Journal Of Sexual Medicine Research Articles

Global research trends on the links between prostate cancer and erectile dysfunction between 2003 and 2023: A bibliometrics and visualized study

BackgroundThe incidence of prostate cancer (PC) has increased in recent years. Erectile dysfunction (ED) after prostate cancer treatment has aroused extensive attention. Bibliometric analysis was designed to investigate a systematic understanding of developments between PC and ED during the past 20 years. MethodsLiteratures on PC and ED were retrieved from the Web of Science Core Collection database (WoSCC). By using the VOS viewer and CiteSpace software to analysis the metrics of bibliometric literature, such as number of articles, journals, countries, institutions, authors, keywords and associated information. The number of publications per year was statistically analysed and plotted thorough Microsoft Office. In addition, Pajek software was used to adjust the visual map. ResultsA total of 2332 screened articles were included in the analysis. The Journal of Sexual Medicine, ranking first among the analysed journals, published 235 articles. The United States and Canada were leaders in PC and ED research. There is a need to strengthen inter-agency cooperation in this area of research on a global scale. Mulhall JP, as the most prolific author in this area of research, published 80 articles. And Rosen RC was the author with the most co-citated (693 co-citated). The main research focus on the prevention, treatment and management of ED after PC treatment in this field through the keyword analysis. ConclusionsResearch on PC and ED is expected to expand further worldwide. We found ED, as new sustainable treatment modalities, scientific postoperative management and psychological interventions for patients, may become the research hotspots and should be closely concerned in this study.

Global and Latest Hotspots of Female Genital Plastic Surgery in the Past 20 Years: A Bibliometric and Visualized Review.

An increasing number of surgical and nonsurgical interventions are available in the field of female genital plastic surgery. The rate of female genital plastic surgery has increased by nearly 220 percent over the past 5 years. Despite several studies on the topic, no relevant bibliometric analysis has been conducted. We searched the Web of Science Core Collection for articles related to female genital plastic surgery. CiteSpace 6.1.R2 (Drexel University, USA) and VOSviewer 1.6.10.0 (Leiden University, the Netherlands) were used, and national distribution, institutions, journals, authors, and key words were analyzed and calculated. From 2003 to 2022, 1299 papers in the field of female genital plastic surgery were retrieved. There were more articles produced in the United States, and there were also two institutions in the Netherlands that were highly productive. A wide and close relationship has been established between researchers and institutions conducting female genital plastic surgery. Professor Bouman MB published the most articles on female genital plastic surgery in the Journal of Sexual Medicine. Female genital plastic surgery dominated the top 10 references with the highest local citation score. There were four clusters of key words with the most citations, and the most recently trending key words were "vaginal agenesis," "transgender," and "congenital adrenal hyperplasia." The purpose of this article is to provide a summary of the current research status focusing on female genital plastic surgery. It is hoped that more efforts will be made to promote the development of female genital plastic surgery in the future.

Prevalence and trends in physical therapy interventions for erectile dysfunction: A Scopus-based bibliometric analysis (1989-2022).

Erectile dysfunction (ED) is a condition that affects many males. Physical therapy (PT) is the one potential treatment for ED that may improve blood flow, muscle strength, and other factors that may contribute to the issue. Data on the prevalence and trends of research on PT for ED are lacking. This study aimed to evaluate the literature trends in PT for ED via bibliometric and visualized analysis. Data on publications were collected from Scopus covering the period between 1989 and 2022. To refine the data, bibliometric analyses were conducted using Microsoft Access, Microsoft Excel, an online visualization platform, and BiblioAnalytics. Power BI and Bibliomaster were used to generate figures and tables, while Biblioshiny and VOSviewer were used for visualization. A total of 494 documents were identified. The year 2019 generated the largest number of publications, with a total of 54. These studies have received 12,917 citations related to PT for ED. The most common document type was the original article with 283 publications. The University of California, USA, was the most productive institution on this topic, with 21 publications and 2,035 citations. The USA led all countries with 114 publications on the topic. The Journal of Sexual Medicine secured the top ranking with an h-index of 18. The main topics studied were erectile dysfunction, shockwave therapy, and physiotherapy. The number of publications on PT for ED has demonstrated an upward trend over the last three decades.

A Bibliometric and Visualisation Analysis on the Research of Female Genital Plastic Surgery Based on the Web of Science Core Collection Database.

