Publications by authors named "T Wester"
Objective: The aim was to assess fertility, sexual function and sexual quality of life in males with Hirschsprung's disease (HSCR) in the Nordic countries with a cross-sectional study using self-reported validated questionnaires.
Summary Background Data: Data on fertility and sexual function in males with HSCR are limited.
Methods: This multi-center study targeted all males born between 1970-2003 who underwent pull-through surgery at a pediatric surgery center in Sweden, Denmark, Norway, or Finland.
Purpose: The STAT trial is a multicenter randomized controlled trial in 12 centers worldwide aiming to determine the most effective operation for neonates with necrotizing enterocolitis (NEC) requiring intestinal resection: stoma formation (ST) or primary anastomosis (PA).
Methods: Infants having a primary laparotomy for NEC were randomized intraoperatively to PA or ST if the operating surgeon thought that both were viable treatment options for that patient. The primary outcome (duration of parenteral nutrition [PN]) was evaluated by Cox regression.
Article Synopsis
- The study aimed to assess the long-term effects of cloacal malformations on bowel and bladder control, sexual function, reproductive health, and quality of life in adults.
- In a Nordic multi-center study, 34 out of 48 eligible patients participated, revealing challenges like rare bowel control and reduced sexual function despite many being continent for urination.
- Although quality of life was generally comparable to the population average, significant issues were noted, especially in sexual health and fertility, highlighting the importance of ongoing follow-up for affected individuals.
Purpose: The aim was to investigate sexual function and fertility in female adults operated on for anorectal malformations (ARM).
Methods: This was a cross-sectional questionnaire-based study including female adult patients treated for ARM at our institution between 1994 and 2003. Sexual function in females was assessed using the Profile of Sexual Function (PFSF).
Background: In Sweden, surgical treatment of Hirschsprung's disease (HSCR) was centralized from four to two pediatric surgery centers 1st of July 2018. In adults, centralization of surgical care for complex or rare diseases seems to improve quality of care. There is little evidence supporting centralization of pediatric surgical care.
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