Publications by authors named "A Schirmann"

Context: Erectile dysfunction (ED) is a common sexual disorder. In France, recent evidence-based guidelines are lacking.

Aim: To provide practice guidelines on ED therapeutic management.

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Background: A significant proportion of trans women is demanding for a genital gender-affirming surgery, with vulvo-vaginoplasty being the most frequently requested procedure. The gold standard for primary vaginoplasty in trans women is the penile skin inversion technique with scrotal skin graft, which allows for increased depth of the vaginal cavity.

Aims: The assessment of vulvo-vaginoplasty outcomes utilizing penile skin inversion and scrotal skin graft in individuals assigned male at birth in the surgeon's learning curve involves evaluating aesthetics, functionality, and sexual aspects.

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Article Synopsis
  • Urethral stricture has a prevalence of about 0.9%, and while endoscopic treatments have been the primary approach, their effectiveness has led to a shift towards urethroplasty as the preferred treatment from 2013 to 2022.
  • Data from the Scansanté platform shows that while endoscopic procedures remain common, urethroplasties have increased noticeably since 2019, rising from 1,100 to 1,600 cases from 2020 to 2022.
  • Despite urethrotomies still outnumbering urethroplasties by a large margin, the gap is narrowing, and urethroplasty, particularly with augmentation techniques, is now recognized as
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Resistance exercise training (RET) is considered an excellent tool for preventing diseases with an inflammatory background. Its neuroprotective, antioxidant, and anti-inflammatory properties are responsible for positively modulating cholinergic and oxidative systems, promoting neurogenesis, and improving memory. However, the mechanisms behind these actions are largely unknown.

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Article Synopsis
  • - This systematic review aimed to assess the occurrence of genital prolapse in trans women undergoing vulvovaginoplasty, analyzing studies published since 1995 to identify prevalence, risk factors, and treatment options.
  • - The review included 24 studies with over 3,000 patients, showing an overall prolapse rate of 2.7%, with lower rates associated with penile skin inversion techniques compared to intestinal vaginoplasty.
  • - The main risk factor for developing genital prolapse post-surgery was identified as a high body mass index, while surgical prevention techniques often included fixation to the sacrospinous ligament and vaginal packing.
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