Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.09.001
G. Zwang
C’est Konrad Lorenz qui décrivit la période de sensibilité nécessaire à la maturation épigénétique de certaines fonctions biologiques. Le réflexe orgasmique, fondement de la fonction érotique, est un de ces phénomènes qui ne peut se maturer que pendant la période de sensibilité de l’enfance. La situation de ses mains, et les soins de toilette, favorisent la découverte du pouvoir des zones orgasmogènes ; dont une première phase auto-érotique, infantile des organes génitaux externes. Ceci ouvre la voie à l’accès à la seconde phase, adulte, hétéro-érotique. Ignorer, blâmer ou supprimer cette phase auto-érotique n’est pas seulement une faute de civilisation générale, source de conséquences parfois dramatiques, mais aussi une erreur scientifique.
It is Konrad Lorenz, who described the period of sensitivity necessary for the epigenetic maturation of certain biological functions. The orgasmic reflex, the foundation of the erotic function, is one of these phenomena that can only mature during the sensitive period of childhood It is the individual, guided by the situation his hands, and by grooming, who discovers the power of the orgasmic zones. A first auto-erotic phase, infantile, is necessary to establish the gratifying use of the external genitals, making possible the access to the second phase, adult, heteroerotic. Ignoring, blaming or suppressing this auto-erotic phase is not only a fault of general civilization, here considered, with sometimes dramatic consequences, but also a scientific error.
{"title":"Le réflexe orgasmique : un phénomène biologique dont l’établissement dépend d’une période de sensibilité","authors":"G. Zwang","doi":"10.1016/j.sexol.2022.09.001","DOIUrl":"10.1016/j.sexol.2022.09.001","url":null,"abstract":"<div><p>C’est Konrad Lorenz qui décrivit la période de sensibilité nécessaire à la maturation épigénétique de certaines fonctions biologiques. Le réflexe orgasmique, fondement de la fonction érotique, est un de ces phénomènes qui ne peut se maturer que pendant la période de sensibilité de l’enfance. La situation de ses mains, et les soins de toilette, favorisent la découverte du pouvoir des zones orgasmogènes ; dont une première phase auto-érotique, infantile des organes génitaux externes. Ceci ouvre la voie à l’accès à la seconde phase, adulte, hétéro-érotique. Ignorer, blâmer ou supprimer cette phase auto-érotique n’est pas seulement une faute de civilisation générale, source de conséquences parfois dramatiques, mais aussi une erreur scientifique.</p></div><div><p>It is Konrad Lorenz, who described the period of sensitivity necessary for the epigenetic maturation of certain biological functions. The orgasmic reflex, the foundation of the erotic function, is one of these phenomena that can only mature during the sensitive period of childhood It is the individual, guided by the situation his hands, and by grooming, who discovers the power of the orgasmic zones. A first auto-erotic phase, infantile, is necessary to establish the gratifying use of the external genitals, making possible the access to the second phase, adult, heteroerotic. Ignoring, blaming or suppressing this auto-erotic phase is not only a fault of general civilization, here considered, with sometimes dramatic consequences, but also a scientific error.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74763416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2021.10.005
A. Mahran , S.F. GamalEl Din , A.A. Ezzat , A.H. Taha , A. Ragab
Objectives
We aimed in the current cross-sectional study to evaluate rates and patterns of SD among drug naïve women with mild to moderate depression against those receiving escitalopram.
Study design
Group (A) included 120 females diagnosed with mild to moderate depression. Group (B) served as controls included 60 age-matched volunteers.
Main outcome measures
Female participants were evaluated by the validated Arabic female sexual function index (ArFSFI), perceived stress situation scale (PSS), patient health questionnaire-9 scale (PHQ-9) and center for epidemiological studies-depression scale (CES-D).
Results
The study demonstrated that females with mild to moderate depression treated with escitalopram had better sexual function than those who were drug naïve. Additionally, treated females got better scores of PSS, CES-D and PHQ-9 compared to those who were drug naïve. The PSS and the CES-D and the PHQ-9 scales negatively correlated with the domains of desire, pain, arousal, lubrication, orgasm, satisfaction and total score of FSFI. Finally, a linear regression analysis after adjustment of FSFI as a dependent variable had revealed that the PSS scale, the PHQ-9 scale and the international index of erectile function-5 were significant independent predictors of the affected females’ sexual function.
Conclusion
Escitalopram is associated with lesser risk of SD in females with mild to moderate depression.
