bluuebunny/crossref_metadata_2025 huggingface dataset:
(063) THE MODIFIED SLIDING TECHNIQUE WITHOUT CAVERNOUS DILATATION: A NOVEL METHOD OF TUMESCENCE PRESERVATION
Authors: Vinay J , Fleck D , Saez N , Vega A , Abad J , Urzua R
Published: December 2024

Introduction

Erectile dysfunction (ED) and penile shortening (PS) share multiple risk factors. Normal aging, Peyronie’s disease, pelvic surgery and priapism are some of the conditions often associated with both ED and PS. Furthermore, penile prosthesis placement has the shortcoming of not preserving the original penile length and tumescence.

Objective

The objective of this video is to present a novel adaptation of the modified sliding technique (MoST) with the aim of preserving penile tumescence during sexual arousal.

Methods

We present the case of a 69 year old patient that presented severe organic ED and PS (from 14 to 11 cm) during the last 5 years. Currently, he is not able to penetrate or have sexual intercourse. He was refractory to multiple phosphodiesterase 5 inhibitors, rejecting intra-urethral/intra-cavernous alprostadil. He underwent penile prosthesis placement with length preservation using MoST, with a novel method of penile tumescence preservation.

Results

We performed a malleable penile implant placement with length preservation using MoST. Initial penile length was 11 cm. After an initial circumcision, the penis was degloved. 2 longitudinal para-urethral incisions were made into Buck’s fascia, followed by mobilization of the neurovascular bundle (dorsal) and corpus spongiosum (ventral). 2 longitudinal incisions were made in the tunica albuginea, along with a proximal semicircular incision dorsally and a distal semicircular incision ventrally. Then, traction was applied to the shaft, creating 2 tunical defects secondary to the sliding of the tunica albuginea. Without dilating the corpus cavernosum, a malleable implant was placed, after measuring with a Furlow inserter. Dorsal and ventral tunical defects were then covered by Buck’s fascia and corpus spongiosum, respectively. The penis was then re-gloved, and wrapped in adhesive dressing, using the ´mummy wrap´ technique. Final measurement of penile length was 14 cm.

Conclusions

Multiple medical conditions linked to ED are associated with important PS. MoST is an effective and safe option to treat both severe/refractory ED and PS. Traditional penile implant placement techniques do not preserve the original penile length, which can be bothersome for several patients. MoST not only can preserve penile length. If it is performed without cavernous dilation, it can preserve penile tumescence during sexual arousal, giving a more satisfactory and physiological experience to patients.

Disclosure

No.
(070) PRESENTATION OF THE FIRST CHINESE CLINIC DEDICATED TO FEMALE SEXUAL DYSFUNCTIONS AND QUALITATIVE ANALYSIS OF UNMET NEEDS OF CHINESE WOMEN
Authors: Jannini EA
Published: December 2024

Introduction

While a large amount of scientific and clinical experience characterizes Andrology in China, both from the reproductive and sexual perspective, female sexual health, for cultural reasons, is still an unmet need.

Objective

We aim to introduce the first clinic in mainland China devoted to female sexual dysfunctions (FSDs) and the output of a qualitative survey on the clinical needs of female Chinese women.

Methods

Qualitative survey using dedicated structured face-to-face interviews with 380 women attending our clinic and educational courses from early 2019 to May 2024. A quantitative survey is currently ongoing and will be presented at the Congress.

Results

Interviews showed that Chinese women are i) concerned about general and sexual healthcare, ii) anxious about the uncertainty in related therapies, iii) looking for medical treatments, iv) looking to change the current model: “see the doctor and leave”, v) concerned about equality and privacy protection, vi) deeply dissatisfied with existing medical services (in particular, for anxiety and physical damage caused by childbirth and parenting, female sexual dysfunctions caused by emotional and physical factors, emotional and sexual issues related to the intimate relationships, menstrual and gynecological endocrine issues that accompany women throughout their life cycle, menopause-related sexual health), vii) expansion of various treatments from a psychological perspective, including music therapy, dance therapy, painting therapy, and other art therapies to develop women’s sensory systems and help them enhance their perceptual abilities, viii) looking for integrated physical and mental solutions based on Chinese women’s particular identities and roles.

Conclusions

Our qualitative survey showed that diagnosis and therapy of FSDs are still dramatically unmet needs in China. Based on the fundamental principle of integrating women’s body and mind, our clinic combines integrated modern Western sexual medicine diagnosis and therapy with Traditional Chinese medicine, such as physiotherapy, acupuncture, physical manipulative therapy, radio frequency, magnetism, bioelectricity, ultrasound, psychological counseling, and other methods with long-term companionship (online daily follow-up, counseling, and functional training) to treat FSDs.

