Full Sexual Activity Research Articles

Prostatic Artery Embolization Allows to Maintain Full Sexual Activity in Patients Suffering from Bothersome Lower Urinary Tracts Symptoms related to Benign Prostatic Hyperplasia.

The effect of prostate artery embolization (PAE) on male sexual function is currently the subject of debate in the literature. The main purpose of this study was to define changes in all domains of sexual activity after PAE, using the international index of erectile function score (IIEF-15). A single-center retrospective study was conducted on 129 patients (mean age of 65.5 ± 7years), who underwent PAE from February 2014 to January 2017 for symptomatic benign prostatic hyperplasia (BPH). Fifty consecutive patients fulfilling the inclusion criteria were evaluated before and after PAE follow-up using the IIEF-15, IPSS, prostate volume (PV) and cardiovascular risk factor and BPH drugs. The IIEF-15 domains analyzed were: erectile function (EF) ejaculation and orgasm (Ej/O), sexual desire (SD), intercourse satisfaction (IS) and overall satisfaction (OS). A paired sample t test or Wilcoxon signed-rank test was used to compare IIEF-15 between baseline and follow-up. The study showed nonsignificant change in IIEF-15 total score (58.0 ± 13.8 SD;p = 0.71) and the five domains (EF 24.5 ± 7.0 SD, p = 0.82; EJ/O 8.2 ± 2.3 SD, p = 0.50; SD 7.2 ± 2.7 SD, p = 0.57; IS 10.3 ± 3.0 SD, p = 0.77; OS 8.2 ± 2.7 SD; p = 0.11) after PAE. We also found a significant improvement in IPSS score after PAE. Based on the IIEF-15 questionnaire, PAE was showed to allow good urinary symptoms results and no deterioration in sexual function.

Presence of Leishmania sp. and Dirofilaria immitis in Cutaneous Canine Transmissible Venereal Tumor

Background: Canine Transmissible Venereal Tumor (CTVT) is a neoplasm transmitted by implantation of its cells into genital and extragenital organs, while Heartworm and Visceral Leishmaniasis are zoonosis transmitted by hematophagous insects that are often underdiagnosed in asymptomatic animals. Coinfection by the agents of these parasitosis is well documented, however, the association of both diseases with the CTVT is still unusual. Thus, it was aimed to report a case of incidental identification of microfilariae of D. immitis and amastigotes forms of Leishmania sp. in cutaneous CTVT by cytology in an asymptomatic dog for the parasitosis.Case: A 6-year-old, male, mongrel, sexually intact dog from the city of Patos, Paraiba, Brazil, was presented with a cutaneous circumscribed tumoral lesion in a region adjacent to the right olecranon, with an ulcerated surface of reddish color, having areas of necrosis inside and larvae (myiasis), draining bloody secretion. The material was collected for cytological analysis, which proved to be Canine Transmissible Venereal Tumor (CTVT) with the presence of amastigote forms of Leishmania sp. and microfilariae of D. immitis among neoplastic cells. Blood count, serum urea, creatinine and albumin, ALT, AST, FA, CK, Na+, K+, Ca++, CK-MB, Troponin I (cTnI), Snap 4Dx Plus (Idexx®), Snap Leishmania (Idexx®), and Knott's test were performed, plus chest radiography, blood pressure measurements and electrocardiogram (ECG). The alterations found corresponded to normochromic normocytic anemia, thrombocytopenia, hypoalbuminemia, microfilariae in the Knott test, increase of CK, CK-MB and cTnI, positivity for Erlichia sp., Anaplasma sp., Leishmania sp. and Dirofilaria immitis. Furthermore cardiomegaly on radiographs and sinus arrhythmia associated with atrioventricular block (AVB) of the first degree on the ECG. Euthanasia was performed after necropsy, in which adult worms were observed in the right heart chambers.Discussion: The coexistence of neoplastic diseases and infectious microorganisms is often detected only incidentally in asymptomatic animals and complementary tests are important tools to support clinical suspicions, as was observed in the present case. The fact that the animal is not neutered, be in full sexual activity and have unrestricted life habit, favored his involvement by CTVT due to greater contact with other whole canines. Coinfection by Dirofilaria sp. and Leishmania sp., identified in this case, has already been confirmed in several countries, suggesting the presence of distinct vectors in the same geographical area and the imminent exposure of humans to these agents. Despite the studies evidencing the systemic infection by the two parasites, there are no reports of mutual parasitism by the pathogens mentioned in canine neoplasms, especially in the cutaneous extragenital form of the CTVT, making the present case uncommon. The cytological examination was fundamental not only to show that the cutaneous lesion was a CTVT, but also to have evidenced the parasites Leishmania sp. and Dirofilaria immitis, whose infections remained hidden. The changes present in hematology are commonly present in the diseases diagnosed in this case, and elevation of CK, CK-MB and cTnI denote damage to cardiomyocytes due to the action of both parasites. Cardiomegaly on radiographs and 1st degree AVB on the ECG also correspond to secondary changes in the presence of worms in the animal's cardiovascular system. Thus, the presence of a dog autochthonously infected by parasites with a zoonotic potential reveals the susceptibility of other animals and humans in the region to infections.

