World Journal of Mens Health最新文献

筛选
英文 中文
Regenerative Therapy in Erectile Dysfunction: A Survey on Current Global Practice Trends and GAF Expert Recommendations. 勃起功能障碍的再生疗法:关于当前全球实践趋势和 GAF 专家建议的调查。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-07-12 DOI: 10.5534/wjmh.240086
Manaf Al Hashimi, Germar-M Pinggera, Taymour Mostafa, Amarnath Rambhatla, Taha Hamoda, Rupin Shah, Eric Chung, Ahmed Harraz, Mohamed Arafa, Tuncay Toprak, Omer Raheem, Carlo Giulioni, Ponco Birowo, Luca Boeri, Yassir Jassim, Priyank Kothari, Ranjit Vishwakarma, Bahadir Sahin, Widi Atmoko, Safar Gamidov, Cesar Rojas-Cruz, Darren Katz, Adriano Fregonesi, Nazim Gherabi, Armand Zini, Christopher Chee Kong Ho, Mohamed S Al-Marhoon, Marlon Martinez, Giorgio Ivan Russo, Ayman Rashed, Gian Maria Busetto, Edmund Ko, Hyun Jun Park, Selahittin Cayan, Ramadan Saleh, Osvaldo Rajmil, Dong Suk Kim, Giovanni Colpi, Ryan Smith, Maged Ragab, Ates Kadioglu, Quang Nguyen, Kadir Bocu, Ahmed El-Sakka, Charalampos Thomas, Hussain M Alnajjar, Hiva Alipour, Ashok Agarwal
{"title":"Regenerative Therapy in Erectile Dysfunction: A Survey on Current Global Practice Trends and GAF Expert Recommendations.","authors":"Manaf Al Hashimi, Germar-M Pinggera, Taymour Mostafa, Amarnath Rambhatla, Taha Hamoda, Rupin Shah, Eric Chung, Ahmed Harraz, Mohamed Arafa, Tuncay Toprak, Omer Raheem, Carlo Giulioni, Ponco Birowo, Luca Boeri, Yassir Jassim, Priyank Kothari, Ranjit Vishwakarma, Bahadir Sahin, Widi Atmoko, Safar Gamidov, Cesar Rojas-Cruz, Darren Katz, Adriano Fregonesi, Nazim Gherabi, Armand Zini, Christopher Chee Kong Ho, Mohamed S Al-Marhoon, Marlon Martinez, Giorgio Ivan Russo, Ayman Rashed, Gian Maria Busetto, Edmund Ko, Hyun Jun Park, Selahittin Cayan, Ramadan Saleh, Osvaldo Rajmil, Dong Suk Kim, Giovanni Colpi, Ryan Smith, Maged Ragab, Ates Kadioglu, Quang Nguyen, Kadir Bocu, Ahmed El-Sakka, Charalampos Thomas, Hussain M Alnajjar, Hiva Alipour, Ashok Agarwal","doi":"10.5534/wjmh.240086","DOIUrl":"10.5534/wjmh.240086","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine current global practices in regenerative therapy (RT) for erectile dysfunction (ED) and to establish expert recommendations for its use, addressing the current lack of solid evidence and standardized guidelines.</p><p><strong>Materials and methods: </strong>A 39-question survey was developed by senior Global Andrology Forum (GAF) experts to comprehensively cover clinical aspects of RT. This was distributed globally via a secure online Google Form to ED specialists through the GAF website, international professional societies, and social media, the responses were analyzed and presented for frequencies as percentages. Consensus on expert recommendations for RT use was achieved using the Delphi method.</p><p><strong>Results: </strong>Out of 479 respondents from 62 countries, a third reported using RT for ED. The most popular treatment was low-intensity shock wave therapy (54.6%), followed by platelet-rich plasma (24.5%) and their combination (14.7%), with stem cell therapy being the least used (3.7%). The primary indication for RT was the refractory or adverse effects of PDE5 inhibitors, with the best effectiveness reported in middle-aged and mild-to-moderate ED patients. Respondents were confident about its overall safety, with a significant number expressing interest in RT's future use, despite pending guidelines support.</p><p><strong>Conclusions: </strong>This inaugural global survey reveals a growing use of RT in ED treatment, showcasing its diverse clinical applications and potential for future widespread adoption. However, the lack of comprehensive evidence and clear guidelines requires further research to standardize RT practices in ED treatment.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"359-375"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Survival in Patients with Neuroendocrine Prostate Cancer: A SEER-Based Comprehensive Study. 预测神经内分泌性前列腺癌患者的生存期:基于 SEER 的综合研究。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-07-31 DOI: 10.5534/wjmh.240061
Tianlong Luo, Jintao Hu, Bisheng Cheng, Peixian Chen, Jianhan Fu, Haitao Zhong, Jinli Han, Hai Huang