Disclosure

Any of the authors act as a consultant, employee or shareholder of an industry for: MIA Clinic consultant.
(082) EVALUATION OF SEXUAL FUNCTION IN CERVICAL CANCER PATIENTS UNDERGOING PELVIC RADIOTHERAPY IN A PUBLIC HOSPITAL IN SOUTHERN BRAZIL
Authors: M Mendes S , Grossi F , Brollo J , Piccoli S , Bonho P , Polesello J
Published: December 2024

Introduction

Cervical cancer (CC) is among the most common cancers in women worldwide. In Brazil, it was estimated more than 17 thousand new cases for 2024 and represents the third primary location of cancer incidence and mortality in women in the country, excluding non-melanoma skin tumors. In this scenario, radiotherapy plays a prominent central role in the treatment of early and locally advanced CC.

Objective

This study aimed to evaluate and characterize the sexual function activity in 25 women with CC undergoing pelvic radiotherapy (PR) in an oncology reference center from January 2017 to June 2023.

Methods

A questionnaire previously validated in international literature - Female Sexual Function Index 6 (FSFI-6) was applied to patients with CC undergoing PR and having active sex life in the last 6 months.

Results

Data was analyzed and showed that 88% (n = 22) of patients have sexual dysfunctions (SD). It is observed that the domain most affected in sexual function was orgasm, suggesting that it was experienced, on average, a few times or almost never by these women.

Conclusions

Therefore sexual dysfunction was present in women studied and had a negative impact on quality of life. In this way, it is essential to emphasize the role of the multidisciplinary team in assisting these patients with a focus on sexuality and survivorship.

Disclosure

No.
(096) ASSOCIATION OF DEPRESSION AND ANXIETY WITH SEXUAL ORIENTATION IN A CONVENIENCE SAMPLE OF LATVIAN YOUNG ADULTS
Authors: Pozarskis A , Pavlukovica M
Published: December 2024

Introduction

Some studies show that homosexual people are more likely to suffer from psycho-emotional disorders due to the stress associated with their rejection by some part of society.

Objective

Aim of the study: to investigate Latvian young adult sexual orientation variability and its association with depression and anxiety.

Methods

Participants aged 18-30 year old (n = 503) were asked to do a self-administered anonymous web-based survey. To describe person’s sexual orientation Kinsey scale was used. Prevalence of depression and anxiety, univariate and multivariate regression analysis was performed to measure relations between investigated factors.

Results

A total of 503 participants were included in the study. Mean (SD) value on the Kinsey scale was 1.4 (1.8) and median (IQR) value was 1.0 (0-2.0) where 1 is defined as “mostly heterosexual, only slightly homosexual” person and 2 is “mostly heterosexual, but more than slightly homosexual”. Prevalence of persons reported violence experience was 20.3%, anxiety 56.3% and depression 37.6%. Logistic regression analysis showed that experience of violence was associated with higher odds of developing anxiety and depression (OR: 2.6 [95% CI: 1.7-4.0] and 2.4 [95% CI: 1.5-3.9], respectively). Being in relationship was associated with higher odds of developing anxiety (OR: 2.8 [95% CI: 1.3-6.3]). Male sex and income 1001-2000 euros a month were associated with lower odds of developing anxiety (OR: 0.4 [95% CI: 0.2-0.5] and aOR: 0.3 [95% CI: 0.1-0.8], respectively). Sexual orientation showed no significant value in association with anxiety and depression (OR: 1.1 [95% CI: 1.0-1.2] and OR: 1.1 [95% CI: 1.02-1.2]).

Conclusions

Our study reported that only significant factor in developing depression and anxiety is experience of violence. Risk of developing anxiety is also increased in females, people in relationships, but not married, and with lack of income. Sexual orientation has no significance in association with depression and anxiety.

Disclosure

No.
(099) ARE PATIENTS UNDERGOING INTRALESIONAL INJECTION THERAPY FOR PEYRONIE’S DISEASE COMPLIANT? A SEVEN YEARS ANALYSIS FROM A TERTIARY CARE MEN’S HEALTH CENTER
Authors: Lumbiganon S , Nakamura H , Hammad M , Chawareb EA , Azad B , Lee J , Yafi F
Published: December 2024

Introduction

Peyronie’s disease (PD) poses significant challenges to men, adversely affecting their quality of life due to pain, functional impairments, and cosmetic concerns. Intralesional injection of Clostridium Collagenase Hystolyticum (CCH) has become a preferred treatment option for PD, yet there is a lack of comprehensive data regarding patient compliance with this care.

Objective

This study aimed to examine the demographics of patients undergoing CCH therapy for PD and assess their compliance and treatment outcomes.

Methods

A retrospective review of 573 consecutive patients with PD, presenting to a men’s health clinic during October 1,2017 to September 30, 2023 was conducted. The analysis encompassed patient demographics, treatment strategies, and outcomes. Patient compliance was defined as completion of at least 4 cycles of CCH therapy or satisfaction with the treatment result. Descriptive statistics were employed for data analysis.