{"title":"Effect of drug naïve versus escitalopram on sexual function of depressed females: A cross-sectional comparative study","authors":"A. Mahran , S.F. GamalEl Din , A.A. Ezzat , A.H. Taha , A. Ragab","doi":"10.1016/j.sexol.2021.10.005","DOIUrl":"10.1016/j.sexol.2021.10.005","url":null,"abstract":"<div><h3>Objectives</h3><p>We aimed in the current cross-sectional study to evaluate rates and patterns of SD among drug<span> naïve women with mild to moderate depression against those receiving escitalopram.</span></p></div><div><h3>Study design</h3><p>Group (A) included 120 females diagnosed with mild to moderate depression. Group (B) served as controls included 60 age-matched volunteers.</p></div><div><h3>Main outcome measures</h3><p>Female participants were evaluated by the validated Arabic female sexual function index (ArFSFI), perceived stress situation scale (PSS), patient health questionnaire-9 scale (PHQ-9) and center for epidemiological studies-depression scale (CES-D).</p></div><div><h3>Results</h3><p>The study demonstrated that females with mild to moderate depression treated with escitalopram had better sexual function than those who were drug naïve. Additionally, treated females got better scores of PSS, CES-D and PHQ-9 compared to those who were drug naïve. The PSS and the CES-D and the PHQ-9 scales negatively correlated with the domains of desire, pain, arousal, lubrication, orgasm, satisfaction and total score of FSFI. Finally, a linear regression analysis<span> after adjustment of FSFI as a dependent variable had revealed that the PSS scale, the PHQ-9 scale and the international index of erectile function-5 were significant independent predictors of the affected females’ sexual function.</span></p></div><div><h3>Conclusion</h3><p>Escitalopram is associated with lesser risk of SD in females with mild to moderate depression.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84304650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.04.004
B.S. Laursen , M. Mikkelsen , J. Hestvang , A.D. Højgaard , A.E. Olesen
Objectives
The pharmacological treatment of Erectile Dysfunction (ED) includes oral or local administration. Despite documented effect of the pharmacological treatment of ED, several studies indicate that a large proportion of patients drop out of treatment. This retrospective systematic descriptive study aims to investigate factors associated with treatment outcome and the pattern for use of medications in 516 Danish patients at a large Sexological Center at a University Hospital in Denmark.
Material and methods
Comparisons of demographics, cause of problem, comorbidities, and information regarding course of treatment were performed between patients who were medicated at treatment termination and patients who discontinued their treatment. Furthermore, the same comparisons were made between the patients treated orally and patients treated with a local acting medicine at discharge.
Results and conclusion
Two hundred and fifty-one (48.6%) patients ended with a pharmacological treatment, whereas 265 (51.4%) patients ended as discontinued. Possible explanations for why the patients discontinued could be non-effectiveness, psychosocial factors, costs of treatment, or several other reasons, but to elucidate this further investigation has to be made.
Objectifs
Le traitement pharmacologique de la dysfonction érectile (DE) comprend l’administration orale ou locale. Malgré l’effet l’efficacité documentée du traitement pharmacologique de la dysfonction érectile, plusieurs études indiquent qu’une grande proportion de patients abandonnent le traitement. Cette étude descriptive, systématique et rétrospective vise à étudier les facteurs associés aux résultats du traitement et au schéma d’utilisation de ces médicaments chez 516 patients danois dans un grand centre de sexologie d’un hôpital universitaire au Danemark.
Matériel et méthodes
Des comparaisons des données démographiques, de l’origine de la DE, la cause du problème, les comorbidités et les informations concernant le déroulement du traitement ont fait l’objet de comparaisons été comparées effectuées entre les patients qui avaient arrêté ou non, leur traitement médicamenteux ainsi qu’entre ceux qui étaient traités par voie orale ou locale étaient médicamentés à la fin du traitement et les patients ceux qui ont arrêté leur traitement. Par ailleurs, les mêmes comparaisons ont été faites effectuées entre les patients traités par voie orale et les patients ceux traités par un médicament à action locale à la sortie.
Résultats et conclusion
Deux cent cinquante et un (48,6 %) patients ont terminé avec un traitement pharmacologique, alors que 265 (51,4 %) patients l’ont interrompu. Les explications possibles pour laquelle les patients ont abandonné pourraient être liées à leur non-efficacité, à des facteurs psychosociaux, les coûts du t
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Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2021.11.005
C. Savel , F. Fayet , D. Abdi , L. Marty , M. Soubrier , S. Malochet-Guinamand
Objective
The objective of this study was to survey nurses and patients about the need to address the sexuality issue as part of therapeutic patient education (TPE).
Method
First, a qualitative study was conducted in the form of a nurse focus group. Second, semi-structured interviews were led with fourteen rheumatoid arthritis or spondyloarthritis patients.
Results
An analysis of verbatim transcriptions of the focus group revealed 5 themes: an absence of any obligation to address the subject, barriers, lack of dedicated training, difficulties related to organizing TPE, and practical concerns on how to broach the issue. All but one patient agreed to address the issue. Over half of the patients reported disease-related impacts on their sex life.
Conclusion
This study mainly highlights barriers encountered by nurses. Healthcare professionals need better training to address these concerns.
Practice implication
Improved care in this area requires training for professionals. It seems relatively easy to address this theme of sexuality as a continuum from the other questions concerning social, family and “psychological” life. Dialogue and understanding within the couple seem to be important to ensuring “satisfactory” sexuality. It seems important to work on the role of the spouse in patient education.
Objectif
L’objectif de cette étude était d’investiguer auprès des infirmières et des patients le besoin d’aborder la santé sexuelle lors des séances d’éducation thérapeutique.
Méthode
D’abord, une enquête qualitative a été menée auprès des infirmières par l’intermédiaire d’un focus groupe. Ensuite, des entretiens semi-structurés ont été proposes à 14 patients souffrant de polyarthrite rhumatoïde ou de spondylarthrite.