{"title":"Predicting Survival in Patients with Neuroendocrine Prostate Cancer: A SEER-Based Comprehensive Study.","authors":"Tianlong Luo, Jintao Hu, Bisheng Cheng, Peixian Chen, Jianhan Fu, Haitao Zhong, Jinli Han, Hai Huang","doi":"10.5534/wjmh.240061","DOIUrl":"10.5534/wjmh.240061","url":null,"abstract":"<p><strong>Purpose: </strong>Neuroendocrine prostate cancer (NEPC) represents a particularly aggressive subtype of prostate cancer with a challenging prognosis. The purpose of this investigation is to craft and confirm the reliability of nomograms that can accurately forecast the 1-, 3-, and 5-year overall survival (OS) and cancer-specific survival (CSS) rates for individuals afflicted with NEPC.</p><p><strong>Materials and methods: </strong>Data pertaining to patients diagnosed with NEPC within the timeframe of 2010 to 2020 was meticulously gathered and examined from the Surveillance, Epidemiology, and End Results Program (SEER). To predict OS and CSS, we devised and authenticated two distinct nomograms, utilizing predictive variables pinpointed through both univariate and multivariate Cox regression analyses.</p><p><strong>Results: </strong>The study encompassed 393 of NEPC patients, who were systematically divided into training and validation cohorts at a 2:1 ratio. Key prognostic factors were isolated, verified, and integrated into the respective nomograms for OS and CSS. The performance metrics, denoted by C-indices, stood at 0.730, 0.735 for the training set, and 0.784, 0.756 for the validation set. The precision and clinical relevance of the nomograms were further corroborated by the analysis of receiver operating characteristic curves, calibration plots, and decision curve analyses.</p><p><strong>Conclusions: </strong>The constructed nomograms have demonstrated impressive efficacy in forecasting the 1-, 3-, and 5-year OS and rates for patients with NEPC. Implementing these predictive tools in clinical settings is anticipated to considerably enhance the care and treatment planning for individuals diagnosed with this aggressive form of prostate cancer, thus providing tailored and more precise prognostic assessments.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"415-427"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlocking the Potential of ChatGPT in Male Sexual Health and Dysfunction: A Hold Endeavor and Comprehensive Study. 发掘 ChatGPT 在男性性健康和性功能障碍方面的潜力:坚持不懈的努力和全面的研究
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-11-11 DOI: 10.5534/wjmh.240228
Biao Ran, Puze Wang, Liangren Liu
{"title":"Unlocking the Potential of ChatGPT in Male Sexual Health and Dysfunction: A Hold Endeavor and Comprehensive Study.","authors":"Biao Ran, Puze Wang, Liangren Liu","doi":"10.5534/wjmh.240228","DOIUrl":"10.5534/wjmh.240228","url":null,"abstract":"","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"448-451"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Irreversible Electroporation for the Focal Treatment of Prostate Cancer: A Systematic Review. 用于前列腺癌局部治疗的不可逆电穿孔疗法:系统回顾
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-07-03 DOI: 10.5534/wjmh.240012
Kai Zhang, Jeremy Teoh, Gang Zhu, Chi-Fai Ng, Michel Suberville, Pilar Laguna, Jean de la Rosette
{"title":"Irreversible Electroporation for the Focal Treatment of Prostate Cancer: A Systematic Review.","authors":"Kai Zhang, Jeremy Teoh, Gang Zhu, Chi-Fai Ng, Michel Suberville, Pilar Laguna, Jean de la Rosette","doi":"10.5534/wjmh.240012","DOIUrl":"10.5534/wjmh.240012","url":null,"abstract":"<p><strong>Purpose: </strong>Irreversible electroporation (IRE) is a promising alternative treatment for low-intermediate-risk localized prostate cancer. In this systematic review we aim to evaluate the safety profile and functional and oncological outcomes of this new technique.</p><p><strong>Materials and methods: </strong>A systematic review of the literature was performed on PubMed, EMBASE, and Scopus up to 24 August 2023. Nineteen studies were analyzed, including 12 prospective studies and 7 retrospective studies. A total of 1,452 patients underwent IRE as the sole primary treatment modality.