"<p><strong>Background: </strong>Depression often causes sexual dysfunction, including reduced desire and pleasure, and selective serotonin reuptake inhibitors (SSRIs), commonly used to treat depression, can worsen these issues, leading to treatment discontinuation.</p><p><strong>Aim: </strong>To examine sexual wellbeing differences across depression and SSRI groups, how depression, SSRI use, and sexual flexibility predict sexual outcomes, and whether sexual flexibility moderates the relationship between sexual functioning, distress, and pleasure.</p><p><strong>Methods: </strong>Participants (N = 357, mean age 26.8 years) assigned female sex at birth were recruited for an online cross-sectional study. Participants were grouped by SSRI use and depression severity: SSRIs-low depression (n = 86), SSRIs-high depression (n = 117), no SSRIs-low depression (n = 81), and no SSRIs-high depression (n = 73).</p><p><strong>Outcomes: </strong>Validated measures of depression, sexual function, sexual distress, sexual flexibility, and sexual pleasure were used.</p><p><strong>Results: </strong>Analyses of variance (ANOVAs) and multiple regressions examined relationships between depression, SSRI use, and sexual wellbeing. Moderation analyses tested whether sexual flexibility moderated the link between sexual functioning, distress, and pleasure. The SSRIs-high depression group reported the poorest sexual wellbeing, while the No SSRIs-low depression group reported the highest. Depression and SSRI use predicted increased sexual distress and decreased functioning, pleasure, and flexibility, explaining 21%-26% of variance. Sexual flexibility moderated the relationship between functioning and pleasure, with stronger effects at lower flexibility levels.</p><p><strong>Clinical implications: </strong>Sexual flexibility may improve sexual functioning and pleasure, providing a positive, adaptable framework for therapy; thus, psychosexual and educational interventions focusing on flexibility could enhance sexual pleasure and reduce distress, fostering sexual resilience and improving relationship dynamics.</p><p><strong>Strengths and limitations: </strong>Strengths include a nuanced analysis of depression severity and SSRI use, offering a comprehensive view of sexual wellbeing. Limitations include reliance on self-reported medication use, inability to assess specific SSRIs, and potential confounding from concurrent antidepressant use.</p><p><strong>Conclusion: </strong>SSRIs and depression each uniquely affect sexual functioning, distress, and pleasure, such that those with moderate to severe depression and SSRI use report significantly poorer sexual outcomes.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1206-1215"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081875","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}
引用次数: 0
A prospective and comparative evaluation of a male masturbation device for premature ejaculation-functional outcomes, safety, and satisfaction assessment: a pilot study. 男性手淫装置治疗早泄的前瞻性和比较性评价——功能结果、安全性和满意度评估:一项初步研究。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf090
Manuel Alonso-Isa, Borja García-Gómez, Esther García-Rojo, Elena Peña-Vallejo, Maria Del Prado Caro-González, Silvia Juste-Álvarez, Cristina Calzas-Montalvo, Raquel Sopeña-Sutil, Alfredo Rodríguez-Antolín, Javier Romero-Otero
{"title":"A prospective and comparative evaluation of a male masturbation device for premature ejaculation-functional outcomes, safety, and satisfaction assessment: a pilot study.","authors":"Manuel Alonso-Isa, Borja García-Gómez, Esther García-Rojo, Elena Peña-Vallejo, Maria Del Prado Caro-González, Silvia Juste-Álvarez, Cristina Calzas-Montalvo, Raquel Sopeña-Sutil, Alfredo Rodríguez-Antolín, Javier Romero-Otero","doi":"10.1093/jsxmed/qdaf090","DOIUrl":"10.1093/jsxmed/qdaf090","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Premature ejaculation (PE) is a common sexual dysfunction that negatively impacts the quality of life and relationships for men.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To compare the effectiveness, side effects, and satisfaction between a novel cognitive-behavioral therapy based on sphincter control training (SCT) supported by a mechanical masturbation device and dapoxetine, a pharmacological treatment for PE.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A crossover study with 20 male patients diagnosed with PE was designed. Participants were randomly assigned to start with an 8-week cognitive-behavioral therapy program supported by a masturbation device or an 8-week treatment with dapoxetine (60 mg). After a 2-week washout time, treatments were crossed. Effectiveness was measured through intravaginal ejaculation latency time (IELT), Premature Ejaculation Diagnostic Tool (PEDT) scores, and the International Index of Erectile Function. Satisfaction rates were measured using the Erectile Dysfunction Inventory of Treatment Satisfaction scale and Likert scale. Adverse effects were recorded for both treatments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Changes in IELT, PEDT scores, satisfaction rates, and side effects.