Results

Among the 573 patients analyzed, 292 had CCH therapy. Eighty-three had surgery (44 patients underwent penile prosthesis surgery), 43 reported using a traction device, and 214 did not receive any interventions. Of the 292 patients undergoing CCH therapy, the mean composite curvature was 43.0 ± 13.1% compared to 42.8 + 16.4 in no CCH group. Ninety-two patients (31.5%) received CCH fewer than 4 cycles. One hundred fifty-two (52.1%) completed 4 cycles, and 42 (14.4%) underwent more than 4 cycles. The overall mean composite curvature improvement in the CCH group was 21.2 + 14.9 degrees, or 48.4 ± 31.5%. Reasons for incomplete completion of 4 cycles included satisfaction with outcomes in 16 (17.4%), CCH-related adverse effects in 15 (16.3%) including 4 suspected penile fractures, active co-morbidities in 8 (8.7%), lack of improvement in 7 (7.6%), 3 of these pursued to surgery, insurance policy changes in 6 (6.5%), and unidentifiable causes in 40 (43.5%). Accordingly, based on our definition, loss of compliance was noted in 76 out of 292 patients (26.0%).

Conclusions

This study suggests relatively poor compliance in men undergoing CCH therapy for PD. A better understanding of these findings is needed to improve compliance and optimize outcomes in this cohort.

Disclosure

Any of the authors act as a consultant, employee or shareholder of an industry for: Endo.
(108) INCREASE IN PENILE CIRCUMFERENCE AND LENGTH WITH THE USE OF HYALURONIC ACID (HA)
Authors: De Souza Alves L
Published: December 2024

Introduction

Penile enlargement is a controversial issue. Many men are looking for new possibilities to penile growing circumference and lenght. Unfortunately many patients undergo in procedures using polimetimetacrilate acid with serious problems. The hyaluronic acid appears to be more secure and with good results in initial observation.

Objective

Evaluate the increase in penile circumference and length with the use of bio filler hyaluronic acid (HA).

Methods

A total of 16 “model patients” were selected to undergo the hyaluronic acid penile filling protocol. All patients signed the informed consent form and participated in the study free of charge. The material was supplied by the industry. All patients underwent the same protocol, with the same material and with the use of 10 ml of hyaluronic acid. The patients were measured by the same urologist and returned after 15 days for further evaluation. They were instructed about the need for rest, frequent oral hydration and sexual abstinence for 7 days. Patients with sexual dysfunction or use of anticoagulants were not included in the study. Initial penile size was not used as an exclusion factor in the study.

Results

Of the total of 16 patients, all observed an increase in penile circumference in relation to the previous dimension. Eight 8 (50%) showed an increase of 2.5 cm in circumference in relation to the previous measurement after 15 days of the procedure. 4 (25%) patients had an increase of 3 cm in relation to the previous size and 4 (25%) had an increase of more than 3.5 cm. All patients had an increase in initial length of 1 cm (100%).

Conclusions

Hyaluronic acid (HA) makes it possible to increase penile girth in a variety of ways. The increase in length occurred in the same way in all patients. Further studies, with a larger number of patients and longer observation time, are needed to confirm this conclusion.

Disclosure

No.
(110) MALE GENITAL AESTHETICS AND PENILE HARMONIZATION ON TIKTOK: ANALYSIS OF PROFESSIONAL QUALIFICATIONS
Authors: Messina L , Fregonesi A , Messina C
Published: December 2024

Introduction

Analyze the professional qualifications of those who promote penis harmonization techniques on the TikTok platform.

Objective

Due to the large number of videos about male genital aesthetics on social media in Brazil, this study aimed to analyze the professional qualifications of those promoting penile harmonization techniques on the TikTok platform. Additionally, the number of followers and views obtained were analyzed to assess the credibility and quality of the technical information presented.

Methods

A search was conducted on the TikTok platform using the following keywords: male genital aesthetics, penile thickening, penile enlargement, penile bioplasty, and penile harmonization. The first 30 results for each keyword were analyzed, classifying the professionals responsible for the videos as either doctors or non-doctors, with the latter further subdivided according to their declared professional qualifications. Data on the number of followers and views of each professional were also collected.

Results

The TikTok platform showed a total of 3 121 889 views and 578 443 followers for the analyzed videos. Among the professionals responsible for the videos, the following qualifications were found: - Biomedical Professionals: 12 - Doctors: 9 - Undefined Profession: 4 - Pharmacists: 3 - Nurses: 1 - Physiotherapists: 1 The three professionals with the highest number of followers were: 1. Doctor: 165800 followers 2. Pharmacist: 88000 followers 3. Biomedical Professional: 82300 followers The three professionals with the highest number of views were: 1. Doctor: 955800 views 2. Doctor: 950100 views 3. Biomedical Professional: 498800 views.

Conclusions

The research reveals that the topic “male genital aesthetics and related procedures” generates significant interest among the Brazilian population, who seek information about these procedures on social media. Most videos are produced by non-doctors, although videos by doctors achieved 66,6% more views and 48,9% more followers. It is necessary for penile aesthetic procedures to be guided by medical professionals to ensure the credibility and safety of the information.

Disclosure

No.
(112) GEN Z DIGITAL CONTENT USE FOR SEXUAL EDUCATION
Authors: Smaali MH , Kaabia O , Gharbi I , Bahri YM , Guefrech O
Published: December 2024

Introduction

The absence of an effective governmental comprehensive sexuality education program in Tunisia has made space for youth to seek various sources of information on sexual education particularly the internet and its digital content. Generation Z individuals increased usage of social media and the web, makes them avid consumers of sexuality-related digital content. However, the digital information on sexual health and sexual rights is not always verified, controlled, or adapted to the consumers’ needs.