</p><p><strong>Results: </strong>The in-field clinically significant prostate cancer rate was reported between 0%-15.6% in the repeat biopsy. The retreatment rate was reported from 8% to 36.6%. The 3 years failure-free survival was presented between 90%-96.8%. The post-operative pad-free rate ranged between 96.7%-100%. Greater heterogeneity exists considering the change in erectile function. The most common reported complications were urinary tract infection and hematuria. Major complications were rare.</p><p><strong>Conclusions: </strong>These results underline that IRE achieves favorable oncological control with an excellent safety profile, in the meantime preserving patients' urinary and erectile function.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"321-332"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contemporary Diagnostic Work-Up for Male Infertility: Emphasizing Comprehensive Baseline Assessment. 男性不育症的当代诊断工作:强调综合基线评估。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-06-19 DOI: 10.5534/wjmh.240069
Edoardo Pozzi, Federico Belladelli, Christian Corsini, Luca Boeri, Paolo Capogrosso, Giuseppe Fallara, Luigi Candela, Alessandro Bertini, Francesco Cattafi, Massimiliano Raffo, Walter Cazzaniga, Eugenio Ventimiglia, Alessia d'Arma, Massimo Alfano, Rayan Matloob, Enrico Papaleo, Massimo Candiani, Francesco Montorsi, Andrea Salonia
{"title":"Contemporary Diagnostic Work-Up for Male Infertility: Emphasizing Comprehensive Baseline Assessment.","authors":"Edoardo Pozzi, Federico Belladelli, Christian Corsini, Luca Boeri, Paolo Capogrosso, Giuseppe Fallara, Luigi Candela, Alessandro Bertini, Francesco Cattafi, Massimiliano Raffo, Walter Cazzaniga, Eugenio Ventimiglia, Alessia d'Arma, Massimo Alfano, Rayan Matloob, Enrico Papaleo, Massimo Candiani, Francesco Montorsi, Andrea Salonia","doi":"10.5534/wjmh.240069","DOIUrl":"10.5534/wjmh.240069","url":null,"abstract":"<p><p>Infertility is a prevalent issue affecting many couples during their reproductive years, with a significant number facing challenges in conceiving despite regular unprotected intercourse. Male factor infertility (MFI) contributes significantly to these cases, with a significant proportion of men lacking an identifiable etiology. As such, a thorough assessment of MFI has become increasingly vital for personalized management. This position paper from the Andrology team at IRCCS Ospedale San Raffaele emphasizes a comprehensive and individualized approach to MFI work-up, addressing the evolving challenges encountered in clinical practice. Our approach involves a thorough diagnostic work-up to identify the underlying causes of MFI, integrating insights from extensive literature review and our proprietary data. Our data demonstrates that an extensive diagnostic assessment allows us to identify at least one underlying cause of MFI in most infertile men. However, challenges persist in diagnosing less severe phenotypes with unclear etiology. We discuss the importance of individualized MFI work-up and its implications for developing rational therapeutic protocols. Lastly, this paper highlights the necessity for a personalized diagnostic assessment, addressing the daily clinical challenges and emphasizing tailored approaches to try to improve outcomes among couples seeking first medical help for infertility.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"265-281"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Clinically Significant Prostate Cancer Using Urine Metabolomics via Liquid Chromatography Mass Spectrometry. 通过液相色谱质谱法利用尿液代谢组学预测具有临床意义的前列腺癌
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-05-22 DOI: 10.5534/wjmh.230344
Chung-Hsin Chen, Hsiang-Po Huang, Kai-Hsiung Chang, Ming-Shyue Lee, Cheng-Fan Lee, Chih-Yu Lin, Yuan Chi Lin, William J Huang, Chun-Hou Liao, Chih-Chin Yu, Shiu-Dong Chung, Yao-Chou Tsai, Chia-Chang Wu, Chen-Hsun Ho, Pei-Wen Hsiao, Yeong-Shiau Pu