Due to the increasing demand for improving the morphology and function of the external genitalia amongst women, it is necessary to conduct statistical analysis of research data on female genital reconstruction. The current study aimed to use bibliometric analysis to analyse the research hotspots and trend frontiers of the female genital reconstructive research. Publications on the female genital reconstructive research were extracted from the Web of Science Core Collection database. VOSviewer 1.6.18 was used to establish visualisation maps and find top authors, institutions, countries, burst keywords, co-cited authors, journals, research hotspots, and trends. A total of 2207 studies published by 364 different journals authored by 7479 researchers were contained in this study. In the co-authorship analysis, the bulk of the retrieved studies was conducted by the USA, followed by England, Italy, and Netherlands, whilst the most productive institution, journal, and author were U.S. Univ Calif San Francisco, Journal of Sexual Medicine, and Bouman Mark-Bram, respectively. In the co-cited analysis, the top most-cited author and journal were Hage JJ and Journal of Sexual Medicine, respectively. The map of keywords occurrence revealed the most active research aspects were focussed on "vaginoplasty", "feminised genitoplasty", "laser treatment of vaginal atrophy", "transsexualism", and "labiaplasty". The time overlay mapping showed that the study of female genital plastic surgery focusses on the energetic treatment of genitourinary syndromes caused by transsexualism and menopause, especially by using management and treatment of vulvovaginal atrophy for the research trends, and through the vaginoplasty, feminising genioplasty, and laser treatments in the direction of treatments related to physical and mental problems. This novel inclusive bibliometric analysis can help research workers to quickly understand the potential and active researchers, landmark studies, and topics within their interests. We are willing to provide more beneficial data to contribute valuable research of female genital plastic surgery through this study. The journal asks authors to assign a level of evidence to each article. For a complete description of Evidence-Based Medicine ratings, see the Table of Contents or the online Instructions for Authors at www.springer.com/00266 .

Top 50 most cited articles about female sexual dysfunction: a bibliometric analysis.

Female sexual dysfunction (FSD) consists of low libido, sexual arousal problems, anorgasmia, and dyspareunia. Sexual function is an important aspect of life for many women and is closely correlated with overall well-being. FSD is often underrepresented in the academic space when compared with male sexual disorders, such as erectile dysfunction. As FSD spans many fields (eg, urology, gynecology, psychology), bibliometric analyses are an important resource to highlight landmark articles. To identify key articles about FSD by citation number and bibliometric analysis to facilitate future scholarly efforts into more FSD research. We searched for articles in the Web of Science Core Collection between 1900 and 2023 using terms specific to FSD. We identified relevant FSD articles and selected the top 50 most cited. A bibliometric analysis was performed to collect and analyze data about title, authorship, publication year, citation number, journal and impact factor, country and institution, study type, citation index, specialty, and conflict of interest. An overall 6858 results were identified. The top 50 most cited articles were published between 1997 and 2014 in 12 countries, across 32 institutions, and in 20 journals. The United States produced the most articles. The Journal of Sexual Medicine published the most articles. The mean number of citations per article was 351.64. Observational studies were most common. More than half were sponsored. Of all the specialties, most articles were categorized as urology and nephrology. Research about FSD has been much less impactful than research about male sexual dysfunction, possibly owing to stigma and decreased clinical training. As FSD covers many fields, bibliometric analyses are invaluable to understand the vast body of knowledge. We hope that this research emphasizes the lack of attention that FSD has had and that it provides health care professionals with a valuable tool to understand the trajectory of FSD to guide future education efforts.

Bibliometric and Visualization Analysis of Stem Cell Therapy for Erectile Dysfunction.

As a common male disease, erectile dysfunction (ED) seriously affects the physical and mental health of patients. In recent years, studies have continued to point out the great potential of stem cell therapy (SCT) in the treatment of ED. The purpose of this study is to comprehensively analyze the research of SCT for ED and understand the development trends and research frontiers in this field. Publications regarding SCT and ED were retrieved and collected from the Web of Science Core Collection. CiteSpace and VOSviewer software were then utilized for bibliometric and visualization analysis. A total of 524 publications were eventually included in this study. The annual number of publications in this field was increasing year by year. China and the USA were the two most productive countries. Lin GT, Lue TF and Lin CS, and the University of California San Francisco where they worked were the most productive research group and institution, respectively. The journal with the largest number of publications was The Journal of Sexual Medicine, and the following were mostly professional journals of urology and andrology. Diabetes mellitus-induced ED and cavernous nerve injury-related ED were the two most commonly constructed models of ED in studies. Concerning the types of stem cells, mesenchymal stem cells derived from adipose and bone marrow were most frequently used. Moreover, future research would mainly focus on exosomes, tissue engineering technology, extracorporeal shockwave therapy, and clinical translation. The research of SCT for ED will receive increasing global attention in the future. Our study provided bibliometric and visualization analysis of published literature, helping researchers understand the global landscape and frontiers in this field. More preclinical and clinical studies should be conducted to more deeply explore the underlying mechanisms of treatment and promote clinical translation.

