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Sexual health and treatment-related sexual dysfunction in sexual and gender minorities with prostate cancer

NATURE REVIEWS UROLOGY (2023)

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Prostate-Specific Antigen Screening in Transgender Patients

Farnoosh Nik-Ahd et al.

Summary: The global population of transgender individuals is approximately 0.4-1.3%, and transgender women retain their prostates even after gender-affirmation surgery, requiring ongoing screening for prostate cancer. However, there is limited knowledge about prostate-specific antigen (PSA) screening in this population.

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Atlas of the receptive anal sex experience among people with prostates

Thomas W. Gaither et al.

Summary: This study aimed to assess and describe the subjective role of the prostate as a pleasure center in individuals with diverse receptive anal intercourse (RAI) experiences, and to identify nonprostatic areas that produce erotic sensation and/or pain. The study found that the anorectal region produces various pleasurable sensations during RAI, and identified two distinct categories of pain. The importance of this study lies in its contribution to understanding the location of sexual sensations and sexual functioning after different surgical interventions, as well as providing a language for pleasure and pain during RAI to improve communication between sexual partners and clinicians.

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Review Urology & Nephrology

Comprehensive review of the use of hydrogel spacers prior to radiation therapy for prostate cancer

Michael Harvey et al.

Summary: Hydrogel spacers provide a low-morbidity method to reduce rectal toxicity after radiation therapy in men with prostate cancer. However, data on sexual function and oncological outcomes are limited, and further research is needed to clarify the role of hydrogel spacers in prostate cancer management.

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Article Urology & Nephrology

Depictions of penises in historical paintings reflect changing perceptions of the ideal penis size

Murat Gul et al.

Summary: The study investigated changes in depicted penis size in nude male paintings from the 15th to 21st centuries. Penile size gradually increased over the centuries, with paintings from the 21st century showing significantly higher penis depiction ratios than earlier centuries. This observation highlights evolving sociocultural influences on male body image and the importance of understanding factors related to the perception of penis size in men.

BJU INTERNATIONAL (2023)

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Editorial Material Oncology

Inclusion of Sexual Orientation and Gender Identity in Clinical Trials Is Necessary for Health Equity

Eric Chen et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2023)

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Understanding the sexual health perceptions, concerns, and needs of female partners of prostate cancer survivors

Natasha Gupta et al.

Summary: This study explored the impact of prostate cancer-related sexual dysfunction on female partners of survivors. The findings revealed that these women experienced significant stress and lack of support from healthcare professionals. The results underscore the importance of involving partners in the sexual recovery process and providing sexual care programs to address their needs.

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Fifteen-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancer

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Summary: A study in the UK showed that after 15 years of follow-up, the mortality rate of prostate cancer was low regardless of the treatment assigned. Therefore, the choice of therapy for localized prostate cancer involves considering the trade-offs between benefits and harms.

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Article Oncology

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Rebecca L. Siegel et al.

Summary: The American Cancer Society predicts that there will be 1,958,310 new cancer cases and 609,820 cancer deaths in the United States in 2023. While incidence trends for most cancers are favorable, prostate cancer saw a significant increase of 3% annually from 2014 to 2019. However, the overall cancer death rate continues to decline due to advances in treatment, with a 33% reduction since 1991.

CA-A CANCER JOURNAL FOR CLINICIANS (2023)

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Recent Advances in the Management of Metastatic Prostate Cancer

Soo Yeon Kim et al.

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Pain and Loss of Pleasure in Receptive Anal Sex for Gay and Bisexual Men following Prostate Cancer Treatment: Results from the Restore-1 Study

Christopher W. Wheldon et al.

Summary: The study found that nearly half of gay and bisexual men were more likely to engage in receptive anal intercourse in long-term relationships, and it was also associated with other sexual behaviors such as oral and insertive anal sex. Anodyspareunia occurred in approximately 23% of men who recently attempted receptive anal intercourse, and this pain was negatively associated with mental health, performing oral sex on a partner, and bowel function.

