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  1. Article ; Online: What the editors are reading: Innovation and technology.

    Spinoit, Anne-Françoise / Haid, Bernhard

    Journal of pediatric urology

    2023  Volume 19, Issue 2, Page(s) 222–224

    MeSH term(s) Humans ; Reading ; Publishing ; Technology ; China
    Language English
    Publishing date 2023-03-16
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2023.03.004
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    Zs.A 6387: Show issues Location:
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  2. Article ; Online: Re: Development and Validation of the Metric-based Assessment of a Robotic Dissection Task on an Avian Model.

    Jamaer, Caroline / Spinoit, Anne-Françoise

    European urology

    2022  Volume 82, Issue 5, Page(s) 570

    MeSH term(s) Clinical Competence ; Humans ; Robotic Surgical Procedures ; Robotics
    Language English
    Publishing date 2022-08-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2022.07.026
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    Zs.A 1247: Show issues Location:
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    Zs.MO 294: Show issues

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  3. Article ; Online: Hypospadias increased prevalence in Surveillance Systems for Birth Defects is observed: Next to climate change are we going towards a human fertility alteration?

    Spinoit, Anne-Françoise

    European urology

    2019  Volume 76, Issue 4, Page(s) 491–492

    MeSH term(s) Climate Change ; Fertility ; Humans ; Hypospadias ; Male ; Population Surveillance ; Prevalence ; Risk Factors
    Language English
    Publishing date 2019-08-01
    Publishing country Switzerland
    Document type Editorial ; Comment
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2019.07.035
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    Zs.A 1247: Show issues Location:
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  4. Article ; Online: Commentary to 'Bleeding after circumcision is more likely in children with Lichen sclerosus: "Facts are stubborn, but statistics are more pliable" '.

    Spinoit, Anne-Françoise

    Journal of pediatric urology

    2017  Volume 13, Issue 2, Page(s) 209

    Language English
    Publishing date 2017
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2016.11.008
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  5. Article ; Online: Re: Perioperative and Short-term Outcomes of Robotic vs Open Bladder Neck Procedures for Neurogenic Incontinence.

    Spinoit, Anne-Françoise

    European urology

    2017  Volume 71, Issue 5, Page(s) 831

    Language English
    Publishing date 2017-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2017.01.003
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    Zs.A 1247: Show issues Location:
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  6. Article ; Online: Sexual function and dysfunction in men with spina bifida.

    Roth, Joshua D / Spinoit, Anne-Francoise / Hoebeke, Piet

    Journal of pediatric urology

    2021  Volume 17, Issue 2, Page(s) 158–165

    Abstract: Spina bifida is the most common neural tube defect, which can lead to multiple urologic problems stemming from neurogenic bladder including need for lifelong renal monitoring and urinary continence. However, as males with SB age, it is clear that many ... ...

    Abstract Spina bifida is the most common neural tube defect, which can lead to multiple urologic problems stemming from neurogenic bladder including need for lifelong renal monitoring and urinary continence. However, as males with SB age, it is clear that many also start to care about their sexuality, which may also be affected by the disease process. After reviewing the literature, the authors summarize the available information regarding sexual function and sexual dysfunction in adult males with spina bifida, specifically focusing on sexuality education, relationship status/sexual activity, continence, penile rigidity, penile sensation, ability to orgasm, ability to ejaculate, quality of ejaculation and non-genital sexual contact. Finally, the authors conclude that more research is needed in the fields of sexual function and sexual dysfunction in adults with spina bifida. This area of study is in need of objective, standardized research with large cohorts so that we can better study and educate men with SB about the impact of SB on their sexuality.
    MeSH term(s) Adult ; Humans ; Male ; Sexual Behavior ; Sexual Dysfunction, Physiological/etiology ; Sexuality ; Spinal Dysraphism/complications ; Urinary Bladder, Neurogenic
    Language English
    Publishing date 2021-01-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2020.12.021
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    Zs.A 6387: Show issues Location:
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  7. Article ; Online: Long-term outcome of urethral and genital reconstruction in hypospadias and exstrophy-epispadias complex.

    Sinatti, Céline / Schechter, Michal Yaela / Spinoit, Anne-Françoise / Hoebeke, Piet

    Current opinion in urology

    2021  Volume 31, Issue 5, Page(s) 480–485

    Abstract: Purpose of review: Although immediate surgical outcomes of genitourinary reconstruction used to be the main focus in hypospadias and exstrophy-epispadias complex (EEC), recent research demonstrates rising concerns about long-term functional and ... ...

    Abstract Purpose of review: Although immediate surgical outcomes of genitourinary reconstruction used to be the main focus in hypospadias and exstrophy-epispadias complex (EEC), recent research demonstrates rising concerns about long-term functional and psychosexual outcomes. Recent results about long-term outcomes of complex genitourinary reconstruction in those children transitioning into adulthood are summarized and discussed in this comprehensive review.
    Recent findings: Long-term outcomes in hypospadias focus on psychosexual satisfaction and decisional regret. Interestingly, uncomplicated hypospadias repair results in equal satisfaction rates to those found in controls. Most adult patients are happy with their parents' decision to have them undergo surgery during childhood. No decisional regret was found in parents. Reinterventions were associated with a