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Biomedical subjects

W C Schultz

Publications and source records attributed to W C Schultz.

6 recordsLinked to original sources
PubMed2000

Sexual problems as a matter of course.

The two most fundamental aspects of sexual relationships, passion and intimacy, are complex concepts, with at least partly paradoxical contents. Intimacy, for example, stands for unity and security, but also for shifting boundaries and exposure. Passion in its turn, stands for enthusiasm and energy, but also for surrender and dependency. It is this 'two sides of the coin' phenomenon that makes sexual relationships as interesting as they are dangerous. In terms of development, a relationship often starts with 'setting each other on fire' and ends with 'sexual burn-out'. In this paper, an analysis is made of the way patients, but also health care providers such as gynecologists and sexologists, cope with these unavoidable phenomena in sexual relationships.

Adaptation, Psychological↗
PubMed1996

Orgasm after radical prostatectomy.

OBJECTIVE: To evaluate the ability to obtain and the quality of orgasm after radical prostatectomy. PATIENTS AND METHODS: The orgasms experienced after undergoing radical prostatectomy were evaluated in 20 men (median age 65 years, range 56-76) using a semi-structured interview and a self-administered questionnaire. In addition, the patients were asked to write a brief statement about their experiences and sensations during orgasm before and after the operation. RESULTS: Eighteen patients returned the questionnaire and 17 completed a statement indicating what their orgasm was like before and after radical prostatectomy. After the operation, no patient was able to maintain a completely rigid erection, but for five patients the erection was sufficient for sexual intercourse. Nine patients used a vacuum device or intracavernosal self-injection. Half the patients reported diminished sexual desire (libido) and arousal after the operation and reported the same to occur in their partners. During their "dry' orgasm post-operatively, none of the patients experienced the exquisite sensation of inevitability, the so-called "point of no return'. Seven of the 14 patients experiencing orgasm complained that their orgasmic sensation was weakened. Four patients reported normal pleasure and sensation compared to that experienced pre-operatively. Surprisingly, nine of the 14 patients had involuntary loss of urine at orgasm; for five of them this was sufficient reason to avoid any sexual contact with their partner. CONCLUSION: Radical prostatectomy may have serious consequences on libido and erectile function but sometimes other important factors, such as the absence of prostate and seminal vesicle contractions, the loss of ejaculation and involuntary loss of urine, may also compromise the orgasm.

Aged↗
PubMed1988

Sexual functioning following treatment of cervical carcinoma.

Women faced with cervical carcinoma usually feel an increased need for support and attention, in particular from their partners as, at the same time an important part of the partner relation, sexual interaction often becomes problematic. In this research the eventuality of a reduced sexual motivation in cervical carcinoma patients was investigated. It was found that sexual interaction is valued significantly less by women treated for cervical carcinoma than by women from a non-patient control group. After treatment no changes in overt sexual behaviour occur. Furthermore an effort was made to identify the most important psychosexual variables underlying the reduction in sexual motivation. It was found that a considerable decrease in the appraisal of oneself as a sexual partner is generally basic to the problem. Apparently women try to cope by conforming to the sexual demands of their partners and with that of prevailing sexual norms. It was concluded that cervical carcinoma treatment has a strong negative effect on the sexuality of the patients and that it often amplifies the already existing ambivalence towards sexual interaction in women.

Adult↗