bluuebunny/crossref_metadata_2025_split huggingface dataset:
(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

Abstract

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
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(136) “TURN OFF THE RIGIDOMETER” TECHNIQUE FOR ERECTILE DYSFUNCTION AND LITERATURE REVIEW
Authors: Brendler J 
Published: December 2024

Abstract

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
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(139) IMPROVEMENTS IN ANCIENT TECHNIQUE TO TREAT HYPOACTIVE SEXUAL DESIRE IN WOMEN
Authors: Brendler J 
Published: December 2024

Abstract

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
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(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

Abstract

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

Abstract

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
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(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

Abstract

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
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(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

Abstract

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
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(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

Abstract

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
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(205) PREDICTORS OF INTRA CORPORAL TRIMIX DOSAGE IN PATIENTS POST-PROSTATE CANCER TREATMENT USING PENILE DOPPLER ULTRASOUND READINGS AND CLINICAL PARAMETERS
Authors: Mahdi M , Majzoub A , Khalafalla K , Slovacek H , Jacob J , Wang R 
Published: December 2024

Abstract

Introduction
Intracorporeal injection (ICI) therapy is a well-established treatment for erectile dysfunction (ED), particularly after oral medications fail to produce satisfactory results. However, determining the optimal ICI dose can be challenging for patients, often leading to under dosing which results in suboptimal response or overdosing with an increased risk of priapism.

Objective
This study aims to explore whether pre-treatment clinical data and in-office penile Doppler ultrasound (PDU) parameters could guide ICI dosing for Trimix penile injections.

Methods
A retrospective chart review was done for patients with ED following prostate cancer treatment. 233 Patients who underwent PDU and then started a standard dose of Trimix ICI (Alprostadil 30mcg/ml, phentolamine 1 mg/ml, papaverine 10 mg/ml) with a minimum 6 months follow-up were included. Data regarding pre-treatment patients’ clinical parameters, PDU reading (dose of the procedure ICI, blood flow velocities, cavernosal artery diameter, plaques presence) and the initial and follow up doses of ICI Trimix (per unit, each 1 ml has 100 units) was retrieved. Pearson correlation coefficient was used to measure the linear correlation between the different variables of clinical parameters/PDU readings and the required dose of Trimix ICI at 3-6 months follow up visit.

Results
Table 1 presents the baseline clinical characteristics of the sample. Among the patients, 51.9% were hypertensive, 17.2% were diabetic. Additionally, 76.9% underwent radical prostatectomy or cystoprostatectomy, 24.5% had a history of radiation therapy, and 18% had undergone Androgen Deprivation Therapy. The required Trimix ICI dose during follow-up showed significant positive correlations with patient age (0.199, p = 0.003) and Hemoglobin A1c (HbA1c) levels (0.223, p = 0.04). Conversely, it exhibited a significant negative correlation with the initial clinical response (degree of erection) during clinic PDU/ICI (-0.04, P = 0.00) (Table 2). None of the PDU parameters correlated with the follow up Trimix dosage.

Conclusions
In patients with ED following prostate cancer treatment who require ICI therapy, the patient age, HbA1c and clinical response during clinic PDU/ICI can predict the required dose of ICI to induce a satisfactory erection. Using such clinical parameters can guide the urologists in prescribing the proper dose of ICI to achieve a satisfactory erection.

Disclosure
No.