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Post-Stroke sexual disorders and Its Real-Life Experience within Couples in Brazzaville

World Journal of Neuroscience 2021年第1期11卷 22-33页

作者： Josué Euberma Diatewa Prince Eliot Galiéni Sounga Banzouzi Ghislain Armel Mpandzou Dinah Happhia Boubayi Motoula Latou Gabrielle-Gracia Ontsira Karen L. Obondzo Aloba Anani Wanscels Sévérin Odzebe Paul Macaire Ossou-Nguiet Department of Neurology University Hospital of Brazzaville Brazzaville Congo Faculty of Health Sciences University Marien Ngouabi Brazzaville Congo Department of Neurology General Hospital of Loandjili Pointe Noire Congo Department of Urology University Hospital of Brazzaville Brazzaville Congo

Background: Post-stroke sequelae can have repercussions on the sexual life and relational life of patients and their partners. Objectives: To determine the frequencies of sexual disorders after a first stroke event;to identify the factors associated with sexual disorders;to explore the real-life experience of sexual disorders within couples. Methods: It was an analytical cross-sectional study, conducted on patients followed up for a first stroke and their partners. It was carried out at public and private hospitals in Brazzaville, Congo, during the period of patient follow-up, from May to September 2019 (5 months). The Female Sexual Function Index, International Index of Erectile Function 5 and interviews were used to describe sexual aspects. The real-life experience of couples was explored using standardized and pre-established questionnaires. Results: Of the 36 patients who had taken up again sexual intercourse after stroke, 29 (80.6%) were men. Among the post-stroke sexual disorders, erectile dysfunction (53.2%) and ejaculatory dysfunction (40.4%) were the most frequent in men. Decrease of sexual desire was predominant in women (100%). Factors associated with erectile dysfunction were sleep disorder (p = 0.007) and mean sleep duration per night (p = 0.01). Lack of verbal and non-verbal communication of sexual problems and psychological effects was noted in 77.8% of patients and 60% of their partners. The most frequent psychological effects were: in patients, frustration (52.8%), attitude of person decreased (50%) and sadness (41.7%);in partners, attitude of carer (86.7%). Conclusion: Post-stroke sexual disorders are frequent in our context. Sleep disorders and mean sleep duration per night, psychological

关键词： Post-Stroke sexual disorders Brazzaville

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sexual health in Polish elderly men with coronary artery disease:importance, expectations,and reality

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Asian Journal of Andrology 2020年第5期22卷 526-531页

作者： Lestaw Rusiecki Romuald Zdrojowy Jana Gebala Michal Rabijewski Matgorzata Sobieszczariska Ryszard Smolinski Witold Pilecki Wioletta Dziubek Anna Janocha Maciej Womperski Dariusz Kalka Cardiosexology Unit Department of PathophysiologyWroclaw Medical UniversityWroclaw 50-368Poland Department and Clinic of Urology Wroclaw Medical UniversityWroclaw 50-556Poland Cardiosexology Students'Scientific Club Wroclaw Medical UniversityWroclaw 50-368Poland Department of Reproductive Health Centre of Postgraduate Medical EducationWarsaw 01-004Poland Department of Geriatrics Wroclaw Medical UniversityWroclaw 50-369Poland Consultant Sexologist Clinical Hospital Wroclaw Medical UniversityWroclaw 50-556Poland Departm ent of Physiotherapy University School of Physical EducationWroclaw 51-612Poland Department of Physiology Wroclaw Medical UniversityWroclaw 50-368Poland Lower Silesian Center for Mental Health Wroclaw 50-226Poland Centre for Men's Health Wroclaw 53-151Poland.

Deterioration in overall health,hormonal disturbances,and erectile dysfunction(ED)contributes to limitations in sexual activity in the elderly,which is further limited by incorrect beliefs about the hazards of sexual activity in cardiac *** aimed to analyze the occurrence of ED in elderly men,their perception of the relevance of good sexual function,and their expectations of physicians.A cross-sectional study encompassed 731 patients with coronary artery disease(CAD)subjected to cardiac *** data and data on modifiable risk factors and patient expectations were *** was assessed using the IIEF-5 *** among the risk factors for ED,occurrence of ED,and patient expectations,as well as the changes in the indicators between 2012 and 2016,were *** mean age of men was 70.7±5.1 *** prevalence of ED was 93.0%.The IIEF-5 score was significantly associated with age,tobacco smoking,exercise tolerance,time to diagnosis of CAD,and treatment with calcium channel blockers and *** declared that sexual activity was overall important(47.9%)or very important(25.6%).Three hundred and sixty(49.3%)patients expected their physician to show interest in their sexual health,but the topic was addressed in only 12.5%.Over the past few years,we have observed an increase in the awareness and importance of sexual health as well as a significant increase in patients’expectations of physicians to show interest in their sexual ***’expectations of discussing and receiving treatment for ED remain an unmet medical need.

关键词： advanced age cardiac rehabilitation erectile dysfunction ischemic heart disease sexual disorders

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