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the randomized phase, SCT + device demonstrated superior outcomes compared to dapoxetine for PEDT scores: 15.2 (SD = 1.7) vs 18.4 (SD = 2.6), P = .01; though IELT improvements were comparable: 111.7 (SD = 56.7) seconds vs 91.8 (SD = 77.8) seconds, P = .20. After crossover, patients switching from dapoxetine to SCT + device achieved significantly greater IELT 171.8 (SD = 148.8) seconds vs 76.7 (SD = 37.1) seconds, P = .02; and better PEDT scores: 14.6 (SD = 2.7) vs 17.7 (SD = 2.7), P = .04. Notably, dapoxetine underperformed relative to historical data. Treatment satisfaction was markedly higher with SCT + device: 64.9% (SD = 9.3) vs 33.3% (SD = 20.7), P = .003; with fewer adverse effects (25% vs 60%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical implications: &lt;/strong&gt;This pilot study suggests a potential role for cognitive-behavioral therapy supported by a mechanical masturbation device in managing PE, but further research is needed to confirm its effectiveness and comparative advantages.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Strengths and limitations: &lt;/strong&gt;The main strengths of the study is its crossover design, which minimizes the influence of individual patient variability. Limitations include the small sample size, the lack of long-term follow-up to assess the durability of treatment effects, and the absence of a sham arm using masturbation alone, which makes it unclear whether the observed improvements are due to the device itself or the act of masturbating.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This pilot study suggests that the cognitive-behavioral therapy program supported by the male masturbation device may offer potential benefits for managing PE, but further research with larger samples is needed to confirm these preliminary findings.&lt;","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1115-1121"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129604","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}
引用次数: 0
Sexual and reproductive health practitioners' attitudes and knowledge regarding transgender, gender diverse, and non-binary patients: a mixed-method systematic review. 性与生殖健康从业者对跨性别、性别多样化和非二元患者的态度和知识:一项混合方法的系统回顾
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf115
Gianluca Cruciani, Maria Quintigliano, Selene Mezzalira, Cristiano Scandurra, Nicola Carone
{"title":"Sexual and reproductive health practitioners' attitudes and knowledge regarding transgender, gender diverse, and non-binary patients: a mixed-method systematic review.","authors":"Gianluca Cruciani, Maria Quintigliano, Selene Mezzalira, Cristiano Scandurra, Nicola Carone","doi":"10.1093/jsxmed/qdaf115","DOIUrl":"10.1093/jsxmed/qdaf115","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1293-1295"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129607","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}
引用次数: 0
Promoting women's genital self-image with vulva photographs and information about genital appearance and function: an online experiment. 通过外阴照片和有关外阴外观和功能的信息来促进女性生殖器自我形象:一项在线实验。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-29 DOI: 10.1093/jsxmed/qdaf111
Stefanie Gonin-Spahni, Maria Schmuki, Lucca M Brandner, Michèle Borgmann, Clemens A Haupt, Jennifer Inauen
{"title":"Promoting women's genital self-image with vulva photographs and information about genital appearance and function: an online experiment.","authors":"Stefanie Gonin-Spahni, Maria Schmuki, Lucca M Brandner, Michèle Borgmann, Clemens A Haupt, Jennifer Inauen","doi":"10.1093/jsxmed/qdaf111","DOIUrl":"10.1093/jsxmed/qdaf111","url":null,"abstract":"<p><strong>Background: </strong>Women with more negative genital self-image are more likely to experience sexual dysfunction, less likely to protect themselves from sexually transmitted infections and unwanted pregnancy, and more likely to consider labiaplasty.</p><p><strong>Aim: </strong>This study investigates whether women's genital self-image can be promoted via exposure to natural vulva diversity and information about genital appearance and function.</p><p><strong>Methods: </strong>An online experiment was conducted as a two-arm randomized controlled trial including a vulva photographs only, photographs and information, and a control condition. Participants were 563 women aged 18-68 years (M = 27.6, SD = 8.3).</p><p><strong>Outcomes: </strong>The primary outcome was the Genital Self-Image Scale; secondary outcomes included the Female Sexual Function Index, sexual health behavior, and interest in genital plastic surgery.</p><p><strong>Results: </strong>Results indicated a significant main effect of time. Genital self-image increased significantly in all conditions immediately after the intervention (all p < .01, all partial η2 ≥ .03). In the group with vulva photographs, this increase remained stable at 2-week follow-up (p < .05, partial η2 = .02). Only women in the vulva photographs and information group showed a significantly more positive genital self-image at 8-week follow-up (p < .01, partial η2 = .05). Confirming the experimental effect, we found a significant group x time interaction (p < .001, partial η2 = .015). Planned contrasts indicated a significant group difference in genital self-image in the intervention groups vs. controls immediately after the intervention (p < .01, d = .53) and at the 2-week follow-up (p = .042, d = .41). No group differences were found at the 8-week follow-up (p < .60). The combined condition of photographs with information was not superior to photographs only at any time point. There were no effects on secondary outcomes (all p > .20).