ESSM Newsletter # 37

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13 ESSMToday
a proper estimation of the risk of postoperative
orgasmic function impairment are still lacking.
Likewise, little evidence regarding the manage-
ment of postoperative ODs is currently available.
In general, physicians should be aware of the
prevalence of ODs after RP, in order to properly
counsel all patients both preoperatively and im-
mediately post-RP about the potential occurrence
of bothersome and distressful changes in their
overall sexual function.
FEMALE SEXUAL DYSFUNCTION:
Mendonça CR et alt: Sexual dysfunction in
infertile women: A systematic review and
meta-analysis. Eur J Obstet Gynecol Reprod
Biol. 2017 Jun 7;215:153-163.
This study aimed to assess the prevalence of
sexual dysfunction and Female Sexual Func-
tion Index (FSFI) score in women with infertility.
A systematic search of the literature was con-
ducted using PubMed, EMBASE, IBECS, and
LILACS. The search was limited to articles
published from January 2000 to September
2016, without language restriction. Data were
analyzed using Stata 12.0. Random effects
meta-analyses in weighted mean difference
(WMD) were performed for six comparative
studies (infertility versus fertility). Heterogeneity
was estimated using I2. Moreover, to explore the
heterogeneity sources among the studies, meta-
regression analyses were also performed. Qual-
ity of evidence was assessed using the grading
of recommendations assessment, development,
and evaluation guidelines, and risk of bias, with
a graphic funnel. Meta-analysis was performed
in 11 of 13 comparative studies. The result
indicated a significant association between an
increase in sexual dysfunction and infertility in
women (WMD =-0.16, 95% confidence inter-
val =-0.254 to -0.084, p<0.001), and high
heterogeneity between studies was noted
(I2 = 98.6%, p<0.000). Meta-regression
analysis did not indicate heterogeneity
(I2 = 0.00%). We also performed a meta-anal-
ysis of individual FSFI domains in 10 studies.
Infertile women had problems with lubrication,
orgasm, and satisfaction. Meta-regression
analysis also showed that heterogeneity had no
influence on the final results of all the analyses.
Infertility was associated with an increase in
female sexual dysfunction. The most affected
areas of sexual function were lubrication, or-
gasm, and satisfaction.
SEXUAL PROBLEMS:
Rowland DL et alt: The Burden of Sexual
Problems: Perceived Effects on Men’s and
Women’s Sexual Partners. J Sex Res. 2017
Jun 20:1-10.
Sexual dysfunction sometimes negatively af-
fects the individual, his or her partner, and the
relationship. We investigated the relationship
between the distress experienced by men and
women with orgasmic phase difficulties and the
perceived distress of their partner(s). We also
identified predictors of perceived partner dis-
tress, and related self and partner distress to
severity of the problem and relationship quality.
Data were drawn from 374 men with prema-
ture ejaculation (PE) and 377 women with anor-
gasmia who responded to a survey regarding
their sexual functioning, including their distress
about their condition and the perceived distress
of their partners. Results yielded an overall dis-
tress score consisting of combined self and per-
ceived partners distress, with women showing
a higher overall score and higher perceived
partner distress than men. For men, significant
predictors of perceived partner distress included
self-distress, relationship quality, interest in sex,
and arousal difficulty; for women, only the level
of self-distress significantly predicted perceived
partner distress. These findings indicate the
burden of experiencing sexual difficulty, identify
factors related to perceived partner distress, and
demonstrate differences in self versus partner
distress across men and women. Overall, such
findings reiterate the strong need for the inclu-
sion of the partner in any attempted remediation
of a sexual problem.
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