Résultats
Une analyse des verbatims de la retranscription du focus groupe a révélé 5 thèmes : absence d’obligation d’aborder le sujet, les barrières, le manqué de formation spécifique, les difficultés organisationnelles liées à l’éducation thérapeutique et les aspects pratiques de comment aborder le sujet. Tous les patients hormis un étaient d’accord pour que le sujet soit abordé. Plus de la moitié des patients témoignait de l’impact de la maladie sur leur santé sexuelle.
Conclusion
Cette étude met en avant les obstacles rencontrés par les infirmières pour aborder le sujet de la santé sexuelle. Les professionnels de santé ont besoin d’une meilleure formation pour aborder ces sujets.
Implactions dans la pratique
Améliorer les soins en santé sexuelle nécessite une meilleure formation des professionnels. Il semble plus aisé d’aborder le sujet de la santé sexuelle comme un continuum d’autres questions d’ordre social, familial, et d’ordre « psychologique ». Le dialogue et la compréhension au sein du
目的本研究的目的是调查护士和患者是否需要将性问题作为治疗性患者教育(TPE)的一部分。方法首先采用护士焦点小组的形式进行定性研究。其次,对14名类风湿关节炎或脊椎关节炎患者进行半结构化访谈。结果对焦点小组逐字记录的分析揭示了5个主题:没有任何义务解决这个问题,障碍,缺乏专门的培训,组织TPE的困难,以及如何提出这个问题的实际问题。除了一名患者外,所有患者都同意解决这个问题。超过一半的患者报告说,他们的性生活受到了与疾病有关的影响。结论本研究重点突出了护士遇到的障碍。医疗保健专业人员需要更好的培训来解决这些问题。实践意义改善这一领域的护理需要对专业人员进行培训。把性这个主题作为社会、家庭和“心理”生活中其他问题的连续体来处理似乎相对容易。夫妻之间的对话和理解似乎对确保“令人满意”的性行为很重要。配偶在病人教育中的作用似乎很重要。目的:研究医疗器械和患者的医疗器械和医疗器械和医疗器械和医疗器械的医疗器械和医疗器械。方法'abord,调查定性的疾病menee欧珀莱des infirmieres par l 'intermediaire groupe d的一个焦点。Ensuite, des entretiens半结构的和/或 14例患者的多关节关节炎rhumatoïde或脊椎关节关节炎。3 .我们分析了焦点小组的重新抄写的单词数和交换条件下的交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件和交换条件。我们的病人是不能接受治疗的,所以我们的病人是不能接受治疗的。再加上病人的精神状态和精神疾病的影响。结论变性人在变性人身上遇到的障碍较少,变性人在变性人身上遇到的障碍较少。Les professionnels de santeer不会因此而被称为“d 'une meilleure formation”。Implactions dans la pratiqueamamiclier / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/。我将会把我的“aborder le sujet de la sant sexelle comuncontinuum d’res questions d’order social, family, and d’order psychologique”集合起来。“对话”是指男女之间的交流:être“交流”是指男女之间的交流。我将把重要的de travailler sur le rôle du partenaire en sametech与samapeutique结合起来。
{"title":"Results from a preliminary study on the theme of sexuality for therapeutic patient education for people with inflammatory arthritis","authors":"C. Savel , F. Fayet , D. Abdi , L. Marty , M. Soubrier , S. Malochet-Guinamand","doi":"10.1016/j.sexol.2021.11.005","DOIUrl":"https://doi.org/10.1016/j.sexol.2021.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to survey nurses and patients about the need to address the sexuality issue as part of therapeutic patient education (TPE).</p></div><div><h3>Method</h3><p><span>First, a qualitative study was conducted in the form of a nurse focus group. Second, semi-structured interviews were led with fourteen rheumatoid arthritis or </span>spondyloarthritis patients.</p></div><div><h3>Results</h3><p>An analysis of verbatim transcriptions of the focus group revealed 5 themes: an absence of any obligation to address the subject, barriers, lack of dedicated training, difficulties related to organizing TPE, and practical concerns on how to broach the issue. All but one patient agreed to address the issue. Over half of the patients reported disease-related impacts on their sex life.</p></div><div><h3>Conclusion</h3><p>This study mainly highlights barriers encountered by nurses. Healthcare professionals need better training to address these concerns.</p></div><div><h3>Practice implication</h3><p>Improved care in this area requires training for professionals. It seems relatively easy to address this theme of sexuality as a continuum from the other questions concerning social, family and “psychological” life. Dialogue and understanding within the couple seem to be important to ensuring “satisfactory” sexuality. It seems important to work on the role of the spouse in patient education.</p></div><div><h3>Objectif</h3><p>L’objectif de cette étude était d’investiguer auprès des infirmières et des patients le besoin d’aborder la santé sexuelle lors des séances d’éducation thérapeutique.</p></div><div><h3>Méthode</h3><p>D’abord, une enquête qualitative a été menée auprès des infirmières par l’intermédiaire d’un focus groupe. Ensuite, des entretiens semi-structurés ont été proposes à 14 patients souffrant de polyarthrite rhumatoïde ou de spondylarthrite.</p></div><div><h3>Résultats</h3><p>Une analyse des verbatims de la retranscription du focus groupe a révélé 5 thèmes : absence d’obligation d’aborder le sujet, les barrières, le manqué de formation spécifique, les difficultés organisationnelles liées à l’éducation thérapeutique et les aspects pratiques de comment aborder le sujet. Tous les patients hormis un étaient d’accord pour que le sujet soit abordé. Plus de la moitié des patients témoignait de l’impact de la maladie sur leur santé sexuelle.</p></div><div><h3>Conclusion</h3><p>Cette étude met en avant les obstacles rencontrés par les infirmières pour aborder le sujet de la santé sexuelle. Les professionnels de santé ont besoin d’une meilleure formation pour aborder ces sujets.</p></div><div><h3>Implactions dans la pratique</h3><p>Améliorer les soins en santé sexuelle nécessite une meilleure formation des professionnels. Il semble plus aisé d’aborder le sujet de la santé sexuelle comme un continuum d’autres questions d’ordre social, familial, et d’ordre « psychologique ». Le dialogue et la compréhension au sein du","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136844611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.06.002