Objective

This study aims to determine if the uncontrolled digital sexuality education resources and materials are deemed comprehensive by evaluating the knowledge of their users regarding sexual health and rights and studying the impact of such educational resources on the attitudes and practices of young Tunisian adults towards sexual health and rights.

Methods

This is a descriptive, cross-sectional, Knowledge, Attitudes, and Practices (KAP) study, targeting the Tunisian Generation Z population, born between 1996 and 2005. The study was conducted through an online self-administered questionnaire to provide a nuanced analysis of the topic through the collection of both quantitative and qualitative data from the participants. It was conducted over a 5-week period, by sharing the questionnaire on social media platforms.

Results

This study included 411 respondents of whom 63% self-identified as women and 30% as men. The participants were from various backgrounds and diverse sociodemographics. 34% of the participants are dissatisfied with non-digital resources covering sexual education. Pornography and social media were the main sources of information on sexuality. (Figure 1). Fig. 2 illustrates the topics searched online. Non-reproductive and pleasurable sexual experiences were sought with a lack of knowledge and positive attitudes on topics such as consent, gender-based violence, and sexual orientation.

Conclusions

This is a snapshot of the intricate intersection between digital content and sexuality education in Tunisian Gen Z. Whereas sexual pleasure and non-reproductive sex seem to be important for this generation, they still lack knowledge about sexual rights.

Disclosure

No.
(119) TRANSGENDER CARE: ARE WE THERE YET?
Authors: Citrin E , Marquez D , Otormin G , Goya A , Mittica N , Gervasini D , García K
Published: December 2024

Introduction

Since 2019 the National Law Nr. 19 684 for Transgender Care is inforce in our country. Five years later we want to describe our experience in the” Servicio de Diversidad Sexual”. We created a multidisciplinary team with family doctors, plastic surgeon, gynecologist, psychologist, social worker, nurse and secretary. We have an unique commited team that allows us to provide the best practice available in our country in the public health care system.

Objective

To sumarize and present data from the newly created Transgender Care Department.

Methods

This is a descriptive paper, we examined the database and present our experience. We present total number of patients, the medical and surgical treatment provided by our multidisciplinary team.

Results

During the period of time May 2023 to March 2024 we received 178 patients. 40% (70) are transgender women, 54% (95) are transgender men and 6% (11) are non binary individuals. The range of age is 10 to 68 years of age with a median of 32 years old. Among the 70 female transgender patients, the range of age is 13 to 68 median 32. 81% (57) receive hormone therapy and 19% (13) are not under hormone treatment. 3 of our patients underwent non medical silicone injection. 8 of them had breast implants in our Service and one with other healthcare provider. In the case of transgender men, we register 95 cases, the range of age is 10 to 52 and median age 22 years old. 64% (61) receive hormonal treatment, 36% (34) are not under treatment and 14 trans men underwent mastectomy with our surgical team. Regarding non binary patients, the total number is 11, age from 19 to 45 years old, median 32. 9 patients (82%) receive hormone therapy and 2 (18%) are not. 3 of these patients had mastectomy with our team during this period of time. In our country, trangender care is mostly provided by family doctors in the primary/first health care system. This is for the best interest and care of patients, that find in theri family doctors an holistic care that comprises global and mental health. Although we managed to gather a state of the art clinic to provide healthcare including medical and surgical needs, we feel that many other challenges are yet to be addressed. Are we there yet? NO! But we are getting closer.

Conclusions

In our country, trangender care is mostly provided by family doctors in the primary/first health care system. This is for the best interest and care of patients, that find in theri family doctors an holistic care that comprises global and mental health. Although we managed to gather a state of the art clinic to provide healthcare including medical and surgical needs, we feel that many other challenges are yet to be addressed. Are we there yet? NO! But we are getting closer.

Disclosure

No.
(121) CHALLENGES IN SURGICAL TRAINING FOR GENDER-AFFIRMING SURGERY
Authors: Tran V , Attwell-Heap A
Published: December 2024

Introduction

Recent years have shown a growing demand for transgender healthcare and access to gender affirming surgery (GAS), with patients waiting years for life-changing procedures or seeking healthcare overseas due to poor domestic accessibility or financial constraints. Despite the need to increase the number surgeons performing GAS, latest literature has highlighted the absence of clinical exposure for surgical residents and lack of standardised training pathway or regulatory body for post-graduate training.

Objective

We aim to better understand the current landscape of post-graduate fellowship training in GAS worldwide.

Methods

A review was conducted of institutional websites offering fellowship programs in GAS across multiple subspecialties, including urology, plastic surgery, gynaecology, otolaryngology and oral and maxillofacial surgery. Features including subspeciality requirements, duration, candidate eligibility criteria and educational curriculum were assessed.

Results

For those interested in further training in GAS, fellowship programs up to twelve months are available that largely centre around the United States (US) albeit with variable, non-standardised curriculums offered to different subspecialties. In particular, many programs offer exposure to gender-affirming facial and top surgery, but few offer equal exposure to bottom surgery. In many cases, such programs are only available to US-trained medical graduates. There was no central resource outlining these programs.

