Benign prostatic hyperplasia(BPH)is a common condition among agingmen,often leading to lower urinary tract symptoms(LUTS)of varyingseverity.Both medical and surgical treatments for BPH can negatively impactsexual func...Benign prostatic hyperplasia(BPH)is a common condition among agingmen,often leading to lower urinary tract symptoms(LUTS)of varyingseverity.Both medical and surgical treatments for BPH can negatively impactsexual function,affecting patients'overall quality of life.This has highlightedthe need for minimally invasive interventions that minimize sexual side ef-fects.Rezum,a water vapor therapy,has gained popularity in managing BPHand LUTS due to its proposed potential to preserve sexual function.Thisscoping review examines the impact of Rezum therapy on sexual function inpatients treated for BPH.The review was conducted following the JoannaBriggs Institute(JBI)methodology for scoping reviews.A comprehensivesearch was performed using the PubMed and Scopus databases up to August2024.Articles were included if they involved patients treated with Rezum forBPH and reported the effect of Rezum on sexual function using validatedscoring tools.A total of 15 studies encompassing 2,425 patients,met theinclusion criteria.Erectile function was assessed in all studies using theInternational Index of Erectile Function(IIEF)scores.Of these,seven studiesreported no significant changes in erectile function scores,six demonstratedimprovements,and two reported a significant decline.Ejaculatory functionwas evaluated using the Male Sexual Health Questionnaire(MSHQ).TheMSHQ‐Bother score was reported in seven studies,with three indicatingimprovement and none reporting deterioration.The MSHQ‐Function scorewas reported in eight studies,with only one study reporting a decline,whilethe remaining studies found no significant changes.In conclusion,Rezumtherapy for managing BPH shows favorable outcomes for sexual function or,at the very least,does not negatively impact it.Thesefindings can guidepatient counseling,especially for those seeking to preserve ejaculation.Further research is needed to compare Rezum with other treatment optionsregarding sexual function.展开更多
Background:Demographic and clinical factors significantly influence urinary stone composition;however,data from other Arabian Gulf countries still lack further exploration of these variables with the aid of multivaria...Background:Demographic and clinical factors significantly influence urinary stone composition;however,data from other Arabian Gulf countries still lack further exploration of these variables with the aid of multivariate analyses.This study aims to address this gap by conducting an in-depth multivariate analysis of the demographic and clinical variables associated with different urinary stone compositions.Methods:A retrospective analysis of data from 1193 patients'charts between January 2017 and February 2019.Demographic,clinical data,and stone characteristics were recorded.Statistical analyses included one-way analysis of variance,Pearson's chi-square,and multinomial logistic regression to identify factors associated with different stone compositions.Results:A total of 1193 patients were analyzed(male:female ratio=8:1,mean age=42.53±11.31 years,mean body mass index(BMI)=28.22±5.23 kg/m^(2)).Calcium oxalate(CaOx)was the most common stone type(87.7%),followed by uric acid(UA)stones(9.13%).CaOx was predominant across all ethnicities.Patients with CaOx stone were younger than patients with UA and other stone types.BMI was significantly higher in the UA group.UA stone formers were more likely to have hypertension,chronic kidney disease(CKD),and recurrent urolithiasis than CaOx patients.Multinomial logistic regression identified UA stones as significantly associated with older East Asians,higher BMI,recurrent stone formation,and lower baseline glomerular filtration rate compared to CaOx.Conclusion:CaOx was the most prevalent stone type,whereas UA stones were more commonly observed in patients with higher BMI,CKD,older age,and a history of recurrent urolithiasis.These differences highlight the importance of targeted prevention and personalized management strategies.展开更多
Women live longer than males all around the world,however,the disparity varies greatly in less developed countries.In 2020,the age average of women was 82.5 years while males aged an average of 79.8 years in Qatar^([1...Women live longer than males all around the world,however,the disparity varies greatly in less developed countries.In 2020,the age average of women was 82.5 years while males aged an average of 79.8 years in Qatar^([1]).Several young or old men aren't aware of what they may do to improve their health and live longer lives.In Qatar,the male mortality rate was 41.49 per 1000 male adults in 2018,while the female mortality rate was 31.87 per 1000 female adults^([2,3]).展开更多