S.A. Qalati , M.L.S. Limón , S.H. Bhayo
Globally, COVID-19, both during and after the pandemic, has not only slowed countries’ economic development but has also affected social and daily life. Due to COVID-19, physical contact among couples has been reduced, and physical sexual activities have been affected and decreased. In order to satisfy their sexual needs and avoid mental health issues, individuals have shown an increasing inclination to purchase sex toys. Therefore, we conducted this review study to investigate the impacts of the COVID-19 pandemic on sexual activities, purchasing sex toys, and related consequences. Specifically, the present paper examines 45 studies and focuses on four themes: (1) COVID-19 and sex toys; (2) COVID-19 and sex (i.e. sexual life, sexuality, sexual health, sexual behavior); (3) factors affecting purchasing sex toys; and (4) COVID-19 consequences. The study findings reflect that, during to the pandemic, sex toy sales doubled in Australia, Colombia, Denmark, and the UK, and tripled in New Zealand. Sex toys have entailed positive (i.e. increased satisfaction, confidence, pleasure) and negative (addiction, allergic reaction, risk of sexually transmitted infection, embarrassment, and guilt) implications. In addition, participants all over the world engaged more in using sex toys and watching pornography to satisfy their sexual needs. Further, the use of online dating applications also increased, in order to have sex with close or casual partners. Regarding purchasing sex toys, we postulate that people buy these products due to lack of opportunity, relationship avoidance, loneliness, cost-effectiveness, time-saving, and emotionless behavior. Moreover, the pandemic has worsened family and sexual relationships. It has also increased anxiety, stress, and violence in society. In this context, we assert that there is still a need to explore the factors influencing individuals’ intentions toward purchasing sex toys, and studies need to be conducted to understand in more detail COVID-19's effects, both during and after the pandemic.
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Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.09.005
H. Tillewein , B. Brashear , P. Harvey
This manuscript aims to study the effect of having high centrality on the commitment to heterosexual norms and heterosexual scripts. Centrality is the level of importance of one's gender is to an individual's identity which has been traditionally prescribed by stereotypical gender traits. Also, this study will evaluate whether gender identity plays a role in determining an individual's choice of sexual partners’ gender. This study focuses on an individual's gender makeup (on the scale of masculine and feminine) and the participants’ own view of importance for how gender identity plays a role in the way the individual feels about themselves. Previous research has focused on sex roles and gender stereotypes as it pertains to pleasure and intimacy, but these studies have only focused on binary gender identity categories (male/female). The researchers conducted a secondary data analysis using survey data, from the 2020 and 2021 Pleasure Study, on human sexuality that was collected online. There were a total of 1183 respondents in the study of various gender identities. The data shows strong correlations between highly masculine individuals with high centrality choosing sexual partners with high femininity and not individuals with high masculinity. This study showed that cismen with nonbinary partners and ciswomen with nonbinary partners had the lowest average centrality out of all the gender partner combinations.
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Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.07.001
M. Yusuf , N. Yogiswara , M.A. Soebadi , G.W.K. Duarsa , S. Wirjopranoto
Introduction and objectives
Penile fracture is a rare urological trauma that needs immediate repair. However, several reports stated that a delayed surgical repair might be acceptable. Thus, we aim to evaluate the long-term outcomes of immediate and delayed surgical intervention for penile fracture treatment.
Materials and methods
We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to perform this meta-analysis. A comprehensive search through PubMed, Scopus, and Science-direct was performed using Medical Subject Headings (MeSH®) Terms. The primary outcome analyzed in this study was long-term complications, including erectile dysfunction (ED), penile curvature, penile pain, and palpable plaque. The publication bias was assessed using funnel plot and Harbord's test. All analyses were performed using STATA® 16 and the protocol for the meta-analysis has been registered in PROSPERO (CRD42022315154).
