bluuebunny/crossref_metadata_2025_split huggingface dataset:
(164) Technique of Plaque Excision and Coroporoplasty Using Free Tunica Vaginalis Graft
Authors: Pardeshi A 
Published: March 2024

Abstract

Introduction
Severe penile curvature causing inability to perform pleasurable sexual activity is the most dreadful sequel of Peyronie disease. Surgical plication methods have their limitations of recurrence of curvature or penile shortening which is not acceptable to patients. In cases of severely calcified plaques, excision of the plaque with grafting of the defect remains the only viable option. Several graft materials have been used for repairing the defect. We present our experience of Plaque excision and coroporoplasty using local tunica vaginalis free graft.

Objective
To demonstrate the technique of free tunica vaginalis free graft corporoplasty for severe curvature due to Peyronie plaque. Following steps of corporoplasty are demonstrated. Penile degloving, artificial erection and plaque demarcation, dissection of the neuro-vascular bundle, plaque excision, harvesting the tunica vaginalis graft, corporoplasty using tunica vaginalis, restoration of neuro-vascular bundle, closure of scrotal wound and completion of circumcision.

Methods
7 patients between the age group of 47 to 68 years (mean age 54.6 years) were operated using this technique between 2018 to 2022. All patients had dorsal penile curvature with hard palpable plaque ranging from 2.5 cm to 5.2 cm. All patients were evaluated objectively using auto-photography. Penile doppler was done in all patients to confirm pre-operative arterial flow. Plaque exposure was done by penile degloving. Tunical graft was harvested by midline scrotal incision. Complete plaque excision was done and graft was sutured with 3–0 Prolene sutures.

Results
All patients had normal erectile function after the surgery. The maximum follow-up period was 42 months. All patients reported normal sexual function after a month of surgery. 2 patients complained of persistent induration and hardness at the site of graft, however the function being normal. Penile length shortening was noted in 4 patients which ranged between 4–6% of previous length, however it did not alter the sexual function.

Conclusions
Complete excision of the Peyronie plaque with corporoplasty using free tunica-vaginals graft is an effective, cost-effective and functionally acceptable technique for patients with hard and calcified plaque offering excellent functional outcomes.

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(174) Sexual Dysfunction and Coping Mechanisms among Women Using Hormonal Contraceptives at Kawempe Hospital - A Cross-Sectional Study
Authors: Aujo B T , Nakasujja N , Turiho A , Gumikiriza J L , Kakaire O 
Published: March 2024

Abstract

Introduction
Sexual dysfunction is a significant problem among women, and it is associated with maladaptive coping mechanisms that can further worsen the situation. In African regions, the prevalence of female sexual dysfunction (FSD) is highly linked to hormonal contraceptives (HCs), a popular method of birth control. Uganda has a relatively high prevalence of HC use among women of reproductive age. However, there is limited research on sexual dysfunction and coping mechanisms among women who use HCs in Kawempe Hospital.

Objective
This study aimed to (1) estimate the prevalence of sexual dysfunction among women who use hormonal contraceptives, (2) describe the coping mechanisms used by women who use hormonal contraceptives, and (3) identify the sociodemographic and clinical characteristics associated with sexual dysfunction among women using hormonal contraceptives at Kawempe Hospital.

Methods
This was a cross-sectional study where sexually active adult females who were on hormonal contraceptives and gave informed consent were consecutively sampled. The female sexual function index and the SexFlex scale were used to assess sexual dysfunction and coping mechanisms of women using hormonal contraceptives. Means, proportions, chi squares and logistic regression were used to describe the population and determine characteristics associated with sexual dysfunction.

Results
Of the 401 participants recruited for the study, 386 were analyzed due to 15 incomplete questionnaires. The average age of participants was 29.4 years. Of the participants, almost half 46.6% used implants. The prevalence of FSD was 74.6%. Participants with FSD reported more reflexive 82 (28.47%) and less approach coping 62 (21.53%) than participants without FSD. Factors associated with FSD were relationship dissatisfaction (OR=3.78, 95% CI: 1.68, 8.5), psychological distress (OR=2.12, 95% CI: 1.17, 3.86), finding sex important (OR=0.22, 95%CI: 0.05, 0.88) and approach coping mechanisms (OR=0.49, 95%CI: 0.26, 0.95). FSD was not significantly associated with HCs

Conclusions
This study found that women HCs have a high prevalence of FSD that is associated with psychological factors such as relationship dissatisfaction and psychological distress. The study suggests that women using HCs should be regularly screened for FSD and that clinicians should help them find solutions to the underlying causes.