Sexuality of Moroccan Survivors of Cervical Cancer: A Prospective Data

Introduction:This is a prospective study aiming to describe how cervical cancer and its treatment can affect the sexuality of a specific population of Moroccan women survivors of this disease.Materiels and Methods:It is a comparison of clinical features and Female Sexual Function Index (FSFI) of 3 balanced groups of women, made up of 100 survivors of cervical cancer, 100 survivors of non-gynecological cancer and a group of 100 healthy women.Results:97% of the patients stopped their full sexual activity at the time of treatment; the time interval between treatment and regular sexual activity was 8 months for the cervical cancer group, and 5.8 months for non-gynecologic cancer (P =0.001). Vaginal length assessed by pelvic examination during follow up visits was estimated at about 6.2 cm, 9.2 cm and 9.5 cm respectively for the cervical cancer group, non-gynecologic cancer group and the control group (p=0.04). On the basis of the FSFI questionnaire, the analysis of the 6 main sexuality parameter scores did attest worse results for the variables related to sexual function for cervical cancer group, but not in a statistically significant way.Conclusion:In order to preserve an optimal quality of life after cervical cancer, the sexual dimension is a crucial parameter to take into consideration throughout treatment phases, especially radiation (by encouraging sexual intercourses, and using vaginal dilators during the treatment). Moroccan survivors of this disease must be treated according to a multidisciplinary approach, that includs the psychological component.

Population dynamics and reproductive biology ofAchatina fulica Bowdich, 1822 (Mollusca, Gastropoda) in Salvador - Bahia

The risks following introduction of invasive species are enormous and incalculable. Achatina fulica is considered one of the 100 species of greatest invasive potential, stands out among the land pulmonate snails, mostly for its high reproductive potential that accelerates the process of dispersion, increasing the damages related to health (disease transmission), to economy (crops destruction) and to environment (biodiversity loss). In order to investigate the relationship of the African snail with the environment, trying to relate sexual activity with climatic variables (temperature, rainfall and humidity), a study was conducted on aspects of population dynamics and reproductive biology in Salvador city. The snails were collected by hand, monthly. Morphometric data were obtained in the field and dissections to analyze the reproductive system at laboratory. To test if there was a greater sexual activity in wet periods was performed first a Principal Component Analysis (PCA) with climatic variables, followed by a regression between precipitation (the most influential environmental variable) and the variable of interest (sexual activity). The results showed that there is an apparent annual cycle forA. fulica, with a recruitment period covering the end of rainy season and the dry season (August to December 2006 and February 2007). Increase of shell size (height) and of sexual activity were observed during the rainy season, although snails were found in full sexual activity during the whole period of study. The von Bertalanffy curve showed that the oldest specimen collected would have three years and eleven months. The regression between precipitation and sexual activity was significant (P = 0.002) showing that the higher rainfall increased sexual activity. In addition, it was observed that there is an increase in the thickness of peristome as the specimens reaches sexual maturity however this relationship isn’t precise (it were found individuals with sexual structures not consistent with the reproductive stage given by the thickness of peristome) and should be set for each region studied. As the eradication becomes impossible because of high level of invasion found in Salvador, it is recommended to control the population of African snails by continuously removing specimens, especially in the rainy periods.

