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Biomedical subjects

J Littlejohn

Publications and source records attributed to J Littlejohn.

5 recordsLinked to original sources

Use of sildenafil in penile implant patients.

OBJECTIVE: To determine whether Sildenafil use in the patients with penile implants provided additional sexual satisfaction. MATERIAL AND METHODS: 12 patients who had had insertion of inflatable penile implants were given oral Sildenafil in the period following implantation. They were assessed for sexual satisfaction before and after oral Sildenafil use. The assessment was done using questions 7, 8, 13 and 14 of the International Index of Erectile Function (IIEF) questionnaire. These four questions of the IIEF questionnaire address the domain of satisfaction in male sexual behavior. Each person answered these questions using a scale of 1 (almost never or never) to 5 (almost always or always). The main answer to each question after Sildenafil was compared to the mean answer before. RESULTS: There was a significant increase in the mean answer score to each of these questions. CONCLUSION: Supplemental Sildenafil can increase the sexual satisfaction of patients with inflatable penile implants.

Combined Modality Therapy↗

Episiotomy: risks of dehiscence and rectovaginal fistula.

The obstetric literature was reviewed to assess the risk of episiotomy dehiscence and rectovaginal fistula formation from routine episiotomy, with and without third- and fourth-degree laceration into the rectal sphincter or rectal mucosa, respectively. Strong evidence suggests that elective episiotomy predisposes to severe 3rd and 4th degree perineal lacerations and that episiotomy dehiscence with rectovaginal fistula formation is strongly related to 3rd and 4th degree perineal lacerations.

Elective Surgical Procedures↗