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(181) Female Sexuality During the Menopausal Transition: The Experience of Tunisian women
Authors: Souayeh N , Bettaieb H , Rouis H , Mbarki C , Hsayaoui N 
Published: March 2024

Abstract

Introduction
The menopausal transition is a gradual passage from pre-menopause to menopause. It is characterized by hormonal changes that affect a woman's reproductive and sexual health. Understanding the impact of the menopausal transition on sexual functioning is important for providing comprehensive care to these women.

Objective
Objective: In this study, we aimed to evaluate female sexuality in middle-aged Tunisian women using the female sexual function index (FSFI)

Methods
This was a descriptive and analytic transversal study, conducted at the Hammam-Lif sexual and reproductive health center over a period of 06 months from February 1st to July 31st, 2022. We included 162 women aged between 40 and 65 years old. We used a validated Arabic version of the Female Sexual Function Index to assess female sexual function.

Results
The average age of women included in our study was 48.27 years. The majority of questioned women were peri-menopausal, i.e. 40.74%, 35.8% were in pre-menopause and 23.6% were in post-menopause. Moreover, among postmenopausal women, only one patient took hormone replacement therapy. The mean gestity was 3.6 and mean parity was 2.5 in our study population. The majority of women had a gestation greater than or equal to three [0 to 8] and a parity greater than or equal to 2 [0 to 8], i.e. in 80.25% of cases. The mean FSFI score was 18.83 ±7.19, with extremes ranging from 2 to 30.4. The prevalence of sexual dysfunction in our study was as high as 88.9 %. The analysis of our results showed a degradation of the FSFI score from perimenopause to postmenopausal: it went from 21.21±6.4 in pre-menopause, to 18.56±7.33 in perimenopause and 15.65±7.11 in postmenopausal. The difference between the three periods was statistically significant (p=0.030). This decline was statistically significant for three domains namely desire (p=0.033), arousal (p=0.047), and orgasm (p&lt;0.01).

Conclusions
The prevalence of female sexual dysfunction is quite high and tends to increase with age. The role of healthcare professionals is essential in caring for women and helping them overcome sexual health problems that arise during the menopausal transition period.

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(183) The Predictive Value of AMH, FSH, and Inhibin B for Sperm Retrieval in Azoospermic Men
Authors: Mendelson T , Dekalo S , Azem F , Hauser R , Barda S 
Published: March 2024

Abstract

Introduction
Several studies assessed the sensitivity and specificity of plasma concentrations of hormones such as FSH and AMH as biomarkers that can predict the presence of sperm cells, prior to testicular sperm extraction (TESE) in azoospermic men. However, the literature contains conflicting reports in this context.

Objective
To evaluate the potential of hormonal profile as a non-invasive predictor of mature sperm cells' presence in the testis of azoospermic men, and to assess if the source of these hormones- testicular or peripheral blood makes any difference.

Methods
Clinical data, hormonal profile, and histological classification of 57 azoospermic men were analyzed. They were categorized into 4 following groups by their testicular pathologies: obstructive azoospermia, hypospermatogenesis, spermatocyte maturation arrest, and Sertoli cells only. The level of hormones was measured by the enzyme-linked immunosorbent assay. Statistical analyses tested the predictability of hormone values for sperm retrieval.

Results
Overall, 28 patients (49%) had spermatozoa detected. FSH and Inhibin B measurements were statistically significantly different between the 4 groups with different testicular pathologies (p&lt;0.001). AMH, FSH and Inhibin B were found to be independent predictor for positive sperm retrieval (p&lt;0.05). However, a decision tree with random forest classifying the predictive ability of the variables to indicate the presence of sperm produced low accuracy. There was no significant difference between the hormone levels of peripheral blood source and testicular blood source hormone levels.