</p><p><strong>Clinical translation: </strong>The results underscore that women's genital self-image can be improved rapidly and cost-effectively with education.</p><p><strong>Strengths & limitations: </strong>This study is the first to examine the changeability of genital self-image in a large convenience sample using an experimental design. The intervention effect could only be shown in the short term. However, the effect was particularly impressive given that women's genital self-image was relatively positive prior to the intervention. The results may not generalize to women with a less positive genital self-image or those considering labiaplasty.</p><p><strong>Conclusion: </strong>Exposure to photographs of natural vulvas with or without information about genital diversity and function is a useful tool for improving genital self-image in adult women, potentially benefiting sexual health and well-being.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":"1226-1235"},"PeriodicalIF":3.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144303","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}
引用次数: 0
Comment on "Improving the recognition, diagnosis, and management of male testosterone deficiency across the NHS: a Delphi consensus". 评论“在NHS中提高男性睾酮缺乏的识别、诊断和管理:德尔菲共识”。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-26 DOI: 10.1093/jsxmed/qdaf131
Abraham Morgentaler
{"title":"Comment on \"Improving the recognition, diagnosis, and management of male testosterone deficiency across the NHS: a Delphi consensus\".","authors":"Abraham Morgentaler","doi":"10.1093/jsxmed/qdaf131","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf131","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509322","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}
引用次数: 0
Improving the recognition, diagnosis, and management of male testosterone deficiency across the NHS: a Delphi consensus. 改善识别,诊断和管理男性睾酮缺乏症在NHS:德尔菲共识。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-26 DOI: 10.1093/jsxmed/qdaf130
Jeff Foster, Patrick Wright, Preethi Mohan Rao, David Edwards, Michelle Greenwood, Richard Wayman, Inderjit Singh, Gail Fortes-Mayer, Tom Barber
{"title":"Improving the recognition, diagnosis, and management of male testosterone deficiency across the NHS: a Delphi consensus.","authors":"Jeff Foster, Patrick Wright, Preethi Mohan Rao, David Edwards, Michelle Greenwood, Richard Wayman, Inderjit Singh, Gail Fortes-Mayer, Tom Barber","doi":"10.1093/jsxmed/qdaf130","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf130","url":null,"abstract":"<p><strong>Introduction: </strong>Testosterone deficiency (TD) is a clinical and biochemical syndrome marked by the reduced production of testosterone. TD is associated with a decrease in quality of life, alongside increasing the risks of various comorbidities, including cardiovascular disease and type 2 diabetes. A lack of guidance concerning TD for healthcare professionals (HCPs) exists, leading to many men going undiagnosed and a broad variation in care.</p><p><strong>Aim: </strong>Establish the views of UK HCPs working in male TD and develop recommendations that support improved diagnosis and management of TD across the NHS.</p><p><strong>Methods: </strong>Using a modified Delphi method, a panel of experts developed 43 Likert-scale statements across 5 main domains. Statements were used to develop an online survey that was distributed via a \"snowball sampling\" approach through Microsoft Forms. The survey was distributed to HCPs working within male TD throughout the United Kingdom. The threshold for consensus was set at 75%.</p><p><strong>Results: </strong>Fifty-five responses from UK HCPs were analyzed. Of the 43 statements, 30/43 reached very strong agreement (90%) and 13/43 attained strong agreement (<90 and 75%). Consequently, the authors developed 6 recommendations to improve the recognition, diagnosis, and management of male TD in the NHS.</p><p><strong>Conclusion: </strong>The strength of agreement demonstrates that the respondents acknowledge that awareness of TD, along with its health and cost impacts, among UK HCPs is lacking. Respondents are clear on where the limitations in care currently exist. The proposed set of recommendations provides a framework to help improve the diagnosis and management of testosterone deficiency.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509325","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}
引用次数: 0
Sexual outcomes following Rezum therapy with and without median lobe resection. Rezum治疗伴和不伴正中叶切除后的性结局。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-06-26 DOI: 10.1093/jsxmed/qdaf151
Milad Bonakdar Hashemi, Andres H Guillen Lozoya, Alexandr M Pinkhasov, Tobias S Köhler
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