文摘Benign prostatic hyperplasia(BPH)is a common condition among agingmen,often leading to lower urinary tract symptoms(LUTS)of varyingseverity.Both medical and surgical treatments for BPH can negatively impactsexual function,affecting patients'overall quality of life.This has highlightedthe need for minimally invasive interventions that minimize sexual side ef-fects.Rezum,a water vapor therapy,has gained popularity in managing BPHand LUTS due to its proposed potential to preserve sexual function.Thisscoping review examines the impact of Rezum therapy on sexual function inpatients treated for BPH.The review was conducted following the JoannaBriggs Institute(JBI)methodology for scoping reviews.A comprehensivesearch was performed using the PubMed and Scopus databases up to August2024.Articles were included if they involved patients treated with Rezum forBPH and reported the effect of Rezum on sexual function using validatedscoring tools.A total of 15 studies encompassing 2,425 patients,met theinclusion criteria.Erectile function was assessed in all studies using theInternational Index of Erectile Function(IIEF)scores.Of these,seven studiesreported no significant changes in erectile function scores,six demonstratedimprovements,and two reported a significant decline.Ejaculatory functionwas evaluated using the Male Sexual Health Questionnaire(MSHQ).TheMSHQ‐Bother score was reported in seven studies,with three indicatingimprovement and none reporting deterioration.The MSHQ‐Function scorewas reported in eight studies,with only one study reporting a decline,whilethe remaining studies found no significant changes.In conclusion,Rezumtherapy for managing BPH shows favorable outcomes for sexual function or,at the very least,does not negatively impact it.Thesefindings can guidepatient counseling,especially for those seeking to preserve ejaculation.Further research is needed to compare Rezum with other treatment optionsregarding sexual function.
文摘Background:Demographic and clinical factors significantly influence urinary stone composition;however,data from other Arabian Gulf countries still lack further exploration of these variables with the aid of multivariate analyses.This study aims to address this gap by conducting an in-depth multivariate analysis of the demographic and clinical variables associated with different urinary stone compositions.Methods:A retrospective analysis of data from 1193 patients'charts between January 2017 and February 2019.Demographic,clinical data,and stone characteristics were recorded.Statistical analyses included one-way analysis of variance,Pearson's chi-square,and multinomial logistic regression to identify factors associated with different stone compositions.Results:A total of 1193 patients were analyzed(male:female ratio=8:1,mean age=42.53±11.31 years,mean body mass index(BMI)=28.22±5.23 kg/m^(2)).Calcium oxalate(CaOx)was the most common stone type(87.7%),followed by uric acid(UA)stones(9.13%).CaOx was predominant across all ethnicities.Patients with CaOx stone were younger than patients with UA and other stone types.BMI was significantly higher in the UA group.UA stone formers were more likely to have hypertension,chronic kidney disease(CKD),and recurrent urolithiasis than CaOx patients.Multinomial logistic regression identified UA stones as significantly associated with older East Asians,higher BMI,recurrent stone formation,and lower baseline glomerular filtration rate compared to CaOx.Conclusion:CaOx was the most prevalent stone type,whereas UA stones were more commonly observed in patients with higher BMI,CKD,older age,and a history of recurrent urolithiasis.These differences highlight the importance of targeted prevention and personalized management strategies.
文摘Women live longer than males all around the world,however,the disparity varies greatly in less developed countries.In 2020,the age average of women was 82.5 years while males aged an average of 79.8 years in Qatar^([1]).Several young or old men aren't aware of what they may do to improve their health and live longer lives.In Qatar,the male mortality rate was 41.49 per 1000 male adults in 2018,while the female mortality rate was 31.87 per 1000 female adults^([2,3]).