Conclusions

Effective surgical training in transgender health requires a multidisciplinary, holistic approach and at present, access to post-graduate training in GAS is limited and strongly dependent on surgical specialty, region, and individual surgeon expertise. The high degree of surgical specialisation, in conjunction with limited funding and resources, is likely hindering the development of standardised training in GAS. We suggest a need for improved emphasis into early clinical exposure, as well as resource allocation into developing structured and centralised fellowship training that can support training of both domestic and international surgeons.

Disclosure

No.
(128) ASSOCIATION BETWEEN LEUKOCYTE TELOMERE LENGTH AND ERECTILE DYSFUNCTION IN US ADULTS: A CROSS-SECTIONAL STUDY BASED ON 2001-2002 NHANES DATA
Authors: Dilixiati D , Kadier K , Lu J , Laihaiti D , Azhati B , Rexiati M
Published: December 2024

Introduction

Vascular endothelial dysfunction, a major cause of erectile dysfunction (ED), is thought to be associated with inflammation and oxidative stress levels. These factors also shorten the leukocyte telomere length (LTL). However, whether the LTL is associated with ED is unknown.

Objective

We aimed to explore the association between the leukocyte telomere length (LTL) and erectile dysfunction (ED) among a nationally representative sample of US adults.

Methods

A total of 1694 participants were extracted from the National Health and Nutrition Examination Survey (NHANES) database for 2001-2002. Multivariate logistic regression and restrictive cubic spline models were used to examine the association between the LTL and ED. Stratified subgroup analyses excluded interactions of different variables with the LTL, and multiplicative interactions between subgroups were assessed using likelihood ratio tests.

Results

Participants with ED had shorter LTLs than those without ED (p < 0.05). After adjusting for confounding factors, compared with the reference lowest LTL quartile, the ORs and 95% CIs for the second, third and fourth LTL quartiles were (OR: 1.51; 95% CI 1.01, 2.26), (OR: 1.79; 95% CI 1.24, 2.58) and (OR: 1.25; 95% CI 0.74, 2.11), respectively. In addition, limiting cubic splines showed an inverted J-curve relationship between the LTL and ED. At an LTL of 1.037, the curve showed an inflection point. The ORs (95% CI) of ED on the left and right sides of the inflection point were (OR: 1.99; 95% CI 0.39, 10.20; p = 0.385) and (OR: 0.17; 95% CI 0.03, 0.90; p = 0.039).

Conclusions

Our results demonstrated an inverted J-curve relationship between the LTL and ED. When the LTL was ≥1.037, the incidence of ED decreased with increasing LTL.

Disclosure

No.
(134) A CLINICAL CASE DEMONSTRATING THE USE OF A CONSTRICTION VIBRATION RING FOR NON-ORGANIC ERECTILE DYSFUNCTION
Authors: Rodríguez Martínez JE , Dadian R , Suarez V
Published: December 2024

Introduction

Erectile dysfunction (ED) is a common sexual issue affecting many men globally, including a rising number under 40 years old. Psychogenic causes are often implicated in these cases. Cognitive-behavioral therapy (CBT) is a widely used treatment for ED, particularly when its origin is psychological. Systematic desensitization (SD), a CBT technique involving gradually confronting intimacy-related fears with a partner, is highly effective. However, some patients lack a stable partner or prefer not to involve them in treatment.

Objective

The objective of this clinical case was to evaluate the potential utility of a constriction ring that uses a pattern of focused mechanical vibration (FMV) to promote and maintain vasodilation in a patient diagnosed with non-organic erectile dysfunction (ED).

Methods

The patient was a Spanish man, 42 years old, and married for 8 years. He could not have sexual intercourse for 15 months due to difficulties maintaining an erection. The patient was examined by a family doctor, urologist, and psychologist. Afterward, he was referred to our sexual medicine clinic for examination. It was confirmed that the cause of his difficulties with erections was due to high performance anxiety, fear of losing the erection, and the reaction that his partner might have. At this point, he was unwilling to cooperate with the treatment proposed by the psychologist through a sex therapy approach. Additionally, he did not respond to on-demand or daily use of PDE5 inhibitors that had been prescribed by his urologist. His reflex erections were well preserved, as was his libido. Given his difficulties in maintaining an erection, we opted to use a vibrating constriction ring called the Tenuto Mini. This device could be configured with different vibration patterns. The device was operated using a mobile app and delivered FMV in intervals of 10 seconds of vibration followed by 5 seconds of pause with a frequency of 50 Hz. Additionally, the device creates a strong constriction at the base of the penis, except in the area around the urethra. Previous evidence suggests that this intermittent frequency pattern produces a vasodilation effect. Changes in the IIEF-5 Spanish version were used to evaluate the effectiveness of FMV in improving non-organic ED. The Patient Global Impression of Change (PGIC) was used as a secondary measure.