Results
A total of 10 studies were included in the analysis, comprising 2 prospective studies, 5 retrospective studies, and 3 case series, for a total of 531 patients with penile fractures. From the pooled analysis, lower ED incidence in the immediate surgical repair group was significant on less than 12 months follow-up (OR: 0.36, 95% CI: 0.15 to 0.89, P = 0.03). However, this difference was not significant on longer follow-up (OR: 1.39, 95% CI: 0.29 to 6.58, P = 0.68). No significant difference was found in the incidence of palpable plaque (OR: 0.74, 95% CI: 0.26 to 2.12, P = 0.57). Additionally, penile pain/paresthesia (OR: 0.17, 95% CI: 0.06 to 0.51, P < 0.01) and penile curvature incidence (OR: 0.17, 95% CI: 0.06 to 0.47, P < 0.01) was also significantly lower in the immediate repair group than the delayed approach group. The funnel plot analysis and Harbord's test did not suggest any publication bias (P = 0.804).
Conclusion
Immediate surgical intervention remains the best option for penile fracture treatment due to reduced risk of long-term complications, including penile pain and penile curvature.
前言与目的阴茎骨折是一种罕见的泌尿外科创伤,需要立即修复。然而,一些报告指出,延迟手术修复可能是可以接受的。因此,我们的目的是评估阴茎骨折治疗的即时和延迟手术干预的长期结果。材料和方法我们遵循系统评价和荟萃分析首选报告项目(PRISMA) 2020指南进行本荟萃分析。通过PubMed、Scopus和Science-direct进行综合搜索,使用医学主题标题(MeSH®)术语。本研究分析的主要结局是长期并发症,包括勃起功能障碍(ED)、阴茎弯曲、阴茎疼痛和可触及的斑块。采用漏斗图和Harbord检验评估发表偏倚。所有分析均使用STATA®16进行,meta分析方案已在PROSPERO注册(CRD42022315154)。结果共纳入10项研究,其中前瞻性研究2项,回顾性研究5项,病例系列3项,共纳入531例阴茎骨折患者。从汇总分析来看,在不到12个月的随访中,立即手术修复组ED发生率较低(OR: 0.36, 95% CI: 0.15 ~ 0.89, P = 0.03)。然而,在更长时间的随访中,这种差异不显著(OR: 1.39, 95% CI: 0.29 ~ 6.58, P = 0.68)。两组可触及斑块的发生率无显著差异(OR: 0.74, 95% CI: 0.26 ~ 2.12, P = 0.57)。此外,阴茎疼痛/感觉异常(OR: 0.17, 95% CI: 0.06 ~ 0.51, P <0.01)和阴茎弯曲发生率(OR: 0.17, 95% CI: 0.06 ~ 0.47, P <0.01),即刻修复组明显低于延迟入路组。漏斗图分析和Harbord检验未发现任何发表偏倚(P = 0.804)。结论立即手术治疗仍然是阴茎骨折治疗的最佳选择,因为手术可以减少阴茎疼痛和阴茎弯曲等长期并发症的风险。
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Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.07.003
C. LeBlanc , D. Trottier
Objectifs
Cette recherche a pour but l’étude des facteurs individuels liés à l’utilisation problématique de pornographie en ligne (UPPL) sur un échantillon d’hommes et de femmes. Spécifiquement, il s’agira (1) de déterminer si la fréquence de consommation, les motifs de consommation ou l’historique sexuel permettent de discriminer les hommes et les femmes présentant une UPPL des hommes et des femmes sans UPPL, et (2) de vérifier si ces mêmes variables permettent de prédire l’UPPL chez les hommes et les femmes.
Méthodes
Au total, 614 utilisateurs et utilisatrices de pornographie en ligne âgés de 16 à 69 ans ont complété un questionnaire en ligne sur leur historique sexuel ainsi que les versions françaises du Short Internet Sex Addiction Test, du Pornography Consumption Inventory et du Sexual Experiences Survey-Perpetration – Tactics first.
Résultats
Les résultats suggèrent que (1) les hommes présentant une UPPL ont des scores significativement plus élevés que les utilisateurs sans UPPL au niveau de la fréquence d’utilisation, des trois motifs de consommations (évitement émotionnel, curiosité sexuelle et plaisir sexuel) et des antécédents de coercition sexuelle ; (2) les femmes présentant une UPPL ont obtenu des scores plus élevés que les utilisatrices sans UPPL sur ces mêmes variables ; (3) lorsque les hommes et les femmes présentant une UPPL ont été comparés entre eux, aucune différence significative n’a été décelée, à l’exception de la fréquence de consommation des hommes qui était significativement plus élevée que celle des femmes; et (4) que les variables à l’étude permettent d’expliquer 39,8 % de l’UPPL chez les hommes et 31,7 % chez les femmes.
Conclusions
Ces résultats suggèrent que les motifs d’utilisation ainsi que les antécédents de coercition sexuelle présentent à la fois une capacité discriminante et prédictive de l’UPPL chez les femmes et les hommes.
Objectives
The purpose of this research was to study individual factors associated with problematic online pornography use on a sample of men and women. Specifically, we aim to (1) determine whether frequency of use, motives for use, or sexual history discriminate users with problematic online pornography use, and (3) investigate whether these variables predict problematic online pornography use in men and women.
Methods
A total of 614 online pornography users aged 16 to 69 completed an online questionnaire about their sexual history and the French versions of the Short Internet sex Addiction Test, the Pornography Consumption Inventory, and the Sexual Experiences Survey-Perpetration form – Tactics first.