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Review Urology & Nephrology

Non-metastatic castration-resistant prostate cancer: management recommendations

A. Alcaraz Asensio et al.

Summary: This study provides recommendations for the management of patients with non-metastatic castration-resistant prostate cancer (nmCRPC) based on a systematic review of the literature and consensus from a scientific committee. The recommendations cover various aspects including disease assessment, treatment options, and quality of life evaluation.

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Application of bulbocavernosus reflex combined with anal sphincter electromyography in the diagnosis of MSA and PD

Xiaoting Niu et al.

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INTERNATIONAL JOURNAL OF NEUROSCIENCE (2022)

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Creation and Psychometric Validation of the Sexual Minorities and Prostate Cancer Scale (SMACS) in Sexual Minority Patients-The Restore-2 Study

Elizabeth J. Polter et al.

Summary: This study developed and evaluated a new scale to measure sexual functioning among sexual minority men with prostate cancer. The scale consists of five subscales and demonstrates good validity and reliability. The results indicate that Sexual Satisfaction, Sexual Confidence, Frequency of Sexual Problems, and Urinary Incontinence in Sex are moderately correlated with related scales, and the new scale can be used by clinicians and researchers for comprehensive sexual functioning assessment in sexual minority men.

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Review Urology & Nephrology

Indications and characteristics of penile traction and vacuum erection devices

Abida Sultana et al.

Summary: A variety of penile traction therapy and vacuum erection devices are available for the management of patients with erectile dysfunction, Peyronie's disease, penile dysmorphophobia, before and after penile prosthesis insertion, and after radical prostatectomy. The optimal device for each indication differs and, for some indications, research is limited. Compliance, cost, and availability continue to be challenges that require more high-quality evidence to clarify the role of traction devices in urology and sexual medicine.

NATURE REVIEWS UROLOGY (2022)

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Health Disparities of Sexual Minority Patients Following Prostate Cancer Treatment: Results From the Restore-2 Study

B. R. Simon Rosser et al.

Summary: This study examines the health disparities in sexual minority prostate cancer patients and finds that they have worse urinary, bowel and hormonal function, better sexual function, and poorer mental health and overall well-being compared to heterosexual prostate cancer patients.

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Mariana Bertoncelli Tanaka et al.

Summary: The risk of prostate cancer in transgender women who have not undergone gender-affirming hormone therapy or surgery is the same as cis males. For transgender women on hormone therapy or after surgery, the incidence of prostate cancer is lower but diagnosis and treatment is more complex. Future research is needed to develop evidence-based guidelines for managing prostate cancer in transgender women.

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Top, bottom or vers? Creating a more equitable health system for sexual and gender minority patients with prostate cancer COMMENT

Daniel R. Dickstein et al.

Summary: Limited information is available on the effects of prostate cancer therapies on sexual health outcomes in sexual and gender minority patients. Understanding these outcomes is crucial for personalized clinical decision-making and creating a more equitable health system.

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Azar Nematollahi et al.

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Tsz Kin Lee et al.

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Prevalence and Risk Factors for Sexually Transmitted Infections in Gay and Bisexual Prostate Cancer Survivors: Results From the Restore-2 Study

Christopher W. Wheldon et al.

Summary: This study examined the prevalence of sexually transmitted infections (STIs) and risk factors among gay and bisexual male (GBM) prostate cancer survivors. The results showed that GBM prostate cancer survivors are at higher risk for STIs, with syphilis, gonorrhoea, and chlamydia being the most commonly diagnosed infections. Independent risk factors for STI diagnosis included time since prostate cancer diagnosis, nonmonogamous sexual relationship, better sexual function, penile injection treatment, and multiple sex partners.

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Sexual Orientation and Gender Identity Data Collection in Oncology Practice: Findings of an ASCO Survey

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Landon D. Hughes et al.

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Kimberly D. Miller et al.

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CA-A CANCER JOURNAL FOR CLINICIANS (2022)

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Domenico Canale et al.

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Alexander B. Nolsoe et al.

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Natnita Mattawanon et al.

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Carmen Kloer et al.

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Orgasm-Associated Incontinence (Climacturia) after Bladder Neck-Sparing Radical Prostatectomy: Clinical and Video-Urodynamic Evaluation

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Early use of vacuum constriction device following radical prostatectomy facilitates early sexual activity and potentially earlier return of erectile function

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