Results

After 2 months using the device the patient was able to have sexual intercourse and showed improvement over baseline of 9 points on the IEEF-5 score, from 6 to 16, using the device. The patient reported feeling “much improved” on the PGIC.

Conclusions

The use of a specific pattern of FMV along with a constriction ring can be helpful in managing situational, non-organic ED. An additional advantage is that it could be used when couple-based sexual therapies are not applicable. Case series and randomized controlled trials are needed to confirm these findings.

Disclosure

No.
(136) “TURN OFF THE RIGIDOMETER” TECHNIQUE FOR ERECTILE DYSFUNCTION AND LITERATURE REVIEW
Authors: Brendler J
Published: December 2024

Introduction

Erectile dysfunction (ED) is the most common sexual dysfunction in men after the age of 50, although it can occur at all ages. We describe a new technique using the Cognitive Behavioral and Sexual Therapy line and review the techniques already published for ED.

Objective

We have two objectives: 1) To describe the study of a new technique called “Turn off the rigidometer” which aims to stop observing the rigidity of the penis and focus on something erotic. This analysis of penile rigidity is common among those who suffer from ED and only hinders the erection; 2) we list most of the already published techniques that can be used for ED with psychosocial or mixed etiologies.

Methods

This technique was used in 20 men with ED of psychosocial etiology, lasting less than 7 months. In the “Turn Off the Rigidometer” technique, the man is instructed to stop analyzing rigidity and focus on one of three aspects: 1) the erotic game with the partner; 2) In the part that he considers most erotic in the body of the partnership; 3) fantasize about sexual practices. Literature review from the last 70 years was carried out using English language databases;

Results

The 20 patients liked the name of the technique and identified with it because they realized that it was analyzing penile rigidity. The average age was 32 years old, all had been in relationships of more than 2 years, and had completed university education. They had already been undergoing treatment for 2 months when they started applying the technique. The 20 men had initial difficulty stopping the stiffness analysis. The correct use of the complete technique with shifting the focus to one of the three options occurred after the fourth attempt. The average duration of treatment was 5 months. Techniques already published: 1) Prohibited coitus; 2) Improve self-esteem; 3) Support; 4) Clarification; 5) Modified Stop-Start; 6) Focusing Sensations I; 7) Focusing sensations II; 8) Paradoxical intention; 9) Strangulation; 10) Erection without Ejaculation and Orgasm; 11) Ejaculation and extravaginal orgasm; 12) Introduction of the penis without ejaculation and orgasm; For fear of performance: 13) Stopping thinking; 14) Distraction from Distraction; 15) Permission for coitus.

Conclusions

The “Turn Off the Rigidometer” technique proved to be effective in 20 men with psychosocial ED to recover erections together with Cognitive Behavioral and Sexual Therapy sessions. Fifteen psychotherapeutic techniques published in English were found.

Disclosure

No.
(139) IMPROVEMENTS IN ANCIENT TECHNIQUE TO TREAT HYPOACTIVE SEXUAL DESIRE IN WOMEN
Authors: Brendler J
Published: December 2024

Introduction

Hypoactive Sexual Desire (HSDD), which generates distress, is the most common problem in women in sexological clinics. The Sexual Menu technique was published in 2005 for treatment of HSDD. Scientific knowledge has improved and technology has advanced, making it possible to incorporate some topics into this technique.

Objective

To describe steps that can be added to the Sexual Menu technique, which is based on thinking about sex several times a day. Consisting of 3 steps, which are homework assignments, between the Cognitive Behavioral and Sexual Therapy sessions. Bring the test results of the suggested additions in a sample of 52 women with HSDD.

Methods

52 patients with Hypoactive Sexual Desire agreed to participate in the research knowing that we would use a modification of the aforementioned technique. Below I mention four additions to the original technique. A new item created, step 1b: Question about the film or book analyzing the reasons for the success of the relationship, the strengths and weaknesses of the relationship and the reasons for the breakup. As step 2b, the woman will create a mini video of the couple’s pleasant scenes (sensual and/or sexual) using a cell phone. This will give her easy access to viewing the scenes chosen for the video, several times a day, as they will be on your cell phone. On page 96 of the original technique, the woman is asked to imagine the memorized erotic scenes. In step 4a (created), the woman will be asked to review the mini videos made BEFORE meeting her sexual partner, without the obligation to have sexual desire or to take the initiative. In step 4b, the woman must also imagine, after watching the video on her cell phone, having sex with her partner. These two items cannot be communicated to the sexual partner to avoid generating sexual charges.

Results

The additions mentioned in the Sexual Menu technique were well accepted by the patients. Characteristics of the women in the sample: the average age was 35 years old, the average relationship was 6 years and 2 months. The average time of existence of the HSDD was 5 years and 1 month. Making mini videos is easy and cheap: step 2b. “Anticipate coitus with her partner in her mind”, in our proposal after watching the cell phone video, science says that it increases endogenous testosterone (Van Anders et all 2007), and it is step 4b. The original technique in its name already talks about thinking about sex several times a day. A 2011 study by Goldey & Van Anders reports that thinking about sex, for women, increases endogenous testosterone.