Results
Results suggest that (1) men with problematic online pornography use scored significantly higher than other men on frequency of use, all three motives for use (emotional avoidance, sexual curiosity and sexual pleasure
{"title":"Utilisation problématique de pornographie en ligne chez les hommes et les femmes : facteurs discriminants et prédictifs","authors":"C. LeBlanc , D. Trottier","doi":"10.1016/j.sexol.2022.07.003","DOIUrl":"10.1016/j.sexol.2022.07.003","url":null,"abstract":"<div><h3>Objectifs</h3><p>Cette recherche a pour but l’étude des facteurs individuels liés à l’utilisation problématique de pornographie en ligne (UPPL) sur un échantillon d’hommes et de femmes. Spécifiquement, il s’agira (1) de déterminer si la fréquence de consommation, les motifs de consommation ou l’historique sexuel permettent de discriminer les hommes et les femmes présentant une UPPL des hommes et des femmes sans UPPL, et (2) de vérifier si ces mêmes variables permettent de prédire l’UPPL chez les hommes et les femmes.</p></div><div><h3>Méthodes</h3><p>Au total, 614 utilisateurs et utilisatrices de pornographie en ligne âgés de 16 à 69 ans ont complété un questionnaire en ligne sur leur historique sexuel ainsi que les versions françaises du Short Internet Sex Addiction Test, du Pornography Consumption Inventory et du Sexual Experiences Survey-Perpetration – Tactics first.</p></div><div><h3>Résultats</h3><p>Les résultats suggèrent que (1) les hommes présentant une UPPL ont des scores significativement plus élevés que les utilisateurs sans UPPL au niveau de la fréquence d’utilisation, des trois motifs de consommations (évitement émotionnel, curiosité sexuelle et plaisir sexuel) et des antécédents de coercition sexuelle ; (2) les femmes présentant une UPPL ont obtenu des scores plus élevés que les utilisatrices sans UPPL sur ces mêmes variables ; (3) lorsque les hommes et les femmes présentant une UPPL ont été comparés entre eux, aucune différence significative n’a été décelée, à l’exception de la fréquence de consommation des hommes qui était significativement plus élevée que celle des femmes; et (4) que les variables à l’étude permettent d’expliquer 39,8 % de l’UPPL chez les hommes et 31,7 % chez les femmes.</p></div><div><h3>Conclusions</h3><p>Ces résultats suggèrent que les motifs d’utilisation ainsi que les antécédents de coercition sexuelle présentent à la fois une capacité discriminante et prédictive de l’UPPL chez les femmes et les hommes.</p></div><div><h3>Objectives</h3><p>The purpose of this research was to study individual factors associated with problematic online pornography use on a sample of men and women. Specifically, we aim to (1) determine whether frequency of use, motives for use, or sexual history discriminate users with problematic online pornography use, and (3) investigate whether these variables predict problematic online pornography use in men and women.</p></div><div><h3>Methods</h3><p>A total of 614 online pornography users aged 16 to 69 completed an online questionnaire about their sexual history and the French versions of the Short Internet sex Addiction Test, the Pornography Consumption Inventory, and the Sexual Experiences Survey-Perpetration form – Tactics first.</p></div><div><h3>Results</h3><p>Results suggest that (1) men with problematic online pornography use scored significantly higher than other men on frequency of use, all three motives for use (emotional avoidance, sexual curiosity and sexual pleasure","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79611573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.04.005
L. Boumaarafi
Introduction et hypothèse
Les liens entre addictions et sexualité sont multiples ; effets initiaux recherchés puis délétères des substances psychoactives, conduites sexuelles à risque et commission de violences sexuelles, traitements des pathologies somatiques et psychiques comorbides, hypersexualité. L’abord de ces questions semble nécessaire en addictologie. Les ateliers de groupe présentent de nombreux avantages mais les attentes des usagers et des équipes sur cette thématique n’ont pas été explorées à ce jour. Cette étude nommée ACAPSA a pour objectif d’identifier les attentes des patients et des soignants d’une structure d’addictologie sur le contenu et la structuration de tels ateliers.
Matériels et méthodes
Au total, 35 patients et 35 soignants du service d’addictologie du GHU Paris Seine-Saint-Denis ont participé à l’étude d’avril à juillet 2021. Les patients ont répondu à un questionnaire de 13 questions et les soignants à 16 questions concernant leur expérience antérieure d’ateliers portant sur la sexualité, leur intérêt, contenu, type (éducation thérapeutique, groupes de parole), modalités d’organisation (mixité de genre, nombre d’animateurs et de participants) ainsi que le sentiment d’aise à les animer.
Résultats
La majorité des participants n’avaient ni animé ni assisté à de tels ateliers et les considéraient comme utiles (80 %). Les thématiques proposées ont été choisies par plus de 70 % des participants ; « Sexualité et produits », « Sexualité et traitements », « Violences sexuelles », « Généralités sur la sexualité », « Sexualité et pathologies psychiatriques ». Ils seraient organisés en séances d’éducation thérapeutique ou de groupes de parole thématiques, en mixité de genre, animés par deux professionnels, formés, connus ou non du groupe qui comporterait de 5 à 10 participants. Le sentiment d’aise à l’animation est en moyenne de 4,68/10.