(026) Ten Years of Authorship by Women in Sexual Medicine Journals: Are We Making Progress?

Abstract Introduction Women are historically underrepresented in Urology, but the demographics are slowly changing. As of 2023, only 10.9% of urology attendings are women; however, women represent 37% of the accepted residency class of 2028. With increasing representation of women in urology, we hypothesized this would reflect in women’s authorship patterns in published manuscripts. Objective We sought to identify if the increasing representation of women in urology is reflected in first or last authorship in sexual medicine journals. Methods All manuscripts published in the Journal of Sexual Medicine and Sexual Medicine from 2013 to 2023 were reviewed. Original research manuscripts were included; manuscripts submitted under Psychology subsections, Paraphilia subsections, as well as systematic reviews, meta-analyses, communications, commentaries, replies, and those involving psychometrics were excluded. Single author manuscripts were classified under first author for the analysis. First and last authors were identified and internet search was performed to best determine gender, relying on, in order of preference: listed pronouns, picture, or traditionally masculine versus feminine name. We recognize this method of determining gender identity based on conventional gender presentations is imperfect and may not represent the full spectrum of gender diversity of the included authors. Institutional information was also collected. Chi-square analyses and odds ratio were performed to compare authorship patterns. Results 2156 manuscripts met criteria, 1717 from Journal of Sexual Medicine and 439 from Sexual Medicine. From 2013-2023, women composed 44.1% (951/2156) of first authors and 32.5% (691/2156) of last authors. Overall, first authorship by women increased from 2013 (110/271, 41%) to 2023 (59/104, 57%) (p<0.005) [Figure 1]. In 2022 and 2023, women were the majority of first authors (50.3% and 56.7%, respectively). Manuscripts with women as first authors were more likely to have women as last authors (OR: 1.64, CI: 1.45-1.86, p<0.0001). In the US and Canada, the majority of first (61.1%, 214/350) and last (61.6%, 157/254) authors who are women came from public rather than private institutions, but this was non-significant. First authors who are women predominantly came from North America (38.6%), Europe (36.3%), Asia (17.7%), South America (3.9%), Australia/New Zealand (2.6%), followed by Africa (0.9%); last authors who are women had a similar breakdown by continent. The greatest percentage of authorship by women came from Australia/New Zealand with 50.8% (32/63) of first authors and 45% (27/60) of last authors. The largest disparity was seen in Africa with 22.2% (10/45) of first authors and a mere 16.3% (7/43) of last authors being women. Conclusions Authorship by women in sexual medicine journals is increasing over time, with positive trends observed in both first and last authorship. The effect is more pronounced in first authorship as compared to last, possibly reflecting the increasing numbers of trainees who are women. Manuscripts with women as first authors are correlated with last authors who are women, supporting a positive relationship in gender concordant mentorship. Disclosure No.

(013) How do Sexual Medicine Specialists Handle Patient Counseling and Penile Rehabilitation in Patients Undergoing Robotic Assisted Radical Prostatectomy (ralp): Trends in Pre Op and Post Operative Management

Abstract Introduction Guidelines for Sexual Health Care for Prostate Cancer Patients: Recommendations of an International Panel has been published in Journal of Sexual Medicine in late 2022. However, evaluation and treatment in this subset of patients appears to be variable and not evidence driven. Objective The objective of our study was to poll sexual medicine specialists regarding their current evaluation and treatment of sexual dysfunction before and after RALP. Methods 22 sexual medicine specialists took a questionnaire at the time of the SMSNA/ISSM meeting in the fall of 2022. Queries were made regarding the demographics of the specialists, their pre operative evaluation, guidance and treatments, and the nature of their referral base. Information was also collected regarding pre operative questions about multiple sexual parameters such as ejaculation, penile curvature, erectile function, climacturia and any initiation of pre op therapies. Post operative questionnaire data included timing of initial evaluation, therapeutic recommendations and likelihood and timing of post operative recovery of function. Results 23 responses were collected. 100% of respondents were SMSNA members, 8 (34.8%) were ISSM members. 22 (95.7%) had a subspecialty practice in sexual medicine. 100% were located in North America. A majority of respondents (19/23, 82.6%) had between 2-10 prostate surgeons in their practice. 9 (39.1%) reported that those surgeons routinely sent patients for preoperative optimization; 4 (17.4%) reported that none did so. 7 (31.8%) regularly counseled patients preoperatively about the risk of ejaculatory pain, 11 (47.8%) about the risk of climacturia, 16 (69.6%) about the risk of penile length loss, 17 (73.9%) about the risk of significant erectile dysfunction, and 7 (30.4%) about the risk of penile curvature. 22 (95.7%) cautioned patients that they would most likely need medication to assist with erectile function postoperatively. For preoperative optimization, 12 (54.5%) respondents regularly recommend preoperative PDE5is, 7 (30.4%) regularly recommend a vacuum erection device, and 3 (13%) recommend pelvic floor rehabilitation. Postoperatively, 13 (56.5%) recommend a vacuum device postoperatively, another 3 (13%) sometimes do so, and 19 (82.6%) encouraged patients to start PDE5is immediately postoperatively. 19 (82.6%) continued PDE5is after 3 months without spontaneous erections. 17 (73.9%) recommended Tadalafil 5mg daily, others used Sildenafil at varying doses. 15 (65.2%) respondents believed that penile rehabilitation made a difference in outcomes at 2 years. Another 5 (21.7%) were unsure, but had enough data to continue with their protocol. Conclusions Despite new guidelines for evaluation and treatment of patients undergoing RALP, there appears to be diverse counseling, recommendations and treatment both preoperatively and postoperatively. Evidence based and expert opinion guidelines may alter pre operative counseling and treatment in the future. Disclosure No.

