HOMERO BRUSCHINI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina - Líder
7 resultados
Resultados de Busca
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conferenceObject ASSESSMENT OF THE MALE SEXUAL QUOTIENT SCALE RELIABILITY TO EVALUATE SEXUAL FUNCTION OF MEN WITH SPINAL CORD INJURY(2015) MIRANDA, Eduardo; GOMES, Cristiano; BESSA JUNIOR, Jose de; CASTRO FILHO, Jose de; BELLUCCI, Carlos; BATTISTELLA, Linamara; BARROS FILHO, Tarcisio; CARVALHO, Fabricio; ABDO, Carmita; BRUSCHINI, Homero; NAHAS, William; SROUGI, MiguelconferenceObject IMPACT OF SPINAL CORD INJURY IN MALE SEXUAL FUNCTION(2012) CASTRO, Jose; GOMES, Cristiano; BESSA JR., Jose; BRUSCHINI, Homero; ABDO, Carmita; ABREU, Luiz; ARAUJO FILHO, Julio; SOUZA, Daniel; SCAZUFCA, Marcia; MIRANDA, Eduardo; SROUGI, Victor; BATTISTELLA, Linamara; BARROS, Tarcisio; SROUGI, MiguelconferenceObject IMPACT OF THE ROUTE OF CLEAN INTERMITTENT CATHETERIZATION ON QUALITY OF LIFE IN CHILDREN WITH LOWER URINARY TRACT DYSFUNCTION(2018) ALENCAR, Valeria; GOMES, Cristiano; MIRANDA, Eduardo P.; SANTOS, Maria Alice Lelis dos; FERA, Patricia; BESSA JR., Jose; SROUGI, Miguel; BRUSCHINI, Homero- Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury(2017) GOMES, Cristiano M.; MIRANDA, Eduardo P.; BESSA JR., Jose de; BELLUCCI, Carlos Henrique Suzuki; BATTISTELLA, Linamara Rizzo; ABDO, Carmita Helena Najjar; BRUSCHINI, Homero; SROUGI, Miguel; MULHALL, John P.Introduction: Spinal cord injury (SCI) is usually a sudden traumatic event and has a negative effect on sexual function. Aim: To evaluate the characteristics of sexual activity in men with SCI and identify predictors of being sexually active and having a satisfactory sex life. Methods: We assessed sexual activity profiles of men with SCI from a Brazilian tertiary rehabilitation center from February to August 2012. All patients older than 18 years with SCI for longer than 1 year were invited to participate. We analyzed age, time since SCI, patient age at SCI, employment status, partner status, completeness of lesion, functional independence, urinary continence, and Sexual Health Inventory for Men (SHIM) score. Main Outcome Measures: The SHIM was used to assess erectile function (EF). Satisfaction with sex life was analyzed as a dichotomous variable. Predictors of an active and satisfactory sex life were identified using univariable and multivariable analyses. Results: We evaluated 295 men with mean age of 40.7 +/- 14.5 years. Most patients had a complete SCI (65.1%) and 159 (53.9%) were incontinent. The median SHIM score was 5 (interquartile range = 0-16) and only 71 men (24.1%) had a SHIM score of at least 17. Of these men, 159 (53.9%) were sexually active. Only 63 men (39.6%) were satisfied with their sex life after SCI. In univariable analysis, all variables were associated with an active sex life. Those with a SHIM score of at least 17 had a greater likelihood of being sexually active (odds ratio = 116, 95% confidence interval = 14-432). EF was the only parameter associated with a satisfactory sex life (odds ratio = 1.3, 95% confidence interval = 1.2-1.4). Conclusions: Most men with SCI were sexually inactive and/or dissatisfied with their sex life. Age, duration of SCI, completeness of SCI, continence, having a partner, and good EF were identified as predictors of an active sex life. However, only EF was a predictor of a satisfactory sex life.
