■性功能障碍在育龄男性中非常普遍。已经建立了临床实践指南,以帮助提供者识别和教育患有某些先天性和获得性泌尿生殖道疾病的不孕和性功能障碍风险增加的患者。作者试图回顾通过通常进行的外科手术治疗常见的儿童泌尿系统疾病对生殖和性健康的影响。
■为了确保纳入有影响力和备受推崇的研究,我们优先考虑了我们各自评论主题中引用最频繁的文章。我们的纳入标准考虑了具有大量样本量和严格设计方法的研究。审查了几个主题,包括阴茎合唱,尿道下裂,后尿道瓣膜,精索静脉曲张,睾丸未降,睾丸扭转.
■对于合唱,可以采用手术折叠或体部移植。手术后勃起功能保持不变,虽然阴茎长度在修复后可能会减少,这可以避免使用真皮移植物。尿道下裂的修复取决于尿道板的严重程度和可用性。那些接受尿道下裂修复的人报告阴茎长度减少,但是性满足,性欲,精液质量与对照组相当。后尿道瓣膜通常用瓣膜消融治疗。虽然没有发现瓣膜消融和膀胱颈切口会影响射精功能,与肾病和膀胱功能障碍相关的高度并发肾功能障碍可能会影响精液参数和勃起功能。关于精索静脉曲张,早期管理与更好的长期生育结果相关,如果有可观察到的睾丸萎缩,建议进行手术干预。已发现睾丸固定术对未降睾丸的早期修复可提高生育率并降低恶性率。单侧睾丸切除术治疗睾丸扭转,但没有挽救能力,精液参数降低,但生育率不受影响。
不孕症和性功能障碍是多变量实体,先天性和获得性的病因。同时,许多常见的儿科泌尿外科手术是为了纠正可能导致成年期生殖功能障碍的解剖病理学。这篇综述强调了诊断和治疗小儿泌尿系统疾病的必要性,因为这些疾病可能会影响术后的长期性功能。
儿科泌尿外科常见手术对性健康的长期影响许多育龄男性面临性健康挑战,促使制定指导方针,以识别和解决与泌尿生殖道疾病有关的问题。这项研究探讨了常见外科手术对泌尿系统疾病儿童生殖和性健康的影响。通过查阅大量文献,这项研究的重点是儿科泌尿外科手术的长期影响,强调有影响力和经常被引用的研究,以便全面理解。对于像合唱这样的条件,手术选择,如折叠或移植可以考虑。虽然勃起功能通常保持不变,手术后阴茎长度可能会减少,可以用特定的技术来解决。尿道下裂的修复根据严重程度不同,接受手术的人阴茎较短。然而,他们的性满足,性欲,精液质量与其他人相当。后尿道瓣膜(PUV)的治疗通常涉及瓣膜消融,然而,一些研究显示消融后精液参数发生了改变.及早管理精索静脉曲张会带来更好的结果,如果观察到睾丸萎缩,建议手术。睾丸固定术和睾丸切除术是儿童睾丸未降(UDT)和睾丸扭转的方法。小儿泌尿系疾病及其手术干预由于其多因素性质,可以显着影响成年后的性功能和生育能力。虽然有些手术旨在保持或增强性潜能,如适当的尿道发育,其他人可能无意中对性健康产生负面影响,如坏死的睾丸切除。这强调了彻底诊断和管理小儿泌尿系统疾病以保护手术后长期性功能的重要性。
UNASSIGNED: Sexual dysfunction is highly prevalent among men of reproductive age. Clinical practice guidelines have been established to assist providers in identification and education of patients who are at increased risk for infertility and sexual dysfunction with certain congenital and acquired urogenital disorders. The authors sought to review the reproductive and sexual health implications of treating common childhood urological conditions with commonly performed surgical procedures.
UNASSIGNED: To ensure the inclusion of influential and highly regarded research, we prioritized citations from the most-frequently cited articles on our respective review topics. Our inclusion criteria considered studies with substantial sample sizes and rigorously designed methodologies. Several topics were reviewed, including penile chordee, hypospadias, posterior urethral valves, varicoceles, undescended testicles, and testicular torsion.
UNASSIGNED: For chordee, surgical plication or corporal grafting may be employed. Erectile function remains unaltered post-surgery, while penile length may decrease after repair, which may be avoided using dermal grafts. Hypospadias repair hinges on severity and availability of the urethral plate. Those who underwent hypospadias repair report decreased penile length, but sexual satisfaction, libido, and semen quality are comparable to controls. Posterior urethral valves are usually treated with valve ablation. While valve ablation and bladder neck incision have not been found to affect ejaculatory function, high degree of concurrent renal dysfunction related to nephrogenic and bladder dysfunction may impact semen parameters and erectile function. Regarding varicocele, earlier management has been associated with better long-term fertility outcomes, and surgical intervention is advisable if there is observable testicular atrophy. Earlier repair of undescended testicle with orchiopexy has been found to improve fertility rates as well as decrease malignancy rates. Unilateral orchiectomy for testicular torsion without the ability for salvage has been shown to have decreased semen parameters but unaffected fertility rates.
UNASSIGNED: Infertility and sexual dysfunction are multivariable entities, with etiologies both congenital and acquired. At the same time, many common pediatric urology surgeries are performed to correct anatomic pathology that may lead to reproductive dysfunction in adulthood. This review highlights the need for diagnosis and management of pediatric urologic conditions as these conditions may impact long-term sexual function post-operatively.
Long-term impact of commonly performed operations in pediatric urology on sexual health Many men of reproductive age face sexual health challenges, prompting the creation of guidelines for identifying and addressing issues related to urogenital disorders. This study explores the impacts of common surgical procedures on reproductive and sexual health in children with urological conditions. By reviewing extensive literature, the study focuses on the long-term effects of pediatric urologic surgeries, emphasizing influential and frequently cited research for a comprehensive understanding. For conditions like chordee, surgical options such as plication or grafting may be considered. While erectile function typically remains unchanged, there might be a decrease in penile length post-surgery, which can be addressed with specific techniques. Hypospadias repair varies based on severity, with those undergoing the procedure having shorter penises. However, their sexual satisfaction, libido, and semen quality are comparable to others. Treatment of posterior urethral valves (PUV) often involves valve ablation, however some studies have shown altered semen parameters following ablation. Managing varicocele early on leads to better outcomes, and surgery is recommended if testicular atrophy is observed. Orchiopexy and orchiectomy are procedures for undescended testis (UDT) and testicular torsion in children. Pediatric urologic diseases and their surgical interventions can significantly affect sexual function and fertility in adulthood due to their multifactorial nature. While some procedures aim to preserve or enhance sexual potential such as proper urethral development, others may inadvertently impact sexual health negatively, such as necrotic testes removal. This underscores the importance of thorough diagnosis and management of pediatric urologic conditions to safeguard long-term sexual function post-surgery.