Reduced serum testosterone is common among subfertile young men and aging men, and is associated with depression, metabolic syndrome and reduced sexual function.
A 23-year-old male affected by urethral disruption, treated with anterograde and retrograde endoscopic repair by a specialized urologic team, complained of reduced sexual function; at 12-month follow-up he reported fair improvement but not complete remission yet.
Three women with reduced sexual function prior surgery achieved normal sexual function postoperatively.
At baseline 15/33, (45.5%) women had normal sexual function and 18/33 (54.5%) women had a reduced sexual function.
At follow-up 18/33 women showed normal sexual function (54.5%) and 15/33 (45.5%) women had reduced sexual function.
Group 3 (middle): saddle sensory disturbance, bowel or bladder dysfunction, motor weakness of the lower extremity, and reduced sexual function.
12 women with a reduced sexual function at baseline had postoperatively a higher FSFI score (Table 7).
Group 3: saddle sensory disturbance, numbness, bowel and/or bladder dysfunction, motor weakness of the lower extremities, and reduced sexual function.
Scores of women with reduced sexual function at baseline increased significantly in the domains desire, arousal, lubrication, orgasm, satisfaction, and total FSFI-score postoperatively, but sexual function remained unchanged in women with normal sexual function.
Preoperatively sexual activity was normal (FSFI > 26.55) in 24/52 (46.2%) with a mean total FSFI score of 30 ± 2.1, and 28/52 (53.8%) showed a reduced sexual function (FSFI < 26.55) with a mean total FSFI score of 20.3 ± 5.4.
