著者

佐藤 嘉一 丹田 均 中嶋 久雄 新田 俊一 赤樫 圭吾 半澤 辰夫 戸邉 武蔵 芳賀 一徳 内田 耕介 本間 一也

出版者

泌尿器科紀要刊行会

雑誌

泌尿器科紀要 = Acta urologica Japonica (ISSN:00181994)

巻号頁・発行日

vol.59, no.5, pp.271-275, 2013-05

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Erectile dysfunction following radical prostatectomy (RP) is still a significant burden as a post-operative morbidity, despite advances in nerve-sparing techniques and penile (erectile function) rehabilitation (PR) programs. We assessed the effects of stimulation with the masturbation device "EGG" on enhancement of erectile response along with administration of phospho diesterase type 5 inhibitor. We also studied the change of self-esteem and motivation for continuation of PR after stimulation with EGG. Eight nonresponders for PDE5-I who underwent retropubic RP were enrolled. Patients' median age was 71.5 years old. No patients received adjuvant therapy for prostate cancer. The patients' erectile response in the penile rehabilitation session (masturbation) with PDE5-I+manual stimulation and PDE5-I+stimulation with EGG were evaluated by erection hardness score (EHS). Changes of self-esteem and motivation for penile rehabilitation were assessed by the self-esteem subscale of the Self-Esteem and Relationship (SEAR) questionnaire and one original question, respectively. PDE5-I + stimulation with EGG significantly enhanced EHS compared to PDE5-I+manual stimulation in the eight patients (p=0.027). Transformed score of self-esteem subscale score of SEAR questionnaire was significantly increased in the PR session with EGG compared to the PR session with manual stimulation (p=0.043). Six patients who showed a better erectile response with EGG retained motivation for continuation of PR. PDE5-I+stimulation with EGG improved the erectile response in post-RP patients. EGG as a masturbation device may have a potential for contribution to successful PR.

著者

小六 幹夫 丹田 均 加藤 修爾 大西 茂樹 中嶋 久雄 南部 明民 新田 俊一 赤樫 圭吾 佐藤 嘉一 半澤 辰夫

出版者

泌尿器科紀要刊行会

雑誌

泌尿器科紀要 (ISSN:00181994)

巻号頁・発行日

vol.48, no.6, pp.333-336, 2002-06

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男性性感染症(STD)患者248例のアンケート調査結果について検討した.感染源は約70%の症例が友人やPick up(いわゆるナンパ)など,金銭の授受を伴わない相手であった.症状出現までに性交渉をもった相手の数は2.8人で,症状出現前のピンポン感染により一般のの人々にSTDが拡大している可能性が考えられた.STDに罹患したことをパートナーに伝えると回答した比率は,59.4%で高い比率では無かった.過去1年間の性交相手は平均5.8人で,若年層ほど高い傾向にあった.コンドーム装着率は12.4%(92/234)ときわめて低かった.Oral sexの頻度は82.0%(192/234)と高率であった.以上から,若年層において,広いsexual networkを形成し,無防備な性交が行われていることが考えられたIn Japan, there has been a rapid increase in recent years in the incidence of sexually transmitted diseases (STD), particularly in teenagers and people in their twenties. To determine the factors causing this increase in STD, we carried out a questionnaire survey on the sexual behavior of Japanese males. The subjects were 248 male patients who were treated at our outpatient clinic. The results of the survey showed that 1) about 70% of the male patients were infected through sexual intercourse with partners who were not paid for such services; 2) the average number of partners in the past year was 5.8, and the average number of partners was highest for the teenage group and decreased with age; 3) only 29 (12.4%) of the 234 males used condoms; and 4) 192 (82.0%) of the 234 males received oral sex. The results of the survey suggest that a large "sexual network" has been formed among young Japanese people and that a large percentage of young Japanese people are engaged in unprotected sex.