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International Journal of Surgery Case... Sep 2021The partial androgen insensitivity syndrome (PAIS) is a rare genetic disorder, which needs to be diagnosed early and provided suitable treatment. One-stage sex...
INTRODUCTION AND IMPORTANCE
The partial androgen insensitivity syndrome (PAIS) is a rare genetic disorder, which needs to be diagnosed early and provided suitable treatment. One-stage sex reassignment surgery can be considered as one of the treatment options for PAIS patients.
CASE PRESENTATION
A 44-year-old patient with PAIS was admitted to our hospital. After getting a consultation, the patient decided to choose the one-stage sex reassignment surgery to be reassigned to be a female. The surgery consisted of breast augmentation and genital surgery. After 8 months of follow-up, the patient's breast had a desired shape and volume. The clitoris was in normal size with normal sensation, and the neovagina was 8 cm in depth with a smooth mucosal surface. We also observed that the minor labia were symmetric. The patient reported achieving orgasms with sex toys.
CLINICAL DISCUSSION
The one-stage sex reassignment surgery for the PAIS patient is safe and reduces treatment time for patients. It could also bring many benefits to the patients, such as reducing the incision, preventing gonadoblastoma and giving a sense of the patient's female gender which helps the patient feel confident and improve her quality of life. Thus, the one-stage surgery should be indicated for the patient at middle-aged who shouldn't be delayed anymore to have normal female breast and external genitalia.
CONCLUSION
The one-stage sex reassignment surgery was performed safely and successfully on the delayed presentation of the PAIS patient. This could be an effective and appropriate approach to treat late-diagnosed PAIS patients.
PubMed: 34488137
DOI: 10.1016/j.ijscr.2021.106355 -
Deutsches Arzteblatt International Sep 2020The 11 edition of the International Statistical Classification of Diseases (ICD-11) is due to come into force in 2022. The goal of the present partial evaluation of the...
BACKGROUND
The 11 edition of the International Statistical Classification of Diseases (ICD-11) is due to come into force in 2022. The goal of the present partial evaluation of the GeSiD study findings is to provide the first ever estimate of the prevalence of different types of sexual dysfunction in Germany as defined by the diagnostic guidelines that are soon to take effect.
METHODS
The representative GeSiD study was carried out in 4955 men and women who belonged to a doubly stratified random sample of data from residence registration offices across Germany. The participation rate was 30.2%. Various types of sexual dysfunction were ascertained for the first time by means of a screening instrument based on the new ICD-11 guidelines.
RESULTS
The reported prevalence of one or more sexual problems, including mild distress, in the previous 12 months was 33.4% in men (95% confidence interval [31.0; 35.9]) and 45.7% in women [43.0; 48.4]. Some 80.4% of men and 72.1% of women stated that they had had at least one sexual contact in the past year. Sexual dysfunction causing marked distress, as per the ICD-11 guidelines, was reported by 13.3% [11.6; 15.1] of the sexually active men (most commonly, erectile dysfunction in 6.6% and early ejaculation in 4.5%), and by 17.5% [15.6; 19.6] of the sexually active women (most commonly, hypoactive sexual desire in 6.9% and orgasmic dysfunction in 5.8%). Orgasmic dysfunction was approximately twice as common in women as delayed ejaculation was in men. The prevalence of erectile dysfunction increased with age, while that of early ejaculation decreased. Women felt particularly impaired by pain associated with sexual activity.
CONCLUSION
The findings of this study indicate the importance of sexual dysfunction as an obstacle to sexual health. The study provides the first prevalence estimates for the new ICD-11 guidelines and simultaneously offers a screening instrument for sexual dysfunction that can be used economically in routine practice.
Topics: Adolescent; Adult; Aged; Female; Germany; Humans; International Classification of Diseases; Male; Middle Aged; Prevalence; Sexual Dysfunction, Physiological; Sexual Dysfunctions, Psychological; Young Adult
PubMed: 33357346
DOI: 10.3238/arztebl.2020.0653 -
The Pan African Medical Journal 2021Occurrence of retained rectal foreign bodies with bowel perforation resulting from auto-eroticism is rare among males in Africa. Embarrassment attached to this condition...
