Laparoscopic RP aided by a new-generation 3D display system is associated with shorter operative times, reduced blood loss, and higher early continence rates in comparison with that aided by a 2D display system. In particular when considering economic issues, 3D laparoscopic RP may represent an acceptable alternative to robot-assisted laparoscopic RP.

Background: We aimed to present the demographic information, treatment protocol, and results of 482 female patients that presented to our clinic specialized in sexual dysfunction with the complaint of no or only partial sexual intercourse and were diagnosed with primary vaginismus.Methods: The female patients were asked eight questions about demographics; 13 questions about marriage; seven questions about family structure and upbringing; three questions about history of psychiatric diseases and general phobias; and 17 questions about sexual history and previous treatments. The male spouses were asked seven questions concerning age, occupation, educational level, personality, sexual experience, and sexual dysfunction.Results: The median age of the female patients was 28 and their spouses was 29. The mean duration of marriage was 18.2 months. Of the female patients, 65.4% reported that they felt they would have pain during sexual intercourse, 23.6% stated that they really had pain, 74.1% mentioned that they had heard horrifying stories about the first night of marriage in the pre-marital period. Cognitive behavioral therapy was performed alone in 85.7% of the patients, following hymenotomy in 5%, and following hymenectomy in 9.3%.Conclusions: False and exaggerated information about sexuality being embedded in the subconscious of women is very effective in the development of vaginismus. On the other hand, traditional family structure, adolescent traumas, first night stories, and superstitions about sexuality are among the important causes of vaginismus.

Objective: To examine retrospectively sexual dysfunction in the male spouses of 425 female patients who had presented to our clinic and were diagnosed with primary vaginismus. Materials and methods: Seven questions related to age, profession, educational status, number of marriages, personality structure, sexual experience, and sexual dysfunction history were directed to the spouses of the 425 female patients presenting to our clinic for vaginismus treatment between 2015 and 2018. Men reporting sexual dysfunction were evaluated by a urologist, and the necessary treatment was initiated. Cognitive-behavioral couple therapy was started for all patients. Results: Of the 425 men, 73.9% stated that they did not have any sexual problems. Of the 111 men (26.1%) stated that they had one or more sexual problems, 77 (18.1%) were diagnosed with premature ejaculation, 25 (5.8%) erectile dysfunction, 36 (8.4%) hypoactive sexual desire, and one (0.2%) had delayed ejaculation. Premature ejaculation and erectile dysfunction were identified in nine patients, premature ejaculation and hypoactive sexual desire in seven, and erectile dysfunction and hypoactive sexual desire in four patients. There was an increased rate of sexual dysfunction in men in cases where the duration of marriage without coitus was longer than three years. Conclusion: In the treatment of vaginismus, male sexual dysfunction should not be ignored. Spouses should be questioned for sexual dysfunction and included in the treatment process.

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