(357) The Importance of Assessing Adult ADHD/ADD Diagnoses in Patients Presenting with Concomitant Sexual Disorders and Sexuality Related Challenges to Both Sex Therapists and Medical Providers

Abstract Introduction A 2020 literature review in The Journal of Sexual Medicine concluded that research subjects with ADHD reported more sexual desire, more masturbation frequency, less sexual satisfaction, and more sexual dysfunctions than the general population. Another study showed that all participants with self-reported ADHD showed higher rates of avoidant attachment while males with ADHD and anxious attachment reported using a greater amount of online pornography/sexually explicit media. There are unique challenges that affect singles’ and couples’ sex lives when a partner has Adult ADHD/ADD. Many patients seek out medical treatment of sex therapy for Erectile Disorder, Delayed Ejaculation, Premature/Uncontrolled Ejaculation, Genital Pelvic Penetrative Pain Disorder, and low desire and seek out sex therapists for the above diagnoses as well as infidelity, out-of-control-sexual-behavior, orgasmic disorders or sexless relationships. These patients seek to address what they regard as exclusively a medical or a relational problem. However, only through accurate assessment and treatment by both sex therapists and doctors of an intersectionality of an adult ADHD diagnosis impacting the sexual disorder will the client or couples’ challenges fully improve. Objective Many patients show up in both sex therapists’ and doctors’ offices with sexual complaints without either having been formerly diagnosed with ADHD or by sharing with the provider that they have this disorder. The ADHD/ADD diagnosis can be a treatment blind spot for both sex therapists and medical providers that can be greatly improved upon due to the integral impact it has on both a single patient's concomitant sexual disorder and a couples’ sex life. In this talk, the presenter hopes to improve participants assessment skills to treat the co-occurring symptoms that impact both sexual functioning and health. Methods In this presentation, an overview of common sexual issues occurring in single clients and couples where one partner has ADHD/ADD, will be presented along with clinical case examples. The presenter will offer some key questions to pose when assessing a patient to yield more information regarding how their sexual functioning has been impacted over the course of various stages of their adult life. This talk will also assist in educating providers on how to provide sexuality education so clients can protect their sexual health, understand the interplay of ADHD and their sexual functioning problems, and provide referrals needed to sex therapists, ADHD-specialized psychiatrists, urologists, gynecologists, and pelvic floor therapists so the patient has a holistic treatment plan. Results Clinical experience suggests assessing and treating comorbid adult ADHD in single and coupled patients may be a key to treating a common matrix of sexual comorbidities: Erectile Disorder, Anorgasmia, Out of Control Sexual Behavior, Premature Ejaculation, Anxiety and Depression. In this group these hard-to-treat problems may become more responsive to directed treatment if the disability of ADHD can be mitigated. Addressing adult ADHD provides an opportunity to reverse demoralization and open up doors to effective sexual functioning for a portion of our patients who have struggled to get a full-spectrum treatment plan. Conclusions As a sex therapist in practice for over 25 years, I have found that many adults have not been formally be diagnosed with ADHD and that their previous experiences with medical providers and general couples counselors have missed out on the impact the disorder's symptoms has on their sexual functioning. There is still scant research on ADHD and sexual functioning in the literature and I feel that our patients would improve more quickly if this disorder were taken into account by their medical and sex therapy providers. Disclosure No.