Conclusions
AMH, FSH, and Inhibin B are optional markers for positive sperm retrieval in TESE. Increasing the research group may contribute to their ability to predict the presence of mature sperm cells in the testis of azoospermic men.

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(189) Associated Between Covid-19 Vaccination and Erectile Dysfunction
Authors: Thi Huyen Nguyen T , Anh Nguyen T , Huu Ho P , Thi Thu Le H 
Published: March 2024

Abstract

Introduction
The COVID-19 pandemic negatively affected the sexual health of individuals. While SARS-CoV-2 vaccines have not been linked to dysfunction erectile, several reports have identified COVID-19 as a potential etiology of dysfunction erectile

Objective
To investigate the impact of COVID-19 vaccination on erectile dysfunction.

Methods
A cross-sectional study was conducted on 264 male patients who visited for fertility and infertility health check-ups at Andrology and Fertility Hospital of Hanoi, Vietnam from December 2022 to Mar 2023. We used the International Index of Erectile Function (IIEF) questionnaire for data collection.

Results
The mean age was 29.17. Most patients were vaccinated (97.4%); in which almost patients were vaccinated 3 doses (62.6%); 63.8% were injected with the same vaccine. The mean erectile dysfunction score was 18.64; the proportion of erectile dysfunction was 40.1%. There was no association between COVID-19 vaccination (the number of COVID-19 vaccinations, the combined injection) and the risk of erectile dysfunction in men.

Conclusions
COVID-19 vaccination was not associated with an increased risk of erectile dysfunction in males.

Disclosure
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(246) Sexual Functioning of Women with Affective Disorders in the Light of Ego-Resiliency and their Quality of Life
Authors: Dębski P , Smolarczyk J , Madejczyk W , Piegza M , Gorczyca P 
Published: March 2024

Abstract

Introduction
Sexuality is a complex and multidimensional issue. Human sexuality is important for psychological functioning, as it is related to the satisfaction of basic needs, such as the need for security or acceptance. The assessment of sexual functioning, which is associated with sexual satisfaction, may be an important factor that affects the quality of life, and may also translate into the assessment of the fulfillment of basic psychosocial needs.

Objective
The aim of the study was to assess the relationships between sexual functioning, quality of life and ego-resiliency among women diagnosed with affective disorders. The aim of the study was to assess the prevalence of the risk of sexual dysfunction in this group of patients.

Methods
23 sexually active women diagnosed with affective disorders, who were hospitalized in a psychiatric ward, were qualified for the study. The mean age of the patients was 45.36±16.15 years. The study used a self-designed sociodemographic questionnaire as well as Polish adaptations of standardized questionnaires: FSFI (Female Sexual Function Index), ER89-R12 (Ego-Resiliency Scale) and WHOQOL-Bref (The World Health Organization Quality of Life). As part of statistical procedures, descriptive statistics of variables were estimated. Spearman’s rank correlation coefficient was also used.

Results
Positive and moderate correlations were found between ego-resiliency (p=0.498), its optimal regulation subscale (p=0.497) and sexual functioning. A positive relationship also connected the assessment of the sexual functioning of the respondents with the social domain of their quality of life (p=0.498).

Conclusions
Ego-resiliency, including optimal regulation may be important factors for improving the self-assessment of sexual functioning among women suffering from affective disorders. The assessment of sexual functioning may also play an important role in relation to the social sphere of quality of life.

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(258) Some Erotic Arts and Sexual Therapies Originated from the Ancient Chinese Erotic Health Science
Authors: Wang Q 
Published: March 2024

Abstract

Introduction
Chinese people have created some sexual cultural heritages in 5,000 years, such as the Combined Yin and Yang and The Classic of the Medical Goddess. I have collected more than 5,000 Chinese sexual artifacts, compiled and published The Sexual Life and Health for the Couple: Ancient Wisdom for Modern Use, and hosted the “Forum for Sexual Life and Health” in 2017, to explore ancient Chinese sexual culture, and found that many sexual concepts and sexual therapy or treatment techniques originated from ancient China. 5000, 2017.

Objective
Some Erotic Arts and Sexual Therapies Originated from the Ancient Chinese Erotic Health Science.