{"title":"Predicting Clinically Significant Prostate Cancer Using Urine Metabolomics via Liquid Chromatography Mass Spectrometry.","authors":"Chung-Hsin Chen, Hsiang-Po Huang, Kai-Hsiung Chang, Ming-Shyue Lee, Cheng-Fan Lee, Chih-Yu Lin, Yuan Chi Lin, William J Huang, Chun-Hou Liao, Chih-Chin Yu, Shiu-Dong Chung, Yao-Chou Tsai, Chia-Chang Wu, Chen-Hsun Ho, Pei-Wen Hsiao, Yeong-Shiau Pu","doi":"10.5534/wjmh.230344","DOIUrl":"10.5534/wjmh.230344","url":null,"abstract":"<p><strong>Purpose: </strong>Biomarkers predicting clinically significant prostate cancer (sPC) before biopsy are currently lacking. This study aimed to develop a non-invasive urine test to predict sPC in at-risk men using urinary metabolomic profiles.</p><p><strong>Materials and methods: </strong>Urine samples from 934 at-risk subjects and 268 treatment-naïve PC patients were subjected to liquid chromatography/mass spectrophotometry (LC-MS)-based metabolomics profiling using both C18 and hydrophilic interaction liquid chromatography (HILIC) column analyses. Four models were constructed (training cohort [n=647]) and validated (validation cohort [n=344]) for different purposes. Model I differentiates PC from benign cases. Models II, III, and a Gleason score model (model GS) predict sPC that is defined as National Comprehensive Cancer Network (NCCN)-categorized favorable-intermediate risk group or higher (Model II), unfavorable-intermediate risk group or higher (Model III), and GS ≥7 PC (model GS), respectively. The metabolomic panels and predicting models were constructed using logistic regression and Akaike information criterion.</p><p><strong>Results: </strong>The best metabolomic panels from the HILIC column include 25, 27, 28 and 26 metabolites in Models I, II, III, and GS, respectively, with area under the curve (AUC) values ranging between 0.82 and 0.91 in the training cohort and between 0.77 and 0.86 in the validation cohort. The combination of the metabolomic panels and five baseline clinical factors that include serum prostate-specific antigen, age, family history of PC, previously negative biopsy, and abnormal digital rectal examination results significantly increased AUCs (range 0.88-0.91). At 90% sensitivity (validation cohort), 33%, 34%, 41%, and 36% of unnecessary biopsies were avoided in Models I, II, III, and GS, respectively. The above results were successfully validated using LC-MS with the C18 column.</p><p><strong>Conclusions: </strong>Urinary metabolomic profiles with baseline clinical factors may accurately predict sPC in men with elevated risk before biopsy.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"376-386"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Influencing Continued Usage of Intracavernosal injections for Erectile Dysfunction: A Retrospective Analysis. 影响继续使用海绵体内注射治疗勃起功能障碍的因素:回顾性分析
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-04-01 Epub Date: 2024-09-23 DOI: 10.5534/wjmh.230329
Braian Rene Ledesma, Jason Codrington, David Velasquez, Alexandra Aponte Varnum, Joshua White, Greeshma Venigalla, Farah Rahman, Katherine Campbell, Alexander Weber, Max Sandler, Ranjith Ramasamy
{"title":"Factors Influencing Continued Usage of Intracavernosal injections for Erectile Dysfunction: A Retrospective Analysis.","authors":"Braian Rene Ledesma, Jason Codrington, David Velasquez, Alexandra Aponte Varnum, Joshua White, Greeshma Venigalla, Farah Rahman, Katherine Campbell, Alexander Weber, Max Sandler, Ranjith Ramasamy","doi":"10.5534/wjmh.230329","DOIUrl":"10.5534/wjmh.230329","url":null,"abstract":"<p><strong>Purpose: </strong>Intracavernosal injections are used to treat erectile dysfunction. Patient compliance with intracavernosal injections is required for success, though factors influencing compliance are unknown. This study aimed to identify factors that influence compliance with intracavernosal injections among men with erectile dysfunction.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted using men who were prescribed intracavernosal injections between 2017 and 2022 at an academic medical center in a cosmopolitan area. Custom Python code was used to capture the first and last prescription refill events, and the duration of intracavernosal injection use was calculated. Additional patient-related data, including demographics and comorbidities, were gathered through chart reviews. Cox Proportional Hazards Regression models were used to evaluate the effects of predictor variables on the duration of intracavernosal injection use.