Orgasmo y su impacto en la calidad de vida después de prostatectomia radical / Orgasm sexual function after radical prostatectomy

INTRODUCCIÓN: El orgasmo es un fenómeno neurofisiológico, que produce contracción de la musculatura bulbo-cavernosa y que habitualmente coincide con la eyaculación. El objetivo de este estudio fue evaluar la presencia de orgasmo y la calidad de este, en un grupo de nuestros pacientes intervenidos de prostatectomía radical, así como su impacto en la calidad de vida de los mismos. PACIENTES Y MÉTODO: Revisamos retrospectivamente los datos de 152 pacientes tratados mediante prostatectomía radical. Fueron intervenidos entre enero de 1999 y diciembre de 2001, con una media de edad de 64,4 (44-75) años y un periodo medio de seguimiento de 33 (21-45) meses. Cuarenta y dos pacientes (31,6%) mostraban disfunción eréctil (DE) previa a la cirugía. La investigación fue realizada mediante entrevista personal y la utilización de un cuestionario semi-estructurado. RESULTADOS: Ciento treinta y cuatro pacientes (96,4%) tratados mostraban disfunción eréctil post-operatoria, 91,6% de los pacientes tenían una pareja estable, 44,4% mantenían relaciones sexuales, 23,3% solo masturbación y 32,3% no tenían actividad sexual. Ochenta y cuatro pacientes (55,2%) no estaban interesados en recibir tratamiento y 25 (16,4%) referían disminución de la libido. En relación a la sensación orgásmica, 140 pacientes (92,1%) mantenían un sensación subjetiva normal, 4 (2,6%) esta era ausente y 8 (5,2%) mostraban una experiencia anómala o extraña. Además 24 pacientes (15,7%) tenían pérdidas de orina durante el orgasmo. CONCLUSIONES: Después de prostatectomía radical, la función orgásmica y la libido se mantienen en la mayoría de los pacientes a pesar del daño causado sobre los haces neurovasculares. Solo una minoría de los pacientes referían pérdidas de orina durante el orgasmo, como consecuencia del procedimiento quirúrgico

INTRODUCTION: Orgasm is a neurophysiological event, which produces bulbous cavernous muscle contraction that usually coincided with ejaculation. The aim of this study was to assess the orgasm’s presence and quality in patients treated with radical prostatectomy, as well as its impact on quality of life of these patients. METHOD: The medical records of 152 patients with radical prostatectomy were reviewed retrospectively. Patients were operated between january 1999 and december 01, with an average age of 64,4 (44-75) years and the follow-up period was 33 (21-45) months. 42 (31,6%) patients showed erectile dysfunction (ED) previous to surgery. The research was performed by a personal interview through a questionnaire. RESULTS: 134 patients (96,4%) treated showed post operative ED, 91,6% of patients had stable relationship and 44,4% have sexual intercourse, 23,3% masturbation only and 32,3% no sexual activity. 84 patients (55,2%) were not interested in receiving treatment and 25(16,4%) referred a reduced libido. Concerning to orgasm sensation, 140 patients (92,1%) preserved a subjectively normal orgasm, 4 (2,6%) referred lack of it and 8 (5,2%) a weakened or anomalous sensation. Furthermore 24 patients (15,7) had urine loss during orgasm. CONCLUSIONS: After radical prostatectomy, both the orgasmic function and libido were kept by the majority of patients despite the neuro vascular bundle damaged caused.Only a minority of patients having urine loss, as a consequence of surgical procedure

[Nutcracker's syndrome: demostration with helicoidal TC with volumetric reconstruction "3D"]. / Síndrome "Nutcracker" o Cascanueces: demostración mediante TAC Helicoidal con reconstrucción "3D" (VR).

The nutcracker's syndrome or phenomenom is defined as the left renal vein compression between the aorta and the superior mesenteric artery. Diagnosis is uncommon, not only due to its low frequency but for the dificulty to be suspected in usual findings as lumbar pain or hematuria. We present the case of a patient to whom we were able to show mentioned pathology with the helicoidal TC with volumetric reconstruction "3D" (VR).

Síndrome “nutcracker” o cascanueces: demostración mediante TAC helicoidal con reconstrucción “3D” (VR) / Nutcracker’s syndrome: demostration with helicoidal tc with volumetric reconstruction “3D”

El síndrome o fenómeno de Nutcracker o Cascanueces se define como la compresión de la vena renal izquierda a su paso por la pinza u horquilla vascular formada por la aorta y la mesentérica superior. Su diagnóstico es poco frecuente, tanto por su baja frecuencia como por la dificultad de sospecharlo ante hallazgos tan frecuentes como el dolor lumbar o la hematuria. Presentamos el caso de una paciente en la cual pudimos demostrar dicha patología mediante el apoyo diagnóstico del TAC helicoidal con reconstrucción volumétrica o “3D” (VR)

The nutcracker’s syndrome or phenomenom is defined as the left renal vein compression between the aorta and the superior mesenteric artery. Diagnosis is uncommon, not only due to its low frequency but for the dificulty to be suspected in usual findings as lumbar pain or hematuria. We present the case of a patient to whom we were able to show mentioned pathology with the helicoidalTC with volumetric reconstruction “3D” (VR)

[Orgasm and its impact on quality of life after radical prostatectomy]. / Orgasmo y su impacto en la calidad de vida después de prostatectomía radical.

INTRODUCTION: Orgasm is a neurophysiological event, which produces bulbous cavernous muscle contraction that usually coincided with ejaculation. The aim of this study was to assess the orgasm's presence and quality in patients treated with radical prostatectomy, as well as its impact on quality of life of these patients. METHOD: The medical records of 152 patients with radical prostatectomy were reviewed retrospectively. Patients were operated between january 1999 and december 01, with an average age of 64.4 (44-75) years and the follow-up period was 33 (21-45) months. 42 (31.6%) patients showed erectile dysfunction (ED) previous to surgery. The research was performed by a personal interview through a questionnaire. RESULTS: 134 patients (96.4%) treated showed post operative ED, 91.6% of patients had stable relationship and 44.4% have sexual intercourse, 23.3% masturbation only and 32.3% no sexual activity. 84 patients (55.2%) were not interested in receiving treatment and 25 (16.4%) referred a reduced libido. Concerning to orgasm sensation, 140 patients (92.1%) preserved a subjectively normal orgasm, 4 (2.6%) referred lack of it and 8 (5.2%) a weakened or anomalous sensation. Furthermore 24 patients (15.7) had urine loss during orgasm. CONCLUSIONS: After radical prostatectomy, both the orgasmic function and libido were kept by the majority of patients despite the neuro vascular bundle damaged caused. Only a minority of patients having urine loss, as a consequence of surgical procedure.