STORZ MEDICAL – Literature Databases
STORZ MEDICAL – Literature Databases
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Bhatti KH. et al., 2023: Efficacy of sexual intercosurse in the spontaneous passage of distal or intramural ureteral stones: a randomsized controlled trial.

Bhatti KH, Bapir R, Bhatti WS, Muhammad HM, Abdullah HO, Abdalla BA, Channa AA, Rahim HM, Cheema NA, Sohail N, Gomha FS, Fattah FH, Ahmed NHA, Aghaways I, Kakamad FH.
Urology Department, City Hospital, Pakpattan.
Department of Urology, Surgical Teaching Hospital.
Smart Health Tower, Madam Mitterand Street.
Kscien Organization for Scientific Research (Middle East Office), Hamid Street, Azadi Mall, Sulaimani, Kurdistan.
Department of the Urology and Renal Transplantation, Government Institute of Medical Science (GIMS), Gambat, Pakistan.
College of Medicine, University of Sulaimani, Madam Mitterrand Street.
Islam Medical and Dental College.
Department of Medical Laboratory Science, College of Health Sciences, University of Human Development.
Urology Department, Amina Hospital, Sialkot.
Al Ramadi Teaching Hospital, Al Anbar/Ramadi City, Iraq.

Abstract

Background: The role of sexual intercourse as an alternative treatment approach for ureteral stones (UTSs) is a recent area of investigation with only small sample-sized studies. This study aims to evaluate the role of sexual intercourse in the spontaneous passage of distal or intramural UTSs via a larger sample size.

Materials and methods: The study population included cases that had either a distal ureteric or an intramural radiopaque stone. The patients were divided into two groups; group A was instructed to engage in sexual intercourse two to three times per week while also receiving symptomatic treatment for 4 weeks. Group B received symptomatic treatment alone and was instructed to abstain from sexual intercourse or masturbation for the same period.

Results: A total of 160 male patients were enrolled in this study. The ages of the patients ranged from 21 to 58 years. The rate of stone expulsion after 2 weeks was 68.18% in group A and 53% in group B (P=0.053). The expulsion rate after 4 weeks was 80% in group A and 68.4% in group B (P=0.072). The mean expulsion time was 13.9±5.4 days for the experimental group and 15.2±6.7 days for the control group (P=0.179). The experimental group required fewer analgesic injections in comparison to the control group (P<0.05).

Conclusion: While the role of sexual intercourse in facilitating the passage of distal or intramural UTSs cannot be fully established, it may aid to some extent. However, it should not be relied upon as a standalone treatment modality.

Ann Med Surg (Lond). 2023 Nov 1;85(12):5972-5976. doi: 10.1097/MS9.0000000000001414. eCollection 2023 Dec. PMID: 38098570 FREE ARTICLE

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Comments 1

Peter Alken on Friday, 05 April 2024 11:00

This paper is not dealing with ESWL but it is a good joke. A single centre study on the efficacy of sexual intercourse in the spontaneous passage of ureteral stones published by 15! men!. Being female was not an exclusion criterion, but being unmarried was.
The only significant difference between the two groups was that the intercourse group needed less pain medication. So, may be intercourse is an alternative to pain killers in general.
Yes, and as the authors concluded, there is definitively a need for “Further studies that include larger sample sizes, both genders, and different ethnicities … to evaluate the efficacy of this regimen for proper consideration, and there is a need to conduct metaanalysis studies in the future to summarize the findings of RCT studies done in this area.”
Is it all reality? I am waiting for a ME-TOO paper on that topic.

Peter Alken

This paper is not dealing with ESWL but it is a good joke. A single centre study on the efficacy of sexual intercourse in the spontaneous passage of ureteral stones published by 15! men!. Being female was not an exclusion criterion, but being unmarried was. The only significant difference between the two groups was that the intercourse group needed less pain medication. So, may be intercourse is an alternative to pain killers in general. Yes, and as the authors concluded, there is definitively a need for “Further studies that include larger sample sizes, both genders, and different ethnicities … to evaluate the efficacy of this regimen for proper consideration, and there is a need to conduct metaanalysis studies in the future to summarize the findings of RCT studies done in this area.” Is it all reality? I am waiting for a ME-TOO paper on that topic. Peter Alken
Monday, 20 May 2024