La balance des blancs by Jacques Henric

La structure du livre est à la mesure du sujet, puisque le texte, à l’image de ses personnages qui luttent contre l’ouragan, semble profiter du chaos polyphonique qu’il adopte comme contrainte pour entreprendre de dépasser l’éclatement . Le tout résulte en un chant cohérent et fort. La force de ce texte est de faire alterner des paragraphes appartenant aux fils narratifs distincts en maintenant l’intérêt des lecteurs pour chaque histoire sans que le dispositif textuel devienne trop lourd ou trop contraignant. California State University, San Marcos Marion Geiger HENRIC, JACQUES. La balance des blancs. Paris: Seuil, 2011. ISBN 978-2-02-104511-6. Pp. 232. 17 a. This story, resembling in turn a confession, a meditation, an essay, might best be described as an epic of the personal. It opens on 18 June 2007 as its author recovers from an operation he has just undergone. The date is an apt one, because what Jacques Henric offers here is a tale of resistance. In this case the invader is cancer, and more particularly prostate cancer, a disease that poses a special threat to this individual in view of his reputation as a ladies’ man. Henric takes it as an excellent omen that his surgeon should bear the name of one of his most cherished heroes, Casanova; moreover that figure (the Venetian memoirist, not the Parisian doctor) strides through these pages with authority, serving as the patron saint of the narrator’s postoperative progress. Henric sketches that progress in very considerable detail, sending back regular dispatches from the front, as it were. Different readers will react to that narrative strategy in different ways. We may be glad to learn, for example, that “Une demi-érection est de toute évidence un signe encourageant” (41), or we may feel that we have been given a bit too much information. When with admirable tact Dr. Casanova advises him that he will need a very patient, resourceful partner in order to return to full sexual activity, Henric coyly lets it be known that his life companion is Catherine Millet. Visibly relieved, his doctor predicts a quick and entire recovery. Indeed Henric muses at one point that a close rereading of La vie sexuelle de Catherine M. might itself suffice to set him back on the path to potency. Lest it be imagined that the narrator restricts himself to the domain of the crudely physical, it should be noted that Henric spends a great deal of time fretting about the image of himself that he has constructed over the years, “ma glorieuse image de porte-phallus” (88), and what is to become of it. Whether it engages the concrete or the abstract however, the fundamental rule of this narration is a simple one, and easily articulated: “Le totem Phallus toujours à la fête!” (157). Perhaps Henric eventually senses that his reader has become tired of such a feast, or perhaps he has found his own attention wandering; in any case his reflections occasionally do turn to other things, and in those moments his tale is of more general interest. He invokes Tintoretto painting Susanna and the Elders, for instance, and attempts to articulate the artist’s thoughts, as well as those of Giulietta, his model and mistress, and even those of Susanna herself. Ranging more broadly and calling upon literary figures from Dante to Cervantes to Montaigne, Pascal, Hölderlin, Tolstoy, Proust, Joyce, Nabokov, Pessoa, Guyotat, 988 FRENCH REVIEW 85.5 and Sollers, and upon philosophers like Kant, Schopenhauer, Hegel, and Marx, Henric reveals himself as a creature of the book. It becomes gradually clear, too, that his real obsession is the approach of old age and death. He broods over poets’ duels, literary suicides, the assassinations of writers, political violence, and the execution of traitors, or of people unjustly accused of treason. He dreams of the Orient and of Africa—most especially of Africa, “le continent noir de la sexualité féminine” (208). There, Henric’s encounter with a young woman named Lisa will facilitate his convalescence in ways that he might not have predicted. As he photographs her again and again, the blackness of her skin calls into...

Acute low doses of melatonin restore full sexual activity in impotent male rats

Evidence exists that repeated injections of melatonin in rather large doses inhibit sexual performance in male rats. In contrast, systemic injection of small doses of this hormone stimulates sexual activity of normal male rats. In these experiments, systemic acute administration of melatonin in small doses (10-100 μg/kg) induced the appearance of ejaculations in impotent Wistar male rats that were selected as showing null sexual approach or showing mounts, intromissions but no ejaculations. This effect was partially abolished by the simultaneous peripheral injection of the non-selective melatonin receptor antagonist, luzindole, or by the acute administration of serotonin or of the 5HT 2A receptor agonist, 1-(2,5-dimethoxy-4-iodophenyl)-2-aminopropane (DOI), into the amygdala or the ventral hypothalamus. These results suggest that melatonin may stimulate, in a dose-dependent manner, several copulatory parameters of male sexual behavior and may restore sexual activity in impotent animals by interacting with brain receptors, i.e. melatonin and serotonin receptors.

Soft endocavernous prostheses and glandulopexy

Subrini's new prosthetic devices are two soft silicone cylinders, with good patient tolerance over time, that are easily insertable surgically and that make full use of the patient's remaining erectile ability (complementary erection). They have a dual function: reducing cavernosal volume and providing prosthetic support. Patients who retain even minimal erectile function make eligible candidates for this type of implant. Between 1991-1994 we performed surgery to insert such devices in 224 pts. aged 28 to 73 years. A sub-coronal access for exposure was used in ali cases. Operating time was 30 minutes and hospital stay 3 days on average. 33 patients had Peyronie's disease, 36 required only locai anaesthesia. 162 patients could be followed long-term (129 with uncomplicated erectile deficit; 33 with I.P.P.). Aesthetic and functional results were generally satisfactory, as ali patients were able to resumé full sexual activity. Post-implant glans displacement and its asymmetrical insertion over the cavernosal apices (ptosis - glandular asymmetry) were corrected by glandulopexy (partial glans mobilization on the corpora cavernosa and its symmetrical repositioning).