Occurrence of retained rectal foreign bodies with bowel perforation resulting from auto-eroticism is rare among males in Africa. Embarrassment attached to this condition may delay or derail acquisition of information and management. A 30-year-old male presented with abdominal pain and constipation for 3 days. Abdominal X-rays revealed free air-stripes under both hemidiaphragms and in the peripherals, a 25cm x 5.9cm lucent foreign body on the left side with proximal tapering. There was no evidence of intestinal obstruction. This was consistent with bowel perforation secondary to foreign body introduction. Exploratory laparotomy was performed, a plastic bottle of 250mls was removed from the colon. Transverse repair of a 10cm laceration extending from the rectum to the sigmoid was done and a colostomy placed. A high index of suspicion, a systematic approach and a lower threshold for imaging studies were key to successful management and favorable outcomes of this patient.
Topics: Adult; Colon, Sigmoid; Colonic Diseases; Foreign Bodies; Humans; Intestinal Perforation; Male; Orgasm
PubMed: 35059108
DOI: 10.11604/pamj.2021.40.188.32087 -
Journal of Sex Research Feb 2021Sex is a defining feature of marriage with important implications for marital success. Nevertheless, frequency and quality of sex decline across the early years of...
Sex is a defining feature of marriage with important implications for marital success. Nevertheless, frequency and quality of sex decline across the early years of marriage. Given many modern-day couples in the U.S. are delaying marriage and thus experiencing many traditional aspects of marriage before their nuptials, the current research explored the extent to which premarital factors such as courtship duration, cohabitation, and children are associated with trajectories of couples' sexual relationships during the early years of marriage. Using a 4-year longitudinal study of newlywed couples, results demonstrated that couples with longer (versus shorter) courtships or who did (versus did not) cohabit engaged in less frequent sex at the start of marriage; interestingly, couples with longer (versus shorter) courtships or with (versus without) children prior to marriage experienced less steep declines in frequency of sex over time. Couples who did (versus did not) cohabit were less sexually satisfied initially and over time; couples with longer (versus shorter) courtships experienced less steep declines in sexual satisfaction over time. Notably, each of these associations emerged independent of related individual differences and marital quality. These findings highlight the notion that premarital factors can explain, at least in part, differences in newlywed couples' sexual relationships.
Topics: Child; Heterosexuality; Humans; Longitudinal Studies; Marriage; Orgasm; Personal Satisfaction; Sexual Behavior
PubMed: 31833785
DOI: 10.1080/00224499.2019.1695722 -
Addictive Behaviors Sep 2024Modern internet pornography allows users to harness sexual novelty in numerous ways, which can be used to overcome desensitisation through increasing volume of use...
Modern internet pornography allows users to harness sexual novelty in numerous ways, which can be used to overcome desensitisation through increasing volume of use (quantitative tolerance), progressing to more stimulating genres (qualitative escalation), skipping between stimuli (tab-jumping), delaying orgasm ('edging'), and engaging in pornographic binges. However, existing research has not yet evaluated how these potentially reciprocal consumption patterns relate to problematic pornography use (PPU). To this end, we recruited two independent samples of male pornography users (N = 1,356, M = 36.86, SD = 11.26; N = 944, M = 38.69, SD = 12.26) and examined the relationships between these behavioural dimensions and self-reported difficulties in controlling one's pornography use. Data were analysed through the network analysis approach (using Gaussian graphical models). As hypothesised, i) quantitative tolerance was centrally placed within the overall network, and ii) acted as a statistical bridge node between other patterns of pornography use (e.g., pornographic binges), and all measured facets of PPU. Our results are consistent with other emerging literature suggesting that tolerance, pornographic binges, tab-jumping, and edging behaviours as relevant features ofPPU, and that upscaling overall usage may connect broader patterns of use with problematic engagement. Clinical and theoretical implications, as well as future research directions, are discussed.
Topics: Humans; Erotica; Male; Adult; Cross-Sectional Studies; Sexual Behavior; Middle Aged; Young Adult; Behavior, Addictive; Orgasm
PubMed: 38761685
DOI: 10.1016/j.addbeh.2024.108048 -
European Urology Jan 2020
Re: The Association Between In-Utero Exposure to Stressful Life Events During Pregnancy and Male Reproductive Function in a Cohort of 20-year-old Offspring: The Raine Study.
Topics: Adult; Cohort Studies; Female; Humans; Male; Orgasm; Pregnancy; Prenatal Exposure Delayed Effects; Young Adult
PubMed: 31706695
DOI: 10.1016/j.eururo.2019.10.011