Conclusions

The 52 patients reacted positively to the steps added to the Sexual Menu Technique. The average duration of treatment was 6 months and 20 days. This set of techniques will help sexologists improve sexual desire and, as a consequence, women’s sexual health and quality of life.

Disclosure

No.
(142) ANALYZING GOOGLE SEARCH TRENDS FOR “VAGINAL ESTROGEN” AND ITS RELATIONSHIP TO MEDICAL RECOMMENDATIONS FOR POST-MENOPAUSAL WOMEN
Authors: Moukhtar MA , Miller J , Kadakia Y , Nakamura H , Hammad MAM , Chawareb EA , Lee J , Yih JM , Chang OH , Lumbiganon S , Yafi FA
Published: December 2024

Introduction

Over two million women reach menopause each year in the United States, subsequently creating a demand for medical symptomatic relief. This can come in many forms, ranging from topical treatments to oral hormone therapy. It is important to examine closely the popularity and awareness of these different types of treatment options in the U.S. to fully gauge how sexual healthcare is administered to women. The study focuses on vaginal estrogen treatment, specifically its relevance to post-menopausal women over the years, through Google search trends and rising literature recommendations.

Objective

Our study aims to investigate the correlation between Google search trends for the term “vaginal estrogen” and the rising literature recommendations of vaginal estrogen for postmenopausal women.

Methods

We conducted a retrospective analysis of Google search trends data for the term “vaginal estrogen” and other related words. The word “weather” (a term that is consistently searched) was used as a control to compare against when analyzing the trends. We simultaneously examined medical recommendations in major urology societies’ websites and social media forums for vaginal estrogen in the context of post-menopausal symptom management. Time series analysis (a 6-month simple moving average) and statistical modeling were employed to evaluate the trends and relationships between these variables.

Results

Our results reveal a positive correlation (R2 = 0.721) between the increasing search interest in “vaginal estrogen” and the number of articles on this treatment option among post-menopausal women. While it may or may not be causative, it suggests that there is a growing interest in this treatment from the public. With an increased physician recommendation to include vaginal estrogen as part of the treatment regimen for post-menopausal women recently, we found an increasing public’s awareness and interest in this treatment option.

Conclusions

Our study demonstrates a noteworthy connection between the rising medical recommendations for vaginal estrogen in the management of postmenopausal symptoms and the growing search interest for the term “vaginal estrogen” on Google. The data underscores that the medical community’s endorsement of vaginal estrogen is fostering greater awareness and acceptance of this therapy among post-menopausal women. Further research is needed to determine its cost-effectiveness and equal accessibility to all patients.

Disclosure

Any of the authors act as a consultant, employee or shareholder of an industry for: Coloplast.
(152) MALLEABLE PENILE PROSTHESIS FRACTURES IN A TERTIARY SERVICE IN BRAZIL - LESSONS LEARNED IN 15 YEARS
Authors: Horta M , Nagato D , Neto C , Pereira De Oliveira Lima G , Goes P , Pato E , De Bessa J , Nahas W , Chiesa Gouveia Nascimento B , Hallak J
Published: December 2024

Introduction

Implantation of Penile Prosthesis is a well-established option for the treatment of refractory erectile dysfunction (ED). In Brazil, malleable penile prosthesis (MPP) are widely used. MPP’s mechanical failures (fractures), however, are seldom reported in the literature.

Objective

The aim of this study is to report and describe MPP Fractures treated in our service in the last 15 years.

Methods

Review of the medical records of the patients who had revision surgery due to MPP fractures in our service from 2008 to 2023. We collected data regarding cause of ED, comorbidities and signs and symptoms as well as intraoperative findings at the original prosthesis implant and at revision surgery. Data were evaluated and reported in a descriptive manner. Continuous data were expressed as mean and standard deviation.

Results

In the last 15 years we performed 683 MPP implants and 87 revision surgeries, 49 (56%) of these due to fractures, making it the main indication for reoperation in our service. Patients had a mean age of 59 years-old (27–72) at the first implant. Symptoms started after a median of 5 years (3–168 months) after the first MPP, with instability being the most reported complaint (42, 89% of the fractures), with pain reported in only 10 (21%) of the fractures). 32 fractures (68%) were associated with difficulty of penetration, while 6 (12.7%) reported incapacity to penetrate and 10 (21%) reported there was no impact on penetration. The physical exam was abnormal in 40 (86%) of the fractures, while the X Ray showed the fracture in only 25 (80%) of the 31 cases it was requested and the MRI was able to show only 2 (22%) fractures in the 9 times it was requested, reinforcing the importance of a good history and physical exam and limitations of imaging.

Conclusions

MPP fractures are underreported complications that may occur both early or late after the prosthesis placement and should be suspected when the patient complains of instability and difficulty of penetration.

Disclosure

No.
(159) HOMEWORK ADHERENCE IN MINDFULNESS-BASED COGNITIVE INTERVENTIONS FOR FEMALE SEXUAL DYSFUNCTION: A SCOPING REVIEW
Authors: Bonato F , De Oliveira Cardoso N , Brotto L
Published: December 2024

Introduction

Mindfulness-based cognitive therapy (MBCT) emphasizes consistent at-home mindfulness exercises as a crucial method for developing mindfulness. Despite the availability of several tools to measure homework adherence in cognitive behavioral therapy (CBT), there is limited knowledge about assessing homework practice in MBCT studies focused on female sexual dysfunction (FSD).