Methods
The Han Dynasty's Ten Questions to the Sophist recorded “relaxing one’s hip, contracting one’s pelvic floor muscles, tightening one’s anus are being Keep healthy”, all of the methods mean “A anal lifting therapy in traditional Chinese exercise”. Sun Simiao, a Chinese medicine pharmacist in Tang Dynasty, called them “massage the anus therapy”, and advocated “to do it a hundred times a day for prevention some diseases, and it could extend longevity” in his book Prescriptions for Erotic Techniques of the Couples. This is the therapy that is earlier about 2 thousand years than the Kegel movement, in 1948. In Ming dynasty, The Secret Teachings of the Taoist Nuns, it is written that “nine shallow and one deep while coitus”, and in Northern and southern Dynasties, The Record of Nurturing Life and Extending Longevity there are not only records of the “Ten Movements”, but also explanations of “slow insertion and quick extraction are good for health”, and so on. The recorded “sexual exercises of such kind” are more artistic and practical, predating the “stop-move-stop” while coitus, invented by Helen Singer Kaplan. 194812.

Results
In 1943, James H. Semans, the father of “premature ejaculation”, considered the dysfunction as a physical and mental disease and applied anesthetic cream to treat it, while as early as 1896, Ye Tianshi a doctor of Chinese medicine in the middle of Qing Dynasty, wrote it is, in The Secret Book of Elixir for Progeny, “liking as a cock copulating fast” 1943, 1896.

Conclusions
It is an important sex therapy that was used in ancient China, ie. “to therapy sexual disorders with sexual activities”. For example, The Thousand Golden Remedies is recorded also by Sun Simiao, “the sexual activity is karezza or coitus reservatus rather than administration”, that is to say, it is a form of coitus in which the man tries to avoid ejaculation. This also coincides with the “Sensate Focus Therapy” created by Masters and Johnson.

Disclosure
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(265) Self-Image after Breast Cancer
Authors: Sghaier A , Kaabia O , Bouchahda R 
Published: March 2024

Abstract

Introduction
Breast cancer is currently the first cancer diagnosed among women. The impact of its local treatments such as surgery and radiation and its systemic treatments such as chemotherapy, hormone-suppressant therapies and targeted therapies on women's bodies anatomically and physiologically and on their body image and body esteem are the major factors altering their sexual health and the quality of their spousal relationships.

Objective
We aim to evaluate the qualitative impact of breast cancer on its survivors' body-image.

Methods
We ran a prospective qualitative study using semi-structured interviews until saturation of findings. The patients included were women diagnosed, treated for breast cancer, and followed up in our institution. All participants were sexually active and no older than 55. The study enrolled 20 participants over a 6-month period (February 2022-July 2022).

Results
All participants had a history of breast surgery either lumpectomy or mastectomy (70%) with (one case) or without reconstructive surgery. All patients reported a history of radiation and chemotherapy. 60% had received hormone therapy with medically induced menopause. The majority of participants explained how their bodies had changed not only physically and anatomically on the outside but also on the inside especially in relation to the adverse effects of chemotherapy and hormone therapy. They also reported body emotional changes. This required an adaptation to their new body for them and their partners and entourage. The main themes emerging from their discourse were: physical and emotional adaptation to breast cancer per se and its local and systematic treatments, fear of others judgment and comments on their physical changes and loss or gain of self-esteem. Breast reconstruction was also an important theme it the participants verbatim.

Conclusions
The words and themes that characterized the participants' speeches highlighted the impact of cancer diagnosis and oncological therapies on breast cancer survivors. Being part of a psychological intervention focused on self-compassion and body acceptance helps breast cancer survivors develop a better perception and acceptance of their new bodies.

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(270) LISWT Before Penile Prosthesis Implantation Might Facilitate Dilation of Fibrotic Corpora
Authors: Feghali J 
Published: March 2024

Abstract

Introduction
Severe corporeal fibrosis presents significant challenges in penile implant insertion. LISWT studies in rats and humans have suggested its ability to rejuvenate cavernous bodies through various mechanisms and growth factors.

Objective
This prompted our evaluation of LISWT's effectiveness in facilitating prosthesis implantation in patients with penile fibrosis, which are typically considered difficult cases.