(001) Top 50 Most Cited Articles About Female Sexual Dysfunction: A Bibliometric Analysis

Abstract Introduction Female sexual dysfunction (FSD), as recognized by the American Foundation for Urologic Disease, consists of low libido, problems with sexual arousal, inability to achieve orgasm, and dyspareunia. Sexual function is an important aspect of life for many women and is closely correlated with overall well-being. This dysfunction is often underrepresented in the academic space when compared to male sexual disorders, such as erectile dysfunction (ED). As FSD spans the fields of Urology, Gynecology, Psychology, and Endocrinology, bibliometric analyses are an important resource to understand the vast body of knowledge by highlighting landmark papers. Objective The objective of this study was to identify key articles about FSD using citation number and bibliometric analysis to facilitate future scholarly efforts into more research on FSD through a multidisciplinary perspective. Methods We searched for articles in the Web of Science Core Collection between 1900 to 2023 using terms specific to FSD. We identified relevant FSD articles and selected the top 50 most cited (T50). A bibliometric analysis was performed to collect and analyze data about title, authorship, publication year, citation number, journal and impact factor, country and institution, study type, citation index, specialty, and conflict of interest. Citation index was calculated as citations/years since publication to determine citations per year. Results 6,858 results were identified and T50 articles were published between 1997-2014 in 12 countries, across 32 different institutions, and in 20 journals. Most articles were published in 2007 while most citations occurred in articles published in 1999. The most cited article (4020 citations), The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function by R. Rosen, also had the most citations per year (174.78 citation/year). The USA produced the most articles, specifically through University of Medicine and Dentistry of New Jersey. Journal of Sexual Medicine published the most articles. The mean number of citations per article was 351.64. Observational studies were most common while reviews were least common. Less than half were sponsored. Of all the specialties that FSD spans, most articles were published in Urology & Nephrology, then Psychology, then Obstetrics and Gynecology. Research about FSD has been less impactful and influential than research about male sexual dysfunction, which is evidenced in the lower median citation number (209.00 vs. 364.00 citations, respectively) and total number of articles in WoS (6,858 vs 24,941 articles, respectively) for FSD compared to ED. Since FSD and male sexual dysfunction have about equal prevalence, this disparity may be due to the reluctance of female patients to discuss sexual issues due to shame. Conclusions This is the first bibliometric analysis to identify the characteristics of T50 articles in FSD. This list emphasizes the lack of attention that FSD has had in medical research and underscores the obvious discrepancy between research into FSD and male sexual dysfunction. We hope to provide healthcare professionals with a valuable resource to understand the vast body of knowledge and trajectory of FSD to guide future research and education. Disclosure No.

Not Just Non-Consensual Pelvic Exams

Not Just Non-Consensual Pelvic Exams

Current status and prospects of diabetes mellitus induced erectile dysfunction: A bibliometric and visualization study.

The prevalence of diabetes mellitus-induced erectile dysfunction (DMED) has recently increased, which has prompted numerous DMED studies. Here, we conduct a bibliometric analysis of relevant literature in the field of DMED and to discuss the research hotspots and future development directions. The Web of Science Core Collection database was searched for literature on DMED, and literature characterization including the number of articles, journals, countries/regions, institutions, authors, keywords, and other information was performed using VOS viewer and CiteSpace software. In addition, Pajek software was used for visual map adjustment, and GraphPad Prism was used to generate line graphs. A total of 804 articles concerning DMED were included in this study. The Journal of Sexual Medicine issued the most documents(92 articles). The United States and China were in the leading position in the field of DMED research, and cross-institutional collaboration on DMED research worldwide needs to be further strengthened. Ryu JK were the authors with the highest number of documents issued (22 articles) while Bivalacqua TJ was the author with the most co-citated(249 co-citated). The keywords analysis shows that the main research hotspots in the field of DMED were mechanism discussions and disease treatment and management. Global research on DMED is expected to increase further. The investigation of the mechanism of DMED and the exploration of new therapeutic means and targets are the focus of future research.