</p><p><strong>Results: </strong>A total of 4,072 patients were included in the analysis. The study revealed that age significantly predicted discontinuation of intracavernosal injection therapy, showing an elevated hazard ratio of 1.007 for each additional year of age (p<0.001). Men who preferred to speak Spanish as their primary language was a significant predictor of discontinuation of injection therapy, showing a hazard ratio of 1.163 compared to those who preferred English (p=0.004). Men with a history of prostate cancer treatment stayed on treatment for 80 days fewer on average than those without (p=0.002).</p><p><strong>Conclusions: </strong>Older age, prior history of prostate cancer treatment, and men who preferred to speak Spanish were all identified as factors potentially associated with reduced continuation of intracavernosal injection therapy for erectile dysfunction. Understanding these factors can help healthcare providers in both patient selection and counseling when discussing treatment options for erectile dysfunction.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":"407-414"},"PeriodicalIF":4.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pentosan Polysulfate Sodium and Maculopathy in Patients with Interstitial Cystitis: A Systematic Review and Meta-Analysis. 戊聚糖聚硫酸钠与间质性膀胱炎患者黄斑病变:系统回顾和荟萃分析。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-02-27 DOI: 10.5534/wjmh.240295
Jongsoo Lee, Yun Jin Kim, Konghee Lee, Young Kook Kim, Taeho Greg Rhee, Sung Ryul Shim, Jae Heon Kim
{"title":"Pentosan Polysulfate Sodium and Maculopathy in Patients with Interstitial Cystitis: A Systematic Review and Meta-Analysis.","authors":"Jongsoo Lee, Yun Jin Kim, Konghee Lee, Young Kook Kim, Taeho Greg Rhee, Sung Ryul Shim, Jae Heon Kim","doi":"10.5534/wjmh.240295","DOIUrl":"https://doi.org/10.5534/wjmh.240295","url":null,"abstract":"<p><strong>Purpose: </strong>Pentosan polysulfate sodium (PPS) is the only pharmacological intervention approved by the US Food and Drug Administration for treating interstitial cystitis (IC) to date. However, PPS may induce an adverse event, maculopathy, which can be a significant challenge. To determine the risk of PPS-induced maculopathy in patients with IC.</p><p><strong>Materials and methods: </strong>PubMed and Embase were systematically searched through July 2024. Two authors also independently and manually searched all relevant studies. We included national level cohort studies using healthcare claim big data or real-world data with the following criteria: (1) patients diagnosed with IC; (2) interventions included PPS as an active treatment; (3) comparisons were specified as non-PPS interventions; and (4) the primary outcome of interest was the risk of maculopathy. The pairwise meta-analysis was performed to compare the PPS treatment group with control used in IC. The primary outcome measure was the hazard ratio (HR), odds ratio (OR), and proportional report ratio (PRR) of maculopathy after receiving the PPS treatment, as compared to non-PPS interventions.</p><p><strong>Results: </strong>A comprehensive literature search was conducted, and identified 6 studies with 411,098 patients. The pooled risk for maculopathy due to PPS in patients with IC was significant (HR, 1.678; 95% confidence interval [95% CI], 1.066-2.642]). The heterogeneity test produced a Higgins' <i>I</i>-squared statistic, which was 83.6%. In the subgroup analysis of follow-up period of less than 5 years (HR, 1.285; 95% CI, 1.139-1.449) and more (HR, 1.341; 95% CI, 1.307-1.375) were statistically significant, indicating that the patients with IC who had a long-term PPS treatment were more likely to have maculopathy than the control groups.</p><p><strong>Conclusions: </strong>This is the first study to investigate the relationship between PPS and its association with the risk of maculopathy in patients with IC through a systematic review and meta-analysis.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544413","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
