Aim To compare the efficacy of the treatment with transcutaneous perineal electrostimulation versus intracavitary electrostimulation to reduce the frequency of urinary incontinence after radical prostatectomy and the impact on the quality of life (QoL). Methods This single‐blind equivalence‐randomized controlled trial equally (1:1) randomly allocated men with urinary incontinence post radical prostatectomy into surface electrodes perineal group (intervention group, IG) and intra‐anal probe group (control group, CG). Outcomes included changes in the 24h‐Pad Test (main variable), and ICIQ‐SF (International Consultation on Incontinence Questionnaire Short‐Form), SF‐12 (Short Form Health Survey), and I‐QOL (incontinence quality of life questionnaire) questionnaires. Clinical data were collected at baseline, 6 and 10 weeks. For the comparisons between variables, χ2 test and Student's t test were used. Equivalence was analyzed by estimating the mean change (90% confidence interval) of urinary incontinence based on the Pad Test. The analysis was performed for the per‐protocol and the intention‐to‐treat populations. Statistical significance level was set at p < 0.05. Results Seventy patients were included, mean age 62.8 (SD 9.4) years. Mean baseline 24h‐Pad Test was 328.3 g (SD 426.1) and a significant decrease (p < 0.001) in the grams of urine loss at 5 weeks (159.1 g in the IG and 121.7 g in the CG), and at 10 weeks of treatment (248.5 g in the IG and 235.8 g in the CG) was observed. However, the final difference in the grams of urine loss between both treatments showed the absence of statistical significance (p = 0.874). In both groups, the ICIQ‐SF, I‐QOL, and SF‐12 questionnaires revealed a significant improvement in QoL. Conclusion Surface and intra‐anal electrostimulation treatments reduced significantly losses of urine, but differences in grams of urine loss throughout the therapy between groups were not significant, suggesting that the efficacy of the two treatments is not statistically different. Nonetheless, the improvement observed in both groups was statistically significant and clinically relevant.

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Background The introduction of Zika and chikungunya to dengue hyperendemic regions increased interest in better understanding characteristics of these infections. We conducted a cohort study in Mexico to evaluate the natural history of Zika infection. We describe here the frequency of Zika, chikungunya and dengue virus infections immediately after Zika introduction in Mexico, and baseline characteristics of participants for each type of infection. Methods Prospective, observational cohort evaluating the natural history of Zika virus infection in the Mexico-Guatemala border area. Patients with fever, rash or both, meeting the modified criteria of PAHO for probable Zika cases were enrolled (June 2016–July 2018) and followed-up for 6 months. We collected data on sociodemographic, environmental exposure, clinical and laboratory characteristics. Diagnosis was established based on viral RNA identification in serum and urine samples using RT-PCR for Zika, chikungunya, and dengue. We describe the baseline sociodemographic and environmental exposure characteristics of participants according to diagnosis, and the frequency of these infections over a two-year period immediately after Zika introduction in Mexico. Results We enrolled 427 participants. Most patients (n = 307, 65.7%) had an acute illness episode with no identified pathogen (UIE), 37 (8%) Zika, 82 (17.6%) dengue, and 1 (0.2%) chikungunya. In 2016 Zika predominated, declined in 2017 and disappeared in 2018; while dengue increased after 2017. Patients with dengue were more likely to be men, younger, and with lower education than those with Zika and UIE. They also reported closer contact with water sources, and with other people diagnosed with dengue. Participants with Zika reported sexual exposure more frequently than people with dengue and UIE. Zika was more likely to be identified in urine while dengue was more likely found in blood in the first seven days of symptoms; but PCR results for both were similar at day 7–14 after symptom onset. Conclusions During the first 2 years of Zika introduction to this dengue hyper-endemic region, frequency of Zika peaked and fell over a two-year period; while dengue progressively increased with a predominance in 2018. Different epidemiologic patterns between Zika, dengue and UIE were observed. Trial registration Clinical.Trials.gov (NCT02831699).

Las personas con discapacidad a menudo quedan excluidas del constructo social de funcionalidad y satisfacción sexual, debido a la existencia de ciertos estereotipos sexuales negativos que suelen tener efectos psicosociales más graves que la propia discapacidad. Son necesarios determinados conocimientos para que el entorno profesional, parental y/o social no trivialice o ignore su sexualidad.Objetivo general: Aportar información en relación a la educación sexual de las personas condiscapacidad física en Cataluña.Diseño: Estudio exploratorio, descriptivo y transversal.Muestra: 135 encuestas de sujetos mayores de 18 años con discapacidad físicaInstrumentación: Encuesta de Salud Sexual para Personas con Discapacidad Física ESSPDF/2016.Resultados: Se presentan los resultados preliminares del apartado de educación sexual. El 43% de la muestra valoran el grado de utilidad de la información sexual recibida como “Muy útil/útil” y el 9,6% no había recibido ninguna información. El 63% consideran como “Muy buena/buena” la información que ahora disponen. Existen diferencias significativas en relación al sexo sobre quién habrían elegido para recibir información sexual (p=0.034), interés para obtener más información en temas como recibir información sobre “prostitución” (p=0.01), “amor y relaciones sentimentales” (p<0.001) y el las mujeres preferían ser asesoradas por una mujer (p=0.014). El mayor interés se mostró en temas como “Maneras de obtener y recibir placer” y “problemas en las relaciones sexuales”.Conclusiones: Las personas con discapacidad física todavía tienen carencias en relación a la información sexual; esta situación requiere la revisión de los programas de formación e interven ción existentes, así como comprobar la accesibilidad a los servicios. Es necesario trabajar desde todos los entornos educadores sexuales existentes, más allá del ámbito sanitario, como es la familia, la escuela y la sociedad. Se debe abrir la educación sexual a aspectos conductuales y sentimentales, mejorando así la intervención en salud sexual de las personas con discapacidad física

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