Objective

This review aims to identify the most commonly used items and instruments for evaluating homework adherence in studies of MBCT for treating FSD, as well as to explore the types of homework typically assigned in these interventions.

Methods

Five databases-PubMed, Scopus, PsycINFO, Embase, and Web of Science-were searched using Thesaurus (PsycINFO) and Medical Subject Headings (MeSH/PubMed) to ensure a systematic search. To minimize selection bias, two raters reviewed all identified papers. The articles retrieved from these databases were then imported into Rayyan, a website used for managing the screening process.

Results

A total of 423 articles were identified through database searching, which was narrowed down to 30 that included any type of MBCT homework. The main findings indicate that there is no standardized instrument for assessing homework adherence during MBCT interventions for treating FSD, and most studies do not specify how they measure homework adherence. Of the nine studies that do report their assessment methods, six relied solely on ad hoc measures, while only three utilized psychometric instruments. Additionally, the most commonly prescribed homework included mindfulness exercises, psychoeducation, and CBT exercises.

Conclusions

This scoping review serves as a guide for researchers and health professionals to adapt or develop psychometric instruments for assessing homework adherence. Further research should prioritize creating psychometric instruments to evaluate homework adherence during FSD treatment. The review highlights a significant gap in instruments with robust psychometric properties for assessing homework adherence in MBCT treatments for FSD.

Disclosure

No.
(171) TRANSGENDER AND GENDER DIVERSE PEOPLE WITH ENDOMETRIOSIS: A SHORT REPORT ON PAIN, SEXUAL DISTRESS, AND HEALTH PROFILE
Authors: Carvalho SAA , Lapa T , Pascoal PM
Published: December 2024

Introduction

Transgender and Gender Diverse (TGD) people with endometriosis’ sexual health out-comes have been overlooked, and important emotional experiences, such as sexual distress and its correlates, have been ignored, preventing a more comprehensive look at their health experience.

Objective

This cross-sectional online study explores the associations between experiences of pain symptoms, sexual distress, and mental health of 6 TGD individuals diagnosed with endometriosis in order to understand the specificities of their experiences better.

Methods

Cross-sectional data collected online via newsgroups of people with endometriosis. Data analysis focus mainly on descriptive Statistics.

Results

Our results suggest some TGD people who experience diminished pleasure may be experiencing higher pain levels and higher levels of sexual distress than cisgender people and the impact of endometriosis. It also points out that the impact of endometriosis on self-image is associated with sexual distress and that, compared to existing data on cisgender women, they receive a late diagnosis.

Conclusions

These results suggest that sexual health in the context of endometriosis has specificities and is associated with specific factors that need to be accounted for to provide comprehensive, socially just healthcare. To achieve sexual health equity for TGD people, continuous and updated professional training and inclusive research with multiple informants are necessary.

Disclosure

No.
(181) RESEARCH ON THE IMPACT OF PORNOGRAPHY ON THE SEXUAL HEALTH OF WOMEN
Authors: Perissini AL , Fácio Júnior FN , De Brito Barbosa L , Araújo Juca L , Mapelli Antunes R , Rodrigues Ferreira De Amorim PR
Published: December 2024

Introduction

Access to pornographic content facilitated by advances in technology has contributed to consolidating the viewing of pornography as a common practice in society, considering the interest in issues of sexuality, which is a central aspect of human life. The search for online pornographic content has grown in the young population, especially among female consumers, exerting an influence on sexual practices. Positive and negative points of the consumption of online pornography have been addressed by researchers and there is a consensus that this material has become a new form of sexual education for an entire generation.

Objective

The aim of the present study was to perform a literature review to identify the impact of the consumption of pornography on female sexual health.

Methods

Methods: A descriptive, qualitative study was conducted based on a systematic review of the literature. Searches were conducted in the LILACS, IBECS and Medline databases for relevant articles published in English and Portuguese in the period from 2017 to 2022.

Results

The search of the databases led to the retrieval of 937 records, three of which were duplicates and were removed. After the analysis of titles and abstracts, 913 articles were excluded and 12 were submitted to full-text analysis, three of which were excluded, leading to a sample of nine articles. The positive points related to the consumption of pornography included the search for sexual knowledge and suggestions for sexual practices, positions and fantasies that assist in the safe search for self-knowledge, consequently favoring the enhancement of pleasure. The negative points were sexual dysfunction, physical and emotional violence, sexual practices requiring a high performance and dissatisfaction with one’s body image. Moreover, unconsented sexual practices, pressure to perform certain acts and the objectification of women are common in pornography and can influence the propagation of these practices in real life by individuals who consume this content available free of charge on online platforms.

Conclusions

There is a need for further scientific studies and sexual education campaigns to discuss the benefits and drawbacks of pornography, such as issues of self-esteem and those related to violence.

Disclosure

No.