Conclusion
Cette étude permet de mieux appréhender les attentes et besoins, mal connus, des patients et des soignants, quant à l’instauration de ces ateliers, et de guider leur mise en place dans les structures de soins, en complément de l’abord individuel, grâce à une proposition d’atelier type en tenant compte de la nécessité de formation des professionnels.
Introduction and hypothesis
There are multiple links between addictions and sexuality; desired initial effects then deleterious of psychoactive substances, risky sexual behaviour and commission of sexual violence, treatment of comorbid somatic and psychic pathologies, hypersexuality. Addressing these questions seems necessary in addictology. Group workshops have many advantages, however the expectations of users and teams about this theme have not been explored to date. This study, called ACAPSA, aims to identify the expectations of patients and caregivers of an addictology unit on the content and structuring of such workshop
介绍和假设成瘾和性之间的联系是多方面的;精神活性物质的最初预期和随后的有害影响,危险的性行为和性暴力的实施,共病的身体和精神疾病的治疗,性欲亢进。在成瘾学中,处理这些问题似乎是必要的。小组研讨会有许多好处,但用户和团队对这一主题的期望尚未得到探索。这项名为ACAPSA的研究旨在确定成瘾机构的患者和护理人员对此类研讨会的内容和结构的期望。2021年4月至7月,巴黎塞纳-圣德尼GHU成瘾科的35名患者和35名护理人员参加了这项研究。病人们回答一份问卷,13 - 16和护工的事项涉及他们的经验讲习班涉及性、兴趣、内容类型(治疗组)发言,教育模式(混合性别、组织者和参与者数量)以及动画感到满意。结果大多数参与者既没有主持也没有参加这样的研讨会,认为它们是有用的(80%)。70%以上的参与者选择了提议的主题;《性与产品》、《性与治疗》、《性暴力》、《性概论》、《性与精神病理学》。他们将以治疗教育会议或主题演讲小组的形式组织,男女混合,由两名受过培训的专业人员领导,无论他们是否认识小组,小组将由5至10名参与者组成。对动画的舒适感平均为4.68 /10。ConclusionCette研究有助于更好地理解、鲜为人知的期望和需要的患者及其照顾者则采用这些讲习班,并指导其实施医疗机构中,除了个别首先示范车间,多亏了一个建议,同时考虑到需要在专业人员的培训。介绍和假设是成瘾与性行为之间的多重联系;精神活性物质、危险的性行为和性暴力行为、共病躯体和精神疾病的治疗、性行为过度。在成瘾学中,解决这些问题似乎是必要的。小组研讨会有很多优势,但是用户和团队对这个主题的期望还没有被探索。这项名为ACAPSA的研究旨在确定成瘾科患者和护理人员对此类讲习班的内容和结构的期望。方法和材料巴黎塞纳-圣德尼教学医院成瘾科的35名患者和35名护理人员参加了2021年4月至7月的研究。患者回答了一份包含13个问题的问卷,护理人员回答了16个问题,这些问题涉及他们以前参加性讲习班的经验、他们的兴趣、内容、类型(治疗性教育、讨论小组)、组织方法(性别混合、促进者和参与者的数量)以及组织讲习班的轻松感。结果大多数参与者既没有促进也没有参加这样的研讨会,并且认为这些研讨会有用(80%)。70%以上的与会者选择了所提议的主题;“性与产品”、“性与治疗”、“性暴力”、“性与精神疾病的一般信息”。他们将在性别多样性的治疗教育会议或专题讨论小组中组织起来,由两名专业人员领导,他们接受过培训,知道或不知道该小组,将有5至10名参与者。= =地理= =根据美国人口普查,这个县的总面积为,其中土地和(0.964平方公里)水。ConclusionThis study帮助各to better the远大前程啊and needs,骄傲,娇小的病人和the establishment of these caregivers,关于讲习班,and to their指南的结构、添加in to the implementation in the care to a典型个人角度,再加上一个机器厂指南建议,鉴于the need for training专业。
{"title":"Attentes concernant l’instauration d’ateliers sur la sexualité en addictologie","authors":"L. Boumaarafi","doi":"10.1016/j.sexol.2022.04.005","DOIUrl":"10.1016/j.sexol.2022.04.005","url":null,"abstract":"<div><h3>Introduction et hypothèse</h3><p>Les liens entre addictions et sexualité sont multiples ; effets initiaux recherchés puis délétères des substances psychoactives, conduites sexuelles à risque et commission de violences sexuelles, traitements des pathologies somatiques et psychiques comorbides, hypersexualité. L’abord de ces questions semble nécessaire en addictologie. Les ateliers de groupe présentent de nombreux avantages mais les attentes des usagers et des équipes sur cette thématique n’ont pas été explorées à ce jour. Cette étude nommée ACAPSA a pour objectif d’identifier les attentes des patients et des soignants d’une structure d’addictologie sur le contenu et la structuration de tels ateliers.</p></div><div><h3>Matériels et méthodes</h3><p>Au total, 35 patients et 35 soignants du service d’addictologie du GHU Paris Seine-Saint-Denis ont participé à l’étude d’avril à juillet 2021. Les patients ont répondu à un questionnaire de 13 questions et les soignants à 16 questions concernant leur expérience antérieure d’ateliers portant sur la sexualité, leur intérêt, contenu, type (éducation thérapeutique, groupes de parole), modalités d’organisation (mixité de genre, nombre d’animateurs et de participants) ainsi que le sentiment d’aise à les animer.</p></div><div><h3>Résultats</h3><p>La majorité des participants n’avaient ni animé ni assisté à de tels ateliers et les considéraient comme utiles (80 %). Les thématiques proposées ont été choisies par plus de 70 % des participants ; « Sexualité et produits », « Sexualité et traitements », « Violences sexuelles », « Généralités sur la sexualité », « Sexualité et pathologies psychiatriques ». Ils seraient organisés en séances d’éducation thérapeutique ou de groupes de parole thématiques, en mixité de genre, animés par deux professionnels, formés, connus ou non du groupe qui comporterait de 5 à 10 participants. Le sentiment d’aise à l’animation est en moyenne de 4,68/10.</p></div><div><h3>Conclusion</h3><p>Cette étude permet de mieux appréhender les attentes et besoins, mal connus, des patients et des soignants, quant à l’instauration de ces ateliers, et de guider leur mise en place dans les structures de soins, en complément de l’abord individuel, grâce à une proposition d’atelier type en tenant compte de la nécessité de formation des professionnels.