bluuebunny/crossref_metadata_2025_split huggingface dataset:
(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

Abstract

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

Abstract

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

Abstract

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
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(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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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 &lt; 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.