Psychological and interpersonal dimensions of sexual function and dysfunction.

Introduction: Sex therapy techniques comprise behavioural and cognitive as well as psychodynamic and educational interventions, like reading ('bibliotherapy'), videotapes and illustrations of anatomical models. Contemporary approaches focus on desire, pleasure and satisfaction.

Discussion: It is important to assess medical and biological factors involved in the genesis of sexual dysfunctions.

Position paper: Management of men complaining of a small penis despite an actually normal size.

Introduction: With the worldwide increase in penile augmentation procedures and claims of devices designed to elongate the penis, it becomes crucial to study the scientific basis of such procedures or devices, as well as the management of a complaint of a small penis in men with a normal penile size.

Aim: The aim of this work is to study the scientific basis of opting to penile augmentation procedures and to develop guidelines based on the best available evidence for the management of men complaining of a small penis despite an actually normal size.

Methods: We reviewed the literature and evaluated the evidence about what the normal penile size is, what patients complaining of a small penis usually suffer from, benefits vs.

Psychological and interpersonal dimensions of sexual function and dysfunction.

Introduction: There are limited outcome data on the etiology and efficacy of psychological interventions for male and female sexual dysfunction as well as the role of innovative combined treatment paradigms.

Aim: This study aimed to highlight the salient psychological and interpersonal issues contributing to sexual health and dysfunction, to offer an etiological model for understanding the evolution and maintenance of sexual symptoms, and to offer recommendations for clinical management and research.

Methods: This study reviewed the current literature on the psychological and interpersonal issues contributing to male and female sexual dysfunction.

Is physical examination required before prescribing hormones to patients with gender dysphoria?

Introduction: A genital examination can have psychologic effects on a patient, particularly when the source of their sexual medicine complaint is a body part. How necessary is a physical exam before prescribing hormones in cases of gender dsyphoria?

Methods: Five people with expertise and/or interest in the area of gender dysphoria and endocrinology were asked to contribute their opinions.

Main Outcome Measure: To provide food for thought, discussion, and possible further research in a poorly discussed area of sexual medicine.

The relationship between sexual activity and urinary incontinence in older women.

Objectives: To determine whether continence status is associated with sexual activity in older women.

Design: Cross-sectional postal survey.

Setting: Random selection from a list of respondents to a Canada Post survey.