</p></div><div><h3>Introduction and hypothesis</h3><p>There are multiple links between addictions and sexuality; desired initial effects then deleterious of psychoactive substances, risky sexual behaviour and commission of sexual violence, treatment of comorbid somatic and psychic pathologies, hypersexuality. Addressing these questions seems necessary in addictology. Group workshops have many advantages, however the expectations of users and teams about this theme have not been explored to date. This study, called ACAPSA, aims to identify the expectations of patients and caregivers of an addictology unit on the content and structuring of such workshop","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75468109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1016/j.sexol.2022.04.008
H. Fatah , K. Vakilian , A. Moslemi , F. Janani
Objectives
the present study aimed to compare the effect of individual counseling based on EX-PLISSIT and GATHER models on sexual function of women with gestational diabetes background during lactation.
Methods
In this randomized clinical trial, 78 breastfeeding women with gestational diabetes from health centers of Khorramabad were selected using clustering method between 10 and 16 weeks postpartum. Then, they were assigned into two groups of intervention according to randomized blocks. Each participant received two sessions of individual counseling based on GATHER or EX-PLISSIT methods. Sexual function questionnaire was completed one month after the intervention. The data were analyzed using SPSS 23, descriptive statistics (frequency and percentage), and analytical statistics (repeated measurement ANOVA, independent t-test, and chi-squared).
Results
Mean sexual desire is significantly different between before and after the intervention. (p = 0.001). The interaction of group and time is statistically significant (p = 0.007). So that the average sexual desire in both groups is increasing, but during the time in the Ex-PLISSIT group the average libido increases steeper. After the intervention, the average sexual function in the Ex-PLISSIT group is higher than in the GATHER group (p < 0.05).
Discussion
According to the results of the present study, it can be concluded that individual counseling based on Ex-PLISSIT model can be effective on improving women's sexual function during lactation in gestational diabetic women. Therefore, this method can be used in clinics and women's service centers.
{"title":"The effect of EX-PLISST and GATHER models on sexual function with gestational diabetes","authors":"H. Fatah , K. Vakilian , A. Moslemi , F. Janani","doi":"10.1016/j.sexol.2022.04.008","DOIUrl":"10.1016/j.sexol.2022.04.008","url":null,"abstract":"<div><h3>Objectives</h3><p><span>the present study aimed to compare the effect of individual counseling based on EX-PLISSIT and GATHER models on sexual function of women with gestational diabetes background during </span>lactation.</p></div><div><h3>Methods</h3><p>In this randomized clinical trial<span>, 78 breastfeeding women with gestational diabetes from health centers of Khorramabad were selected using clustering method between 10 and 16 weeks postpartum. Then, they were assigned into two groups of intervention according to randomized blocks. Each participant received two sessions of individual counseling based on GATHER or EX-PLISSIT methods. Sexual function questionnaire was completed one month after the intervention. The data were analyzed using SPSS 23, descriptive statistics (frequency and percentage), and analytical statistics (repeated measurement ANOVA, independent t-test, and chi-squared).</span></p></div><div><h3>Results</h3><p>Mean sexual desire is significantly different between before and after the intervention. (<em>p</em> <!-->=<!--> <!-->0.001). The interaction of group and time is statistically significant (<em>p</em> <!-->=<!--> <span>0.007). So that the average sexual desire in both groups is increasing, but during the time in the Ex-PLISSIT group the average libido increases steeper. After the intervention, the average sexual function in the Ex-PLISSIT group is higher than in the GATHER group (</span><em>p</em> <!--><<!--> <!-->0.05).</p></div><div><h3>Discussion</h3><p>According to the results of the present study, it can be concluded that individual counseling based on Ex-PLISSIT model can be effective on improving women's sexual function during lactation in gestational diabetic women. Therefore, this method can be used in clinics and women's service centers.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73092352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}