- Evaluation of Sexual Dysfunction in Men With Spinal Cord Injury Using the Male Sexual Quotient(2016) MIRANDA, Eduardo P.; GOMES, Cristiano Mendes; BESSA JR., Jose de; ABDO, Carmita Helena Najjar; BELLUCCI, Carlos Henrique Suzuki; CASTRO FILHO, Jose Everton de; CARVALHO, Fabricio Leite de; SOUZA, Daniel Rubio de; BATTISTELLA, Linamara Rizzo; SCAZUFCA, Marcia; BRUSCHINI, Homero; BARROS FILHO, Tarcisio; SROUGI, Miguel.Objective: To assess different aspects of sexual function in men with spinal cord injury (SCI) using the Male Sexual Quotient (MSQ), a newly developed tool to assess sexual function and satisfaction. Design: Cross-sectional study. Setting: Tertiary rehabilitation center. Participants: Patients (N=295) older than 18 years (mean age +/- SD, 40.7 +/- 14.5y) with SCI for more than 1 year (median time since SCI, 3.6y; range, 1.6-7.0y) were assessed from February to August 2012. Patients completed the MSQ questionnaire and the Sexual Health Inventory for Men (SHIM). Interventions: Not applicable. Main Outcome Measures: Performance in various domains of sexual function was evaluated using the MSQ and SHIM questionnaires. Results: Erectile function, ejaculation, and orgasm were the most severely affected domains. The median MSQ score was 40 (range, 8-66), and the median SHIM score was 5 (range, 0-16). The diagnostic properties of the 2 instruments were similar in the discrimination of sexually active subjects. The area under the receiver operating characteristic curve was .950 (95% confidence interval [CI], .923.979) for the MSQ and .942 (95% CI, .915.968) for the SHIM. There was a strong correlation between the 2 instruments (r=.826; 95% CI, .802.878). Conclusions: Different domains of sexual function are severely impaired in men with SCI, although their sexual interest remains high. The MSQ and SHIM scores strongly correlate, but the MSQ provides a more comprehensive assessment of sexual dysfunction in male patients with SCI. (C) 2016 by the American Congress of Rehabilitation Medicine
- Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting(2014) MIRANDA, Eduardo de Paula; GOMES, Cristiano Mendes; TORRICELLI, Fabio Cesar Miranda; BESSA JUNIOR, Jose de; CASTRO, Jose Everton de; FERREIRA, Bruno Roberto da Silva; SCAFURI, Ariel Gustavo; BRUSCHINI, Homero; SROUGI, MiguelPurpose: Lower urinary tract symptoms are numerous, but the specific impact of each of these symptoms on the quality of life (QoL) has not been evaluated in community-dwelling men. An assessment of these symptoms and their effects on QoL was the focus of this study. Methods: We performed a cross-sectional study with 373 men aged > 50 years from a community setting. Patients completed the International Prostate Symptom Score questionnaire, which includes questions on each of the specific urinary symptoms and a question addressing health-related QoL that are graded from 0 to 5. We used the Pearson correlation test to assess the impact of each symptom on QoL. Results: Nocturia (58.9%) was the most prevalent urinary symptom. The mean score was 0.9 +/- 1.4 for incomplete emptying, 1.0 +/- 1.5 for frequency, 0.9 +/- 1.3 for intermittency, 0.8 +/- 1.3 for urgency, 1.0 +/- 1.5 for weak stream, 0.5 +/- 1.0 for straining, and 2.0 +/- 1.6 for nocturia. Nocturia and frequency were the only symptoms associated with poorer QoL, with nocturia showing a stronger association. Conclusions: Nocturia affects 50% of community dwelling men aged > 50 years, and is the lower urinary tract symptom with the greatest negative impact on QoL.
- Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction(2018) ALENCAR, Valeria P.; GOMES, Cristiano M.; MIRANDA, Eduardo P.; LELIS, Maria A. dos Santos; FERA, Patricia; BESSA JR., Jose de; SROUGI, Miguel; BRUSCHINI, HomeroAimsMethodsTo compare the impact of the different routes for clean intermittent catheterization on the quality of life of children with lower urinary tract dysfunction. In this cross-sectional study, all children and adolescents under treatment in our clinic from August 2011 to May 2012 who were on CIC for bladder dysfunction were included. To evaluate the technical difficulty and the discomfort associated with the procedure we used a standard visual analog scale. Quality of life was measured using the Pediatric Quality of Life Inventory Version 4.0. ResultsConclusionA total of 70 children including 38 (54.3%) boys and 32 (45.7%) girls with a mean age of 11.83.6 years (range 5 to 18 years) were evaluated. The mean daily number of catheterizations was 4.2 +/- 1.1. CIC was performed through the urethra in 51 (72.9%) subjects and a stoma in 19 (27.1%). A 45 (64.3%) were assisted by a caregiver to perform a catheterization. No differences in both difficulty and discomfort for performing CIC were observed between groups. Children who performed CIC through a stoma had a better quality of life scores for the physical (P=0.015) and social functioning domains (P=0.011). The quality of life of children and adolescents performing CIC appears to be affected by the route of catheterization, with a worse performance for those using urethral catheterization.