Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Taha, Khaled Ahmed; Rocha, Flavio Trigo; Castilho, Lísias Nogueira

doi:10.1590/s1677-5538.ibju.2019.0162

Cited by 3 publications

(1 citation statement)

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“…Although low urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) are common in the elderly, they are underreported (Taha et al, 2020). BPH reduces the patient's quality of life, with negative physical and psychological effects (Lee et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Homicidal Act Commited by an Elderly Person With Sexual Dysfunction. Case Report

Toma

Babik

Tabian

et al. 2020

BRAIN

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Sexual dysfunctions (SDs) are highly prevalent with aging. Studies reported an interactive correlation between psychiatric morbidity and SD. Also, SDs have significant influence on patients` self-esteem, body image, interpersonal relationships, and physical health in general. The aim of the present research is to present an intimate partner homicide case and to discuss a possible correlation between SDs of elderly patients and their inclination towards aggressive behavior from intimate partner violence (IPV). A forensic psychiatric assessment was performed on a married male patient, aged 61. He was diagnosed and treated for BPH and he could no longer have sexual intercourse. Using a knife, he provoked over 20 stab wounds to his wife, who died following the attack. He admitted that he was jealous, due to his wife having an affair. The psychiatric forensic expertise found that the killing was committed with discernment. Psychological states found in IPV perpetrators are partly like those met in SDs patients. The relation between SDs in older adults and aggressive behavior, especially IPV, requires further research. In the case discussed, a complex of negative emotions and aggressiveness could be determined equally by infidelity of the spouse or by the perpetrator’s SD, but we can assume that SD played a relevant role in the causal chain.

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Section: Introductionmentioning

confidence: 99%

Homicidal Act Commited by an Elderly Person With Sexual Dysfunction. Case Report

Toma

Babik

Tabian

et al. 2020

BRAIN

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Editorial Comment: Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Javaroni¹

2020

Int. braz j urol.

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The authors conducted a nice survey among elderly in a populacional-base sample, stressing the importance of some urologic under-reported conditions hidden throughout different causes in a population assisted only by public health system (1). They found a huge percentage of elderly men and women with symptoms that could correlate with some diseases, and consequently, motivate search for adequate health assistance in order to reach better quality of life. Brazil faces a significant increase in the number of older adults. And as the older population grows, this knowledge is usefull for antecipating need for public health resources, expertise and services related to improve quality of life in elderly. Two important aspects that deserve consideration: the definition of sexuality and some limitations of the study. An important indicator of successful ageing is subjective well-being, that is affected by a multitude of factors and is a direct indicator of health outcomes in older adults (2). Sexuality and urinary dysfunctions are major topics for both genders (3). Sexuality is predominantly recognized only as the sexual act, but specially for elderly has a broader meaning and should include affection, relationships and the erotic and sexual relationship (4). One relevant aspect to consider, in order to stimulate seek for help, also evolves medical education and doctors ability to address this topic (4). Sexual problems are frequent among older adults, but these problems are infrequently discussed with physicians, particularly in women (5). The questions presented to the interviewees were not shown, as well as some answers. Pathologies such as premature ejaculation, hypogonadism and overactive bladder received unclear diagnostic criteria. The lack of a control group and some variables prevents further analysis of their results. Body mass index, marital status, education categories, physical activity, religion, comorbidities, medicines, prior surgery, social and familial relationships, quality of life impact, Sexualy Transmited Disease knowledge, already proved some influence (4) over authors objectives. Finnaly, as the number of individuals who tried to seek medical assistance was not researched, perhaps the proposal to reverse the situation should include basic education in health, training of health professionals and also proactive policies that bring patients closer to solutions. But without a doubt, the articule provides additional evidence to support the claim for better public health services that identify and treat men and women with modifiable conditions, contributing to improve well being during ageing.

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Pediatric Urology highlighted

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2020

Int. braz j urol.

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padia, Urinary diversion and Testicular Cancer. The papers came from many different countries such as Brazil, USA, Turkey, China, Montenegro, Spain, India and Italy, and as usual the editor´s comment highlights some of them. Pediatric urology is the highlight of this number. In the present issue we present two important reviews: in page 314 Dr. Kirsch and Arlen from Atlanta-USA (1) review in a nice narrative if the open ureteral reimplantation is still the gold standard treatment in surgical management of vesicoureteral reflux and the authors concluded that open, laparoscopic/robot-assisted and endoscopic approaches are all successful in correcting re ux and have been shown to reduce the incidence of febrile urinary tract infections and Dr. Fuchs and Dajusta and from Columbus-USA (2) present in page 322 an important review about robotics in Pediatric urology and concluded that several procedures in Robotic has also shown feasibility and comparable success when compared to open surgery in procedures that were previously deemed too complex to be done by standard laparoscopy. Dr. Azambuja and collegues from Brazil performed on page 353 (3) an important retrospective study about the treatment of testicular cancer with platinum combinations in 50 patients. The authors concluded that the expression of excision repair cross-complementation (ERCC1) and nuclear factor kappa-B give a worse prognosis for relapse, and only ERCC1 had an influence on the overall survival of Testicular germ cells tumor patients treated with platinum-based chemotherapy. These may represent markers that predict poor clinical outcome and response to cisplatin. Dr. Sharma and Collegues from India performed on page 363 (4) a very important study about the use of androgen deprivation therapy (ADT) in carcinoma prostate (CaP) and if the ADT has deleterious effect on bone mineral density (BMD) leading to increase incidence of osteoporosis and skeletal-related events in 96 patients and concluded that the Bone-directed therapy (Zoledronic acid) leads to both subjective and objective improvement in bone health of prostate cancer patients on ADT. Dr. Taha and collegues from Brazil studied patients over 60 years of age, to obtain data on its sexual and urinary health with 3425 questionnaires and found a large number of sexual and urinary disorders and recommended the improvement in health conditions, promoting a better quality of life in the elderly (5). Dr. Freitas and collegues from Brazil performed on page 383 (6) another study about Androgen deprivation therapy (ADT) in advanced prostate cancer and compared efficacy of three schedules of

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Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Cited by 3 publications

References 20 publications

Homicidal Act Commited by an Elderly Person With Sexual Dysfunction. Case Report

Homicidal Act Commited by an Elderly Person With Sexual Dysfunction. Case Report

Editorial Comment: Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly

Pediatric Urology highlighted

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