Sexual functionality significantly contributes to health-related quality of life and can decrease with obesity. In this study, we aimed to prospectively evaluate the changes that occur in the erection function, sexual function and testosterone level of male patients scheduled to undergo bariatric surgery, as well as the changes in the sexual function of their partner. A total of 40 patients and their partners were included. International Index of Erectile Function-5 (IIEF-5) questionnaire and the Arizona Sexual Experience Scale (ASEX) were filled before and 6 months after surgery by the male patients. The ASEX form was also completed by the partners before and 6 months after the procedure. The height and weight measurements and testosterone values were measured before and after surgery. A statistically significant difference was found between the preoperative and post-operative IIEF-5 scores of the patients (p = 0.000 < 0.01). There was also a statistically significant difference between the patients and their partners' preoperative and post-operative ASEX scores. We can conclude that the partners of men with preoperative erection complaints also experience sexual dysfunction, and with the post-operative decrease in or disappearance of erection complaints, the sexual function of both male patients and their partners improves.
Ö ÖZ ZE ET T AAm ma aç ç: : Ça lış ma mı zın ama cı üç par ça lı şişi ri le bi lir pe nil pro tez imp lan tas yo nu nun komp li kasyon la rı nı, uzun dö nem me ka nik sağ ka lım ora nı ile has ta ve eş le ri nin mem nu ni ye ti ni ir de le mek tir. G Ge e --r re eç ç v ve e Y Yö ön n t te em m l le er r: : Tem muz 1999 ile Ara lık 2008 ta rih le ri ara sın da kli ni ği miz de or ga nik erek til dis fonk si yon ta nı sıy la üç par ça lı şişi ri le bi lir pe nil pro tez yer leş ti ri len 68 has ta nın ve ri le ri ret ros pektif ola rak de ğer len di ril di ve pe nil pro tez tip le ri ile is ten me yen yan et ki ler kay de dil di. Da ha son ra hasta ve eş mem nu ni ye ti te le fon gö rüş me le ri ya da yüz yü ze gö rüş me ler de mo di fi ye EDITS (Erec ti le Dysfunc ti on In ven tory of Tre at ment Sa tis fac ti on) sor gu la ma for mu kul la nı la rak de ğer len di ril di. B Bu ul l --g gu u l la ar r: : Has ta la rın or ta la ma ya şı 55 ± 10.75 (25-76) yıl ve iz lem sü re le ri 54.72 ± 35.53 (6-116) ay dır. Olgu la rın 10'un da (%14.7) kon ser va tif yön tem ler le kon trol edi le bi len pe nos kro tal ödem ve ya he ma tom, üç ol gu da (%4.4) an ti bi yo te ra pi ile bas kı la nan ve pro te zin çı ka rıl ma sı nı ge rek tir me yen en fek si yon ge li şir ken, altı ol gu ya (%8,8) re viz yon cer ra hi si ya pıl mış tır. Bu ol gu lar dan 5'ine me ka nik ci haz ha sarı, 1'ine ise pro tez eroz yo nu ne de niy le pro tez re viz yo nu ya pıl mış tır. Ol gu la rın ta ma mı, eş le rin ise 52'si nin mem nu ni yet dü zey le ri de ğer len di ri le bil miş tir. Ol gu la rın 61'inin (%89.7) ol duk ça mem nun, altısı nın (%8.8) kıs men mem nun ve yal nız birinin (%1.5) hiç mem nun ol ma dı ğı sap ta nır ken eş le rin 48'inin (%92.3) ol duk ça mem nun, dördünün (%7.7) ise kıs men mem nun ol du ğu sap tan dı. S So o n nu uç ç: : Üç par ça lı şişi ri le bi lir pe nil pro tez imp lan tas yo nu or ga nik erek til dis fonk si yon lu er kek le rin te da vi sin de, uy gun has ta se çi mi ve ame li yat ön ce si ye ter li bil gi len dir me ya pıl dı ğı tak dir de, ka bul edi le bi lir kompli kas yon ve re viz yon oran la rı; yük sek ba şa rı ve has ta/eş mem nu ni ye ti ile et kin ve gü ve ni lir bir te davi se çe ne ği dir. A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Sert leş me bo zuk lu ğu; pe nis pro te zi; komp li kas yon lar; ki şi sel mem nu ni yet A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : The aim of this study was to as sess the comp li ca ti ons, long-term mec ha ni cal re li a bi lity and co up les' sa tis fac ti on with thre e-pi e ce inf la tab le pe ni le imp lan ta ti ons. M Ma a t te e r ri i a al l a an nd d M Me et t --h ho od ds s: : A to tal of 68 or ga nic erec ti le dysfunc ti on pa ti ents tre a ted in our cli nic with thre e-pi e ce inf latab le pe ni le imp lan ta ti ons bet we en July 1999 and De cem ber 2008 we re ret ros pec ti vely eva lu a ted and the ad ver se events ob ser ved with each type of pe ni le prost he sis we re re cor ded. Co up les' sa tis fac ti ons af ter tre a...
Renal cell carcinoma (RCC) accounts for about 3% of adult cancers. RCC is the third most common cancer among the urogenital cancers, clear-cell RCC being the most common histological subtype. Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract and are derived from interstitial Cajal cells (ICCs). The ICCs in the urinary system were first shown in 2003 in a study by Solari et al. However, there is no publication of a GIST of renal origin yet. Here we report a case of renal GIST that has not previously been published in the literature.
Penile prosthesis implantation (PPI) is the final stage treatment in erectile dysfunction (ED). In this study, we planned to investigate the effect of PPI application on sexual functionality in the patients and their partners. After taking permission and consent for the study, from 20 male patients who were applied penile prosthesis due to ED between March 2013 and June 2018 and their partners, the couples were included in the study. Patients and partners filled in Arizona Sexual Experiences Scale (ASEX) form before PPI. After starting to use prosthesis, 20 patients and 19 partners were asked to fill in modified EDITS and ASEX form in the follow‐ups in the sixth month. Average age was 54.35 years for the patients and 43.84 for the partners. Although post‐PPI sexual satisfaction ratio was detected higher in female partners compared with the male patients, this difference was not statistically significant (p = .71). A significant recovery was also observed in total scale score, physiological stimulation, orgasm capacity and satisfaction scores in both groups after PPI. Penile prosthesis implantation is an operation providing high satisfaction for both the partner and the patient and is still one of the best options of ED.
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