Methods
A 34-year-old male smoker with a history of sickle cell disease, bilateral hip replacements, and splenectomy due to sickle cell crisis sought penile prosthesis implantation. He presented with severe erectile dysfunction and corporeal fibrosis following two ischemic priapism episodes caused by sickle cell disease, which were treated with distal shunts 4 and 1 years prior, respectively (Fig. 1). After obtaining consent, the patient underwent four cycles of LISWT, spaced one month apart. Each cycle consisted of four weekly sessions using the PiezoWave2 device from Richard WOLF with settings of 0.16mj/mm2 energy flux density, 6Hz frequency, and 10mm wave focus penetration depth. In each session, the patient received a total of 6000 shocks, distributed between the perineum, dorsum penis, and the lateral aspect of the penis.

Results
A month post-LISWT, the patient's Erection Hardness Score (EHS) improved from 0 to 1 following an intracavernous injection of 20 mcg of alprostadil (Fig. 2). Subsequently, he underwent a malleable penile implant procedure through the penoscrotal approach. Cavernosal dilation was successful up to 10mm using a Hegar dilator, with bilateral corporal measurements of 8cm proximally and 9cm distally. A Tactra malleable penile prosthesis (9.5mm girth and 17cm length) from Boston Scientific was implanted without complications (Fig. 3.A.B)

Conclusions
In cases of severe corporeal fibrosis, pre-treatment with LISWT may aid in the dilation of the corpora during penile prosthesis implantation, potentially reducing complications. Randomized studies are warranted to validate this indication

Disclosure
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(283) Report of Newly Developed Penile Enhancement Surgery Using Midline Fixation Technique of Dermal Garft, Multi-layer Dissection Method, Multilayer Suture Lengthening and Minimal Skin Incision
Authors: Jang S 
Published: March 2024

Abstract

Introduction
Many physicians have tried to develop the surgical techniques to make safer and more effective results in penile enhancement surgery.

Objective
To accomplish better results of penile enhancement surgery, We aim to introduce newly developed more effective surgical techniques and safer processes in penile enhancement surgery.

Methods
2023 Patients underwent penile enhancement surgeries. All patients adopted pre-pubic minimal skin incision with newly developed retractors. Allogenic dermal graft was fixed for girth enhancement. And midline fixation between penile skin inner surface and midline site of dermal graft was performed with surgifit 3.0. to accelerate the attachment of skin and graft. We use newly developed dissection technique with curved iris scissors and electro-cutting to dissect surgical plain between dartos and buck’s fascias. To perform lengthening procedure, fundiform ligament was dissected and pre-pubic dead space was approximated by multi-layer transverse suturing.

Results
Mean operation time was 46 min and mean incision length was 3.3 cm. Postoperative penile length after 3 months was elongated on average 2.7 cm. postoperative inflammation rate was 1.2% and no garfts failure was observed.

Conclusions
For more effective and safer penile enhancement and lengthening, multi-layer dissection technique, multi-layer suturing lengthening and mid-line fixation technique with minimal pre-pubic incision (4m penile surgery) are very useful.

Disclosure
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An Ocean of Becoming: Routed Motherhood in Lisa Ko’sThe Leavers
Authors: Poulsen Melissa , Šmilauerová Tereza 
Published: March 2024

AbstractIn Lisa Ko’s award-winning novel The Leavers (2017), protagonist Polly Guo is a leaver, sometimes by circumstance, sometimes by choice. From the shores of the Minjiang to the bridges of the Harlem River, from the waters of the Atlantic to those of the Pacific, Polly wanders the globe with and without her son but always through and with the water. As such, Polly becomes a rare and pronounced example in Asian American literature of a mother-in-transition—or what we are calling the routed mother. As a routed mother, Polly attempts to use physical movement to escape the containment of heteropatriarchal, capitalist understandings of what it means to be a successful mother. Bringing oceanic studies into conversation with the socioeconomic context of Asian American motherhood, this paper argues that waterways highlight—albeit messily, muddily, shiftingly, much like water itself—the sources and strategies of Polly’s containment as a mother and her resistance to that containment. Simultaneously, water reveals Polly’s failure to do so but recasts that routing in a paradigm beyond the dichotomy of success and failure. Ultimately, this article argues that Polly’s story as a routed mother offers an important oceanic counternarrative of motherly success.