Time from submission to publication in urology journals: A look at publication times before and during Covid-19

BackgroundThe Covid-19 pandemic impacted scientific publishing, though it's effect on publication times in urology literature is unknown. The objective of our study were to determine and compare acceptance and publication times in general and specific urology journals, and to quantify these times before and during the Covid-19 pandemic. MethodsWe identified all original articles published in seven urology journals in 2019 and 2021, and extracted data on submission, acceptance, online, and in-print publication times. Differences between groups were compared using Mann-Whitney U tests. ResultsA total of 2880 articles were included, comprising 1601 articles published in 2021 and 1279 in 2019. Less experimental/animal studies were published in 2021 compared to 2019 (197 vs. 289). Time between submission and online publication was longer in 2021 (median 4.4 vs 3.3 months, p < 0.001), though acceptance times were not different (median 3.3 vs 3.3 months, p = 0.25). Prostate (median: 2.8 months, Neurourology and Urodynamics (median: 2.8 months) and Word Journal of Urology (median 2.9 months) had the shortest acceptance time in 2021. Time between submission and in-print publication ranged from 4.6 months (IQR: 3.6–6.8) for Prostate to 11.9 months (IQR: 9.8–13.2) for World Journal of Urology. Acceptance times were significantly longer in 2021 compared to 2019 for Prostate Cancer and Prostatic Diseases, Journal of Sexual Medicine, and Prostate. Moreover, time between submission and in print publication was longer in 2021 compared to 2019 for Journal of Sexual Medicine and Urologic Oncology: Seminars and Original Investigations, and shorter for Neurourology and Urodynamics. The median time to in print publication was lower for publications from US institutions (median 7.0 vs. 7.7 months in 2019 and 8.7 months vs 9.1 months in 2021). ConclusionsWe identified journal specific acceptance and publication times and observed substantial differences between urology journals for the years 2019 and 2021.

Bibliometric and visualization analysis of literature relating to diabetic erectile dysfunction.

Diabetic erectile dysfunction (DMED) refers to erectile dysfunction secondary to diabetes. Erectile dysfunction is characterized by a persistent inability to achieve and maintain an erection sufficient to permit satisfactory sexual activity. Based on the Web of Science core collection database, we firstly analyzed the quantity and quality of publications in the field of DMED, secondly profiled the publishing groups in terms of country, institution, author's publication and cooperation network, and finally sorted out and summarized the hot topics of research. From 2001 to 2022, a total of 1,403 articles relating to this topic were published in 359 journals. They represent the global research status, potential hotspots, and future research directions. The number of DMED-related publications and citations has steadily increased over the few past decades. Academic institutions from Europe and the United States have played a leading role in DMED research. The country, institution, journal, and author with the most publications were the United States (294), INHA University (39), the Journal of Sexual Medicine (156), and Ryu, Ji-Kan (29), respectively. The most common keywords were erectile dysfunction (796), men (256), diabetes (254), diabetes mellitus (239), prevalence (180), corpus cavernosum (171), dysfunction (155), mellitus (154), nitric-oxide synthase (153), and expression (140). The main keyword-based research topics and hotspots in the DMED field were oral sildenafil, smooth muscle relaxation, nitric oxide synthase, gene therapy, metabolic syndrome, cavernous nerve injury, stem cell, and penile prosthesis. The terms oral sildenafil, smooth muscle relaxation, nitric oxide synthase, gene therapy, metabolic syndrome, cavernous nerve injury, stem cell, and penile prosthesis will be at the forefront of DMED-related research.

Conceptual Overview (Portrayals of Sexuality in Pornography)

Conceptual Overview (Portrayals of Sexuality in Pornography)

Towards a Universal Definition of Premature Ejaculation

Although the scientific production regarding premature ejaculation (PE) has sharply increased in relatively recent years, 1 Colonnello E Ciocca G Limoncin E et al. Redefining a sexual medicine paradigm: subclinical premature ejaculation as a new taxonomic entity. Nat Rev Urol. 2021; 18: 115-127 Crossref PubMed Scopus (20) Google Scholar there is still a vibrant debate gravitating around its current definitions. 2 Althof SE McMahon CG Rowland DL. Advances and missteps in diagnosing premature ejaculation: analysis and future directions. J Sex Med. 2022; 19: 64-73 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar Overall, definitions have widely changed across the years, having been continuously depleted of, or enriched with, various criteria. for example, the number of coital thrusts was not considered in the most recent definitions, while the partner's distress, although not always mentioned explicitly, was somewhat included. 3 Sansone A Aversa A Corona G et al. Management of premature ejaculation: a clinical guideline from the Italian Society of Andrology and Sexual Medicine (SIAMS). J Endocrinol Invest. 2021; 44: 1103-1118 Crossref PubMed Scopus (23) Google Scholar Such “unfinished business”, using the words stolen from a seminal paper recently published in the Journal of Sexual Medicine, 4 Rowland DL Althof SE McMahon CG. The unfinished business of defining premature ejaculation: the need for targeted research. Sex Med Rev. 2022; 10: 323-340 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar of defining PE reveals that there is still a high demand for truly standardized, unanimously accepted, and operationalized criteria.

A Seat at the Table: The Correlation Between Female Authorship and Urology Journal Editorial Board Membership

BackgroundGender disparities in editorial board composition exist across a variety of surgical subspecialties. ObjectiveTo investigate temporal variation in gender representation on the editorial boards of urology journals and assess the relationship between editorial board composition and female authorship. Design, setting, and participantsWe analyzed female authorship and editorial board composition between 2002 and 2020 among eight high-impact urology journals. Female publication status was assessed using publication records retrieved from PubMed. Editorial board information was manually extracted and titles were grouped for comparison as Editor-in-Chief, mid-level editor, and consulting editors. Outcome measurements and statistical analysisFemale representation across different editorial levels was analyzed via hierarchical logistic regression with additional terms to test for between-journal differences in overall representation and change over time. The relationship between representation on editorial boards and as publication authors was assessed at the journal level via correlation. Results and limitationsEight journals and 49 412 articles were analyzed. No female has held the title of Editor-in-Chief for any of these eight journals in 18 yr. Significant growth was seen for mid-level editors, whereas no growth was seen for consulting editors. Neurourology and Urodynamics and Journal of Sexual Medicine had significantly higher than average female editorial board representation (p < 0.05). Across the eight journals, there was a statistically significant correlation between the proportion of overall female authors and female editors (r = 0.93, 95% confidence interval 0.65–0.99). For all journals, the proportion of female contributing authors is greater than the proportion of female editorial board members. ConclusionsWomen in urology represent a small but increasing presence as editorial board members. Clear differences exist between journals, potentially attributable to specialty-specific demographics. Despite increasing representation, no female has ever been appointed Editor-in-Chief for any of the eight journals evaluated. At the journal-specific level, a positive correlation was observed between female editorial staff and female authorship. Given the implication of both academic authorship and editorial board assignment on academic advancement, actionable changes are outlined to guide improvement in gender diversity at the journal level. Patient summaryFemales are under-represented on the editorial boards for urology journals, although some roles have seen growth over time. Moreover, female editorial board membership is associated with representation of females among article authors. Gender disparities in both are noteworthy because they affect career paths and contribute to the gender gap in urology.

Authorship Gender Composition in Urology Literature From 2015 Through 2020

ObjectiveTo describe the current landscape of first and last female authorship in urology journals relative to the journals’ impact factor. We hypothesized that women would have a smaller proportion of publications in journals with higher impact factors. MethodsEighteen urology journals were divided into groups based on impact factor accordingly: from 33.2 to 6.2 were classified as high (European Urology, Nature Reviews Urology, The Journal of Urology, BJU International, Prostate Cancer and Prostatic Diseases, and The Journal of Sexual Medicine), from 5.8 to 5.0 as medium (Asian Journal of Andrology, European Urology Focus, Sexual Medicine Reviews, Bladder Cancer, Prostate and World Journal of Urology), and from 4.8 to 2.2 as low (Urologic Oncology, Journal of Endourology, Neurourology and Urodynamics, Urology, Journal of Pediatric Urology and Female Pelvic Medicine & Reconstructive Surgery). A computer script was designed using Python to search PubMed and record first and last author of publications between 2015 and 2020. Gender was determined by Gender-Api (https://gender-api.com). Names with an accuracy of <90% were excluded. Type of peer-review and scope of each journal were also analyzed. Statistical analysis was performed using Matlab. ResultsA total of 37,413 first and 28,414 last authors were identified during the study period. Overall, women represented 21% (8,029/37,413) of first and 15% (4,232/28,414) of last authors. Women were significantly less published in high impact journals compared to both medium and low impact journals (P <.001 in all). Among all journals, articles with female first authors were more likely to have a female last author (OR: 2.72, CI: 2.5-2.9, P <.001). Subspecialty journals had more female last authors than general journals (P <.05), and female representation increased if reviews were double-blinded (P <.001). Over the last 6 years, there has been a significant increase in female senior authorship among all journals (P = .045). ConclusionThe proportion of female authorship was significantly lower in higher impact urology journals. While the underlying cause is likely multifactorial, this finding highlights a gender discrepancy that may impact women's ability to achieve career goals in academic medicine when compared to their male counterparts.

Redefining the Gender Gap in Urology Authorship: An 18-Year Publication Analysis

BackgroundAcademic authorship is a critical productivity metric used for academic promotion. ObjectiveTo characterize temporal changes in female representation in academic authorship in ten primary urology journals as the complement of female urologists is increasing. Design, setting, and participants:Publication records were retrieved from 2002 to 2020 for the ten urology journals with the highest impact factor. The names of all authors were gathered and gender was inferred using first names. Outcome measurements and statistical analysisTrends in first and last/senior authorship by gender were evaluated overall, within journals, and by geographic region. ResultsA total of 59,375 articles were analyzed, of which 94.1% had gender information for the first author and 94.2% had gender information for the last author. The percentage of overall female authors increased positively from 17.2% (95% highest density interval [HDI] 12.9–21.4%) in 2002 to 27.2% (HDI 21.7–33.6%; p < 0.01) in 2020. Overall female first authorship increased from 15.2% (95% HDI 11.0–19.5%) to 28.5% (95% HDI 21.8–35.6%; p < 0.01). There was also significant growth for female senior authors from 10.4% (95% HDI 7.6–13.5%) to 18.6% (95% HDI 13.6–23.8%; p < 0.01). Assessment of journal-specific changes revealed that Neurourology and Urodynamics (12.6%, 95% HDI 9.9–15.1%) and The Journal of Sexual Medicine (16.2%, 95% HDI 13.6–19.0%) had significantly higher growth in female authorship when compared to Journal of Endourology (7.2%, 95% HDI 5.5–8.7%) and Urologic Oncology (4.5%, 95% HDI 2.0–6.8%; p < 0.05). ConclusionsAlthough overall female authorship increased between 2002 and 2020, women remain underrepresented in urology authorship. The percentage of females in senior (last) author positions is less than the percentage of females in first author positions. Journal-specific differences can probably be attributed to gender-based differences in subspecialized fields. Patient summaryIn this study, we characterized the underrepresentation of women as authors in urology journals and analyzed the change in female authorship for ten academic urology journals over the course of 18 years. Although the proportion of female authors has increased over that time, the percentage of females in senior authorship roles is less than the percentage of females in first author positions.

PD33-05 A SEAT AT THE TABLE: AN 18 YEAR ANALYSIS OF FEMALE REPRESENTATION ON UROLOGIC JOURNAL EDITORIAL BOARD MEMBERSHIP

You have accessJournal of UrologyEducation Research V (PD33)1 Sep 2021PD33-05 A SEAT AT THE TABLE: AN 18 YEAR ANALYSIS OF FEMALE REPRESENTATION ON UROLOGIC JOURNAL EDITORIAL BOARD MEMBERSHIP Megan Prunty, Stephen Rhodes, Helen Sun, April Miller, Adam Calaway, Lee Ponsky, Katie Murray, and Laura Bukavina Megan PruntyMegan Prunty More articles by this author , Stephen RhodesStephen Rhodes More articles by this author , Helen SunHelen Sun More articles by this author , April MillerApril Miller More articles by this author , Adam CalawayAdam Calaway More articles by this author , Lee PonskyLee Ponsky More articles by this author , Katie MurrayKatie Murray More articles by this author , and Laura BukavinaLaura Bukavina More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002037.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Gender disparities in editorial board composition exist across a variety of surgical subspecialties. Our primary aim was to assess temporal changes in female representation on editorial boards of urologic journals. Then, we assessed the relationship between editorial board composition and female authorship as a secondary aim. METHODS: Female authorship was assessed for the eight highest impact factor urology journals. Publication records were retrieved using the easyPubMed package for R between 2002 and 2020. The gender package for R predicted gender using authors’ first names. Editorial boards were manually extracted, and titles were categorized as Editor-in-Chief, Mid-Level Editor, and Editorial Board. Data were analyzed with hierarchical logistic regression models. RESULTS: Eight journals and 59,375 articles were analyzed. No female has ever held the title of Editor-in-Chief. Overall, female editorial staff composition has increased, with larger growth seen in Mid-Level Editors than in the Editorial Board. Journal specific differences were noted: the slowest growth of female editors was noted in Journal of Urology and European Urology, whereas Neurourology and Urodynamics and Journal of Sexual Medicine had significantly higher than average female representation (Figure 1). For many journals, there is a positive relationship between the proportion of females in editorial positions and the proportion of female authors (Figure 2). CONCLUSIONS: Females in urology represent a small but increasing presence as editorial staff. Clear differences exist between journals, potentially attributable to specialty specific demographics. Despite increasing representation, no female has ever been appointed Editor-in-Chief for the eight journals evaluated. A positive correlation between female editorial staff and female authorship was observed in our study. Given the implication of both academic authorship and editorial board assignment on academic advancement, journals may wish to consider strategies to mitigate the gender gap in editorial staff. Source of Funding: n/a © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e577-e578 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Megan Prunty More articles by this author Stephen Rhodes More articles by this author Helen Sun More articles by this author April Miller More articles by this author Adam Calaway More articles by this author Lee Ponsky More articles by this author Katie Murray More articles by this author Laura Bukavina More articles by this author Expand All Advertisement Loading ...