Journal of Sexual Medicine最新文献

{"title":"Strategies for self-management of painful intercourse among female pregnancy planners.","authors":"Julia C Bond, Samantha Schildroth, Katharine O White, Rebecca Fisher, Caroline F Pukall, Jasmine Abrams, Lauren A Wise","doi":"10.1093/jsxmed/qdaf100","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf100","url":null,"abstract":"<p><strong>Background: </strong>Despite the fact that painful intercourse is common among reproductive-aged females, little research has evaluated how people manage painful intercourse while trying to conceive.</p><p><strong>Aim: </strong>To characterize the self-reported frequency and effectiveness of various self-management strategies among a population of pregnancy planners reporting painful intercourse in the past 4 weeks.</p><p><strong>Methods: </strong>We used cross-sectional data from Pregnancy Study Online, an online preconception cohort study of pregnancy planners. Female-identified participants completed a baseline questionnaire that included questions about demographic, medical, and reproductive factors. Participants additionally completed an optional questionnaire asking about sexual function. We used a single question from the Female Sexual Function Index to evaluate painful intercourse: \"Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration (intercourse)?,\" with responses captured on a Likert scale from \"Almost never or never\" to \"Almost always or always.\" Those who reported pain more frequently than \"Almost never or never\" were categorized as experiencing \"any pain\" with intercourse and completed additional questions about how they mitigated it. For each endorsed strategy, participants ranked how effective it was at improving pain on a Likert scale from \"Never effective\" to \"Always effective.\" For analyses, we grouped \"often\" and \"always\" effective into a single category. We described the reported effectiveness of self-management strategies.</p><p><strong>Outcomes: </strong>The prevalence of participants reporting a strategy as being \"often\" or \"always\" effective at improving pain.</p><p><strong>Results: </strong>In our sample of 2855 pregnancy planners, 855 (30.7%) reported any painful intercourse in the past 4 weeks. The most commonly tried pain management strategy was trying a different sex position (66.6% of participants), while the least common strategy was not allowing full penetration of the penis (29.9%). Lubricant was most effective, with 74.3% of participants reporting that it was \"often or always\" effective. The least effective strategy was finishing intercourse quickly, with only 32.5% of attempters reporting it was \"often or always\" effective.</p><p><strong>Clinical implications: </strong>Providers should be aware of strategies to improve painful intercourse to aid in patient counseling, both in the preconception period and more broadly when pursuing the diagnosis of, and medical management strategies for, dyspareunia.</p><p><strong>Strengths and limitations: </strong>Large geographic heterogeneity and low data missingness. Limitations include potential for misclassification and the use of non-validated self-report measures.</p><p><strong>Conclusion: </strong>In a population of females trying to conceive, lubricant use and changing sex positions were frequently reported as \"o","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144341","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":"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":"https://doi.org/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":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-25","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}

{"title":"Exclusion of sexual and gender minorities from erectile dysfunction clinical trials.","authors":"Andrew Shin, William Boysen, Alexandra J Berger Eberhardt, Martin Kathrins","doi":"10.1093/jsxmed/qdaf117","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf117","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136403","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":"Electromyographic analysis of the effects of robotic-assisted and retropubic radical prostatectomy on cavernous nerves and smooth muscles.","authors":"Fatih Akdemir, Önder Kayıgil","doi":"10.1093/jsxmed/qdaf101","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf101","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136395","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":"Sexual dysfunction in women with breast cancer: the role of patient education.","authors":"Baptiste Sauterey, Virginie Berger, Clémence Herrenschmidt, Julia De Freitas, Anne Patsouris, Nathalie Beaumont, Manon Marmouset De La Taille","doi":"10.1093/jsxmed/qdaf116","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf116","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129608","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":"Evaluation of accuracy and reproducibility of a novel method for measuring penile curvature in Peyronie's disease: the Check Him mobile application.","authors":"Fabio Crocerossa, Michele Mondaini, Andrea Abramo, Savio Domenico Pandolfo, Stefano Manno, Iacopo Checcacci, Giuseppe Lapenta, Francesco Cantiello, Rocco Damiano, Nicola Mondaini","doi":"10.1093/jsxmed/qdaf114","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf114","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129605","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":"Persistent genital arousal disorder following urinary tract infection: a case report.","authors":"Meltem H Şimşek, Ulaş Korkmaz","doi":"10.1093/jsxmed/qdaf124","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf124","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","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}

{"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":"https://doi.org/10.1093/jsxmed/qdaf115","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","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}

{"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":"https://doi.org/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":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","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}

{"title":"Correction to: Association between surgeon procedure volume and reoperation rates for penile prosthesis implantation.","authors":"","doi":"10.1093/jsxmed/qdaf128","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf128","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095569","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}