The Brief Sexual Symptom Checklist as a Screening Tool for Sex-Related Problems in the Primary Care Setting: Focus on Erectile Dysfunction.

PURPOSE: To assess the performance of the Brief Sexual Symptom Checklist for men (BSSC-M) questionnaire in General Practitioner's (GP) consults in Spain. METHODS: Multicenter, cross-sectional study conducted in Spain among men ≥50 years, visiting a GP for any reason, and being able to answer self-administered questionnaires. Patients receiving medicines for erectile dysfunction (ED) and those with poor functional status were excluded. Sexual satisfaction was assessed by the BSSC-M, ED by the Sexual Health Inventory for Men (SHIM), and quality of life (QoL) using a 5-point Likert scale. RESULTS: In all, 770 men met all the selection criteria and 556 patients (72.2%) reported sexually related problems, ED being the most frequent (n = 427; 55.5%). The SHIM score decreased progressively with the number of causes of sexual dissatisfaction. Prevalence of ED (SHIM ≤21) was greater in patients who referred problems with erection in the BSSC-M questionnaire (76 vs. 14%; p < 0.001). Multivariate analysis for ED prediction revealed that sexual dissatisfaction, QoL (average or low/very low), and the presence of 3 or more comorbidities significantly influenced the chances of having ED. CONCLUSIONS: Our results encourage the use of the BSSC-M for identifying suspicion of ED and other sexual problems in patients > 50 who visit their GP for a routine follow-up.

[The urologist of the future and new technologies.] / El urólogo del futuro y las nuevas tecnologías.

The last 25 years have brought about revolutionary changes for medicine and in particular for urology: internet was only in its infancy, medical records were written on paper, searches for medical information were done in the hospital library, medical articles were photocopied and our relationship with patients only existed face to face. Social networks had not yet appeared and even Google did not exist. Just imagine what might happen during the next 25 years, we're going to see even more radical changes. The urologist of the future is going to see the arrival of artificial intelligence, collaborative medicine, telemedicine, machine learning, the Internet of Things and personalized robotics; in the meantime, social media will continue to transform the interaction between physician and patient. The training of urologists will also be different thanks to new learning technologies such as virtual reality or augmented reality. IBM Watson Health through its system of artificial intelligence and its learning algorithms will become our essential travel companion. The urologist of the future, as well as physician, will have to acquire the necessary technological skills in order to use all these new tools which are already on the horizon.

El urólogo del futuro y las nuevas tecnologías / The urologist of the future and new technologies

Los últimos 25 años han supuesto un cambio revolucionario para la medicina y en particular en urología: Internet estaba en sus inicios, las historias clínicas se escribían en papel, las búsquedas de información médica se realizaban en la biblioteca de los hospitales, los artículos médicos se fotocopiaban y la relación con nuestros pacientes sólo era presencial. Las redes sociales no habían hecho su aparición y hasta Google no existía. Imaginemos ahora lo que pueden deparar los próximos 25 años. Vamos a asistir a cambios todavía más radicales. El urólogo del futuro va a vivir la llegada de la inteligencia artificial, la medicina colaborativa, la telemedicina, el machine learning, el internet de las cosas y la robótica personalizada; mientras tanto, las redes sociales seguirán transformando la interacción médico/paciente. También la formación de los urólogos será diferente gracias a las nuevas tecnologías de aprendizaje como serán la realidad virtual o la realidad aumentada. IBM Watson Health a través de su sistema de inteligencia artificial y sus algoritmos de aprendizaje se convertirá en nuestro imprescindible compañero de viaje. El urólogo del futuro, además de médico, tendrá que adquirir las habilidades tecnológicas necesarias para utilizar todas estas nuevas herramientas que ya asoman por el horizonte (AU)

The last 25 years have brought about revolutionary changes for medicine and in particular for urology: internet was only in its infancy, medical records were written on paper, searches for medical information were done in the hospital library, medical articles were photocopied and our relationship with patients only existed face to face. Social networks had not yet appeared and even Google did not exist. Just imagine what might happen during the next 25 years, we're going to see even more radical changes. The urologist of the future is going to see the arrival of artificial intelligence, collaborative medicine, telemedicine, machine learning, the Internet of Things and personalized robotics; in the meantime, social media will continue to transform the interaction between physician and patient. The training of urologists will also be different thanks to new learning technologies such as virtual reality or augmented reality. IBM Watson Health through its system of artificial intelligence and its learning algorithms will become our essential travel companion. The urologist of the future, as well as physician, will have to acquire the necessary technological skills in order to use all these new tools which are already on the horizon (AU)