Most common treatment offered to carcinoma penis patients is surgery. This results in not only mutilation of the genitals but also affects their sexuality. The treating physician fails to address the issue due to the paucity of the data in this regard. Hence, we decided to evaluate sexuality in these patients after surgical treatment for penile cancer. Most of the times, their partners also face problems of sex and sexuality, regarding which there is no literature. Hence, we decided to include their partners also in the study. We retrieved records of the patients who underwent surgical treatment for carcinoma penis at our institute. After obtaining ethical committee approval, they were invited along with their partners for personal interview. After obtaining written informed consent from each of them, they were administered sexual functioning questionnaire (SFQ). Sexuality was evaluated based on the scores obtained. Performance anxiety was reported by majority of these patients. Their sexual interest, arousal and desire remained almost intact with reduction in satisfaction more so in total penectomised patients. Though the partners had accepted the global reduction in sexuality as their fate, their interpersonal relationship remained little disturbed. The study reveals that sexuality is more than the sexual intercourse alone. Proper pre-operative counselling of these patients and their partners by the treating urologist helps better post-treatment adjustment with regards to sexuality in these patients as well as their partners.

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Background Chronic obstructive pulmonary disease (COPD) is a respiratory condition that can affect voice as respiration is the source for voice production. There are very few studies available on the analysis of voice in individuals with COPD (asthma, chronic bronchitis and emphysema). Purpose of the study The aim of this study was to analyze the acoustic and perceptual characteristics of voice in individuals with COPD. Method The study followed a comparative cross-sectional study design. Sixty-four participants were considered, and they were divided into two groups (group 1: individuals with COPD, n = 32; group 2: normal individuals, n = 32). Acoustic analysis was performed using CSL software. The perceptual analysis was done using CAPE-V. Results The results showed that there was significant difference between the two groups on acoustic measures (lower fundamental frequency, reduced frequency range, increased pitch and amplitude perturbation measures and increased noise measures), and perceptual measures (presence of increased roughness, breathiness, strain). Conclusion We can conclude that COPD has an impact on voice measures as assessed through acoustic and perceptual parameters. These voice deviations may be due to COPD itself or due to the effects of the medication. Clinical implication The findings of this study provide valuable information regarding voice problems in the individuals with COPD so that an appropriate intervention plan can be designed. How to cite this article Shastry A, Balasubramanium RK, Acharya PR. Voice Analysis in Individuals with Chronic Obstructive Pulmonary Disease. Int J Phonosurg Laryngol 2014;4(2):45-49.

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