Fracture of penis: Controversy of surgical versus conservative treatment

Fracture of the penis is rare. Ninety-three cases are reported in the English literature up to December, 1981. Review of the literature after March, 1971, reveals 35 cases, including 3 cases of the authors. The complication rate of conservative treatment before and after 1971 was 10 per cent and 53 per cent, respectively, including deformity of the penis, pulsatile diverticulum, decrease in turgidity, and failure of conservative treatment. Early surgical treatment is strongly recommended because of the excellent results, shorter hospitalization, less morbidity, and early return to full sexual activity. The incidence of associated urethral injury before and after 1971 is 33 per cent and 14 per cent, respectively.

Water and energy balance in the water vole ( Arvicola terrestris sherman) in the laboratory and in the field (haut-doubs, France)

1. 1. The water influx ( IFWI) and the average daily metabolic rate ( ADMR) were determined with doubly-labelled water ( 3HH 18O) in the water vole, Arvicola terrestris Sherman in the field during spring and summer in eastern France (Haut-Doubs). 2. 2. Preliminary to these measurements, we measured the daily water and energy budgets in a metabolism cage (18 and 5°C). The cost of maintenance, basal metabolism rate ( BMR) and resting metabolism rate ( RMR) were determined at different temperatures as well as food ingestion and assimilation which were twice as high at 5°C than at 18°C. 3. 3. With a carrot diet the energy assimilated is very high, 90%. The BMR determined at 32°C was 779kJkg −1 day −1 for male adults and 1080 kJkg −1 day −1for female adults. The RMR values decreased with increasing temperatures (5°C: 1737 and at 20°C:1126kJ kg −1 day −1). 4. 4. The energy expenditures in the field drop by half between April, the season of full sexual activity, and August the period of relative sexual quiescence. The WI and ADMR values of adults in spring were, respectively, 745mlkg −1 day −1 and 1819kJkg −1day −1, and in summer 837mlkg −1 day −1 and 989 kJ kg −1day −1. 5. 5. Our results are compared with those in the literature on Mierotinae. 6. 6. Our study provides original information and complementary data on the water and energy budgets of water voles in laboratory conditions and in natura.

光が鶩睾丸に及ぼす影響に就て

This studiy was completed on December 18, starting on July 19, 1943. Besides the natural daylength of light the experimental light conditi ons were regulated by using two 60watt incandescent bulbs placed one meter above the center of the floor and in dark rooms. For the group I, the daily lengtn of exposure to light was increased suddenly up to 15 hours until the termination of this precocious experiment on August 31. Thereafter the night lighting was reduced by approximately 10 minutes a day every three days until the animals were given daily 9 hours of lighting. For the group II, the experiment was made in a completely opposite direction. In the last group, the ducks, not artificialy stimulated, derved as control.1. From the above mentioned observations it is clearly confirmed that spermatogenetic activity in the duck is controlled by light periods and the minimum photoperiod of a day necessary for the induction of the, male sexual maturity is from 12 hours to 13hours.2. Decreased illumination was not always effective in suppressing gonadal growth. In spite of the sudden or gradual reduction in the total light ration down to 9 hours daily, the testicular activation in the majority was so pronounced that there were observed few spermatozoa in the seminiferous tubules.3. The moulting was caused most strikingly by a sudden reduction of the long daily photoperiod, despite the fact that some of the testis were yet in full sexual activity.4. The body weight was greatest when the daily period of exposure to light was shorter than that which induced the maximum development of spermatogenesis.

Pregnancy and Tumor Growth

The relationship between pregnancy and tumor development has been investigated by a number of observers, whose results have been, however, in many instances contradictory. For example, Moreau (1) and Herzog (2) found that transplanted tumors grow with unusual rapidity in pregnant animals. Haaland (3), on the other hand, maintained that pregnancy exerts a markedly restraining influence on the growth of transplanted tumors, which continue to develop in their usual fashion after parturition. Bashford and Murray (4) hold that “pregnancy” in the female “and full sexual activity in the male constitute no bar to successful transplantation.” Uhlenhuth and Weidanz (5) observed retardation in the growth of tumors during pregnancy and also more frequent spontaneous retrogression. Bridre (6) noticed a low percentage of positive inoculations in pregnant animals, and Ehrlich (7) observed that inoculations into animals bearing young was frequently followed by negative results and that in those successfully inoculated the growth of the tumor was greatly retarded. Then, again, Albrecht and Hecht (8) maintained that pregnancy affects the growth of tumors just as little as the presence of a tumor influences conception or gravidity. Cuenot and Mercier (9) reported a most interesting observation. They noticed that Borrel9s tumor “B,” which rarely underwent spontaneous absorption, if inoculated before fecundation developed during gestation and receded during lactation. The tumor, however, did not regress if one mouse only was born, thus leaving the activity of the mammary gland at a minimum. Neither did absorption occur even in the presence of several young, if the tumor was so situated that its vascularization was independent of that of the mammary gland. Fichera (10) explained these various inconsistencies by assuming that when many embryos were present the food stuff was almost wholly consumed by them, while if there were only a few some of this material was available for the tumor cells.