British Society for Sexual Medicine (BSSM) Position statement on Premature Ejaculation. 英国性医学协会(BSSM)关于早泄的立场声明。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-02-26 DOI: 10.5534/wjmh.240262
Geoff Ian Hackett, Mike Kirby, Patricia Schartau, Nick Ossei-Gerning, Janine David, Wai Gin Lee
{"title":"British Society for Sexual Medicine (BSSM) Position statement on Premature Ejaculation.","authors":"Geoff Ian Hackett, Mike Kirby, Patricia Schartau, Nick Ossei-Gerning, Janine David, Wai Gin Lee","doi":"10.5534/wjmh.240262","DOIUrl":"https://doi.org/10.5534/wjmh.240262","url":null,"abstract":"<p><p>To provide an evidence based consensus on the diagnosis and management of premature ejaculation (PE). The British Society for Sexual Medicine (BSSM) takes issue with the advice to use off label treatments, such as daily selective serotonin reuptake inhibitors treatment, favoring on-demand dapoxetine. There is increasing evidence for the use of PDE5 inhibitors which are superior to a placebo for the treatment of PE. A recent meta-analysis of international PE guidelines supports the need for research to investigate the association of PE with erectile dysfunction (ED), prostatitis and thyroid disease, and supports the early use of PDE5 inhibitors either alone or in combination with dapoxetine or psychosexual interventions. Topical agents and non-pharmacological treatments also have a place, with new agents in the pipeline. The United Kingdom (UK) lacks formal guidance from the National Institute of Clinical Excellence (NICE) on any of the common male sexual dysfunctions, namely ED, PE, ejaculatory disorders, and male hypogonadism. As a result, general practitioners in the UK have relied on local guidance, and international guidelines which are heterogeneous, indicating diagnostic and therapeutic approaches that are often inconsistent. The aim of this position statement is to improve the management of PE in the UK.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544408","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
Recent Guidelines and Perspectives for Varicocele: A Clinical Consensus and Recommendations from the Korean Society for Sexual Medicine and Andrology. 精索静脉曲张的最新指南和观点:韩国性医学和男性学学会的临床共识和建议。
IF 4 3区 医学
World Journal of Mens Health Pub Date : 2025-02-25 DOI: 10.5534/wjmh.240290
Dae Keun Kim, Dong Soo Kim, Sung Chul Kam, Hyo Serk Lee, Won Ki Lee, Seung-Hun Song
{"title":"Recent Guidelines and Perspectives for Varicocele: A Clinical Consensus and Recommendations from the Korean Society for Sexual Medicine and Andrology.","authors":"Dae Keun Kim, Dong Soo Kim, Sung Chul Kam, Hyo Serk Lee, Won Ki Lee, Seung-Hun Song","doi":"10.5534/wjmh.240290","DOIUrl":"https://doi.org/10.5534/wjmh.240290","url":null,"abstract":"<p><p>Varicocele is a common urological disease and varicocele has long been recognized as a condition that could affect male fertility. Although varicocele is the most common surgically correctable cause of male infertility, not all varicoceles require treatment. Because the appropriate diagnosis and management of varicoceles remain less clear in many patients, it is important to diagnose clinically significant varicoceles that can benefit from treatment. Even in the era of widespread assisted reproductive techniques, varicocele has substantial implications in infertility treatment. The Korean Society for Sexual Medicine and Andrology (KSSMA) has sought to develop guidelines for varicocele treatment tailored to clinical practices in Korea. This review summarizes the latest evidence for varicocele treatment, including clinical practice guidelines from various international professional societies, and represents the consensus opinion of experts within the KSSMA.</p>","PeriodicalId":54261,"journal":{"name":"World Journal of Mens Health","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544415","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信