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Sexual distress with partnered face-to-face sexual activity : an exploratory qu...

Pascoal, Patrícia M.; Andersson, Gerhard; Fischer, Vinicius J.; Manão, Andreia A.; Oliveira, Cátia; Raposo, Catarina F.; Rosa, Pedro J.

Introduction: Sexual distress is interrelated with mental health and relationship quality and is fundamental for establishing a diagnosis of sexual dysfunction, even though it also affects people who do not seek professional clinical help. Research on sexual distress related to partnered sexual activity is limited, and no comprehensive model exists to guide research or clinical interventions. We conducted an on...


Mediterranean diet and male fertility

Tomada, Inês; Tomada, Nuno

Diet has an impact on male reproductive potential, but few studies have focused on the specific impact of food groups or dietary patterns on fertility. Male reproductive health, as indicated by improved semen parameters and increased chances of conceiving, is associated with the Mediterranean diet, while the Western diet is considered a risk factor for male infertility. The potential mechanisms that may explain...


The influence of metabolic profile of obese men on the severity of erectile dys...

Moura, Adriana; Tomada, Inês; Tomada, Nuno

Objective: To determine the prevalence of erectile dysfunction (ED) in metabolically healthy obese (MHO) individuals, and to compare ED severity and hypogonadism prevalence in MHO, metabolically unhealthy obese (MUO) and metabolically healthy non-obese individuals. Material and methods: ED patients (n=460) were evaluated by standardized protocol, that included clinical evaluation, abridged 5-item version of the...


Long-term patient-reported satisfaction with different inflatable penile prosth...

Morgado, Afonso; Cavadas, Ana Sofía; Figueiredo, Luís Pacheco; Tomada, Nuno

Erectile dysfunction (ED) is one of the most prevalent male sexual disorders worldwide. When conservative treatment is unsuccessful, contraindicated or causes unacceptable side effects penile prosthesis implantation is a definitive option for the management of ED. Although considered a third-line therapy, it achieves the highest satisfaction rates as compared with non-surgical treatment. Three-piece inflatable ...


Urethroplasty in Phalloplasty: Surgical Outcomes and Complications a Critical R...

Morgado, Afonso; Tomada, Nuno

Phalloplasty can be either performed as a penile reconstructive or phallic constructive procedure, mainly in penile trauma victims or female-to-male gender reassignment. After the introduction of the radial artery-based forearm free flap and with the further awareness of patient desire to void while standing, urethral reconstruction became a standard procedure and a main goal to attain in phalloplasty. Urethrop...

Date: 2017   |   Origin: Acta Urológica Portuguesa

Hormonal modulation in aging patients with erectile dysfunction and metabolic s...

Costa, Inês Campos; Carvalho, Hugo Nogueira; Pacheco-Figueiredo, Luís; Tomada, Inês; Tomada, Nuno

Erectile dysfunction (ED), metabolic syndrome (MetS), and hypogonadism are closely related, often coexisting in the aging male. Obesity was shown to raise the risk of ED and hypogonadism, as well as other endocrinological disturbances with impact on erectile function. We selected 179 patients referred for ED to our andrology unit, aiming to evaluate gonadotropins and estradiol interplay in context of ED, MetS, ...


Endothelial function in patients with metabolic syndrome and erectile dysfuncti...

Tomada, Nuno; Tomada, Inês; Botelho, Francisco; Figueiredo, Luís Pacheco; Lopes, T.; Negrão, R.; Pestana, M.; Cruz, F.

Erectile dysfunction (ED) is a highly prevalent disease whose aetiology is mostly vasculogenic. It is nowadays considered a marker of future cardiovascular events reflecting the underlying endothelial dysfunction, the common link with the metabolic syndrome (MetS). The recent association between MetS, endothelial dysfunction and peripheral artery disease, but not with coronary artery disease (CAD), suggests tha...


Síndrome metabólica e disfunção eréctil - avaliação de parâmetros clínicos e he...

Figueiredo, Luís Pacheco; Neves, Eduardo; Coutinho, P.; Botelho, Francisco; Tomada, Inês; Tomada, Nuno

Objetivos Calcular a prevalência de fatores de risco cardiovascular, incluindo a síndrome metabólica (SM), numa série de doentes portugueses com disfunção erétil (DE) e quantificar o impacto individual e agregado dos mesmos, nos parâmetros hemodinâmicos e no grau de severidade reportada. Material e métodos Estudo de uma série de 408 doentes com DE seguidos em consulta de Urologia, no período 2008-2010. A SM foi...


Hormonal Modulation in Aging Patients with Erectile Dysfunction and Metabolic S...

Costa, Inês Campos; Carvalho, Hugo Nogueira; Figueiredo, Luís Pacheco; Tomada, Inês; Tomada, Nuno

Erectile dysfunction (ED), metabolic syndrome (MetS), and hypogonadism are closely related, often coexisting in the aging male. Obesity was shown to raise the risk of ED and hypogonadism, as well as other endocrinological disturbances with impact on erectile function. We selected 179 patients referred for ED to our andrology unit, aiming to evaluate gonadotropins and estradiol interplay in context of ED, MetS, ...


Síndrome metabólica e disfunção eréctil - avaliação de parâmetros clínicos e he...

Figueiredo, Luís Pacheco; Neves, Eduardo; Coutinho, P.; Botelho, Francisco; Tomada, Inês; Tomada, Nuno

Objectives: To estimate the prevalence of cardiovascular risk factors, including metabolic syndrome (MS), in a series of Portuguese patients with erectile dysfunction (ED) and to quantify their individual and aggregate role regarding penile hemodynamics and degree of ED severity. Material and methods: A cross-sectional study of 408 patients seen in the Urology Department of Hospital Sao Joao (Portugal) within t...


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