Sexual effects and long-term outcomes of endoscopic lumbar sympathectomy for plantar hyperhidrosis in men: a cross-sectional study.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202400142
Marcelo de Paula Loureiro, Pietro Maran Novais, Ruimário Machado Coelho, João Augusto Nocera Paulin
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Abstract

Background: Plantar hyperhidrosis (PHH) is a disease with high psychosocial impact, and endoscopic lumbar sympathectomy (ELS) has been shown to be the best choice for treatment, but with some concerns such as compensatory sweating (CS) and sexual effects (SE), particularly in men.

Objectives: The aim of this study is to evaluate the long-term effectiveness of ELS for controlling PHH in men, its side effects, and perceived sexual modifications.

Methods: A cross-sectional study including only male patients operated for PHH with ELS between 2014-2022 at a private practice. During remote interviews, patients were asked about symptoms before and after ELS and about the postoperative effects on PHH. They were also objectively asked about any SE during the postoperative period. Validated quality of life for hyperhidrosis and erectile function questionnaires were also administered.

Results: 10 male patients averaging 4.26±2.86 years post-ELS were interviewed. Eight of them (80%) achieved complete response (≥80% of sweat reduction) in the first month after surgery and this response was maintained up to the interview date. Two patients had partial response. In six patients, CS occurred, with 5 reporting it as non-troublesome. Six patients reported some type of SE, but none reported erectile dysfunction. Regarding the functional results, all patients rated ELS from good (10%) to very good (30%) or excellent (60%).

Conclusions: Endoscopic lumbar sympathectomy was effective for treatment of plantar hyperhidrosis in these patients, improving their quality of life and providing lasting PHH control, with some transient sexual dysfunctions that did not impair their sexual life.

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内窥镜腰交感神经切除术治疗男性足底多汗症的性影响和长期疗效:一项横断面研究。
背景:足底多汗症(PHH)是一种对社会心理影响较大的疾病,内窥镜腰交感神经切除术(ELS)已被证明是治疗的最佳选择,但也存在一些问题,如代偿性出汗(CS)和性影响(SE),尤其是对男性而言:本研究旨在评估 ELS 在控制男性 PHH 方面的长期有效性、副作用以及感知到的性功能改变:方法:这是一项横断面研究,仅包括2014-2022年间在一家私人诊所接受ELS手术治疗PHH的男性患者。在远程访谈中,患者被问及 ELS 手术前后的症状以及术后对 PHH 的影响。他们还被客观地询问了术后期间的任何SE情况。此外,还对多汗症患者的生活质量和勃起功能进行了有效问卷调查:结果:10 名男性患者接受了访谈,他们术后平均勃起时间为 4.26±2.86 年。其中八名患者(80%)在术后第一个月就获得了完全应答(汗液减少≥80%),这种应答一直保持到访谈日。两名患者有部分反应。有 6 名患者出现了 CS,其中 5 名患者表示 CS 并不严重。六名患者报告了某种类型的 SE,但没有人报告勃起功能障碍。在功能结果方面,所有患者对 ELS 的评价都是从好(10%)到非常好(30%)或极好(60%):结论:内镜下腰椎交感神经切除术对这些患者的足底多汗症治疗有效,改善了他们的生活质量,持久控制了足底多汗症,一些短暂的性功能障碍不会影响他们的性生活。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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