RESUMO
It is widely acknowledged that inflammatory bowel disease (IBD) is associated with a high prevalence of sexual dysfunction (SD). However, there is a notable paucity of specific literature in this field. This lack of information impacts various aspects, including the understanding and comprehensive care of SD in the context of IBD. Furthermore, patients themselves express a lack of necessary attention in this area within the treatment of their disease, thus creating an unmet need in terms of their well-being. The aim of this position statement by the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) is to provide a review on the most relevant aspects and potential areas of improvement in the detection, assessment, and management of SD in patients with IBD and to integrate the approach to sexual health into our clinical practice. Recommendations are established based on available scientific evidence and expert opinion. The development of these recommendations by GETECCU has been carried out through a collaborative multidisciplinary approach involving gastroenterologists, gynecologists, urologists, surgeons, nurses, psychologists, sexologists, and, of course, patients with IBD.
Assuntos
Colite Ulcerativa , Doença de Crohn , Disfunções Sexuais Fisiológicas , Humanos , Doença de Crohn/complicações , Doença de Crohn/terapia , Colite Ulcerativa/complicações , Colite Ulcerativa/terapia , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/terapia , Espanha , Feminino , Masculino , Disfunções Sexuais Psicogênicas/etiologia , Disfunções Sexuais Psicogênicas/terapia , Sexualidade , Doenças Inflamatórias Intestinais/complicações , Doenças Inflamatórias Intestinais/terapia , Saúde SexualRESUMO
OBJECTIVES: In patients with localized prostate cancer and life expectancy longer than 10 years, radical prostatectomy (RP) remains the Gold Standard. Radical surgery must achieve good oncological and functional outcomes with early continence and potency. In expert hands RP offers very low post-prostatectomy urinary incontinence rates. To analyze functional outcomes regarding urinary incontinence (UI) after RP in our centre in the last ten years. METHODS: We have performed a retrospective study of the 137 patients who had a radical prostatectomy (open retropubic or laparoscopic) on the General University Hospital of Elche from 1998 to 2008. Two patient groups were analyzed, patients who had surgery from 1998 to 2003, and those who had surgery from 2004 to 2008. Stress UI rates after RP were determined in both groups at 1, 3, 6 and 12 months following surgery with patient pad day usage. Urethrovesical anastomosis strictures were also analyzed in each group and their resolution. RESULTS: 15 patients were excluded from the initial 137 because cT3 stage was detected, remaining 122 prostatectomies with Assuntos
Prostatectomia/efeitos adversos
, Neoplasias da Próstata/cirurgia
, Incontinência Urinária/etiologia
, Idoso
, Anastomose Cirúrgica/efeitos adversos
, Constrição Patológica/etiologia
, Constrição Patológica/terapia
, Dilatação
, Humanos
, Masculino
, Pessoa de Meia-Idade
, Prostatectomia/métodos
, Estudos Retrospectivos
, Fatores de Tempo
, Uretra/cirurgia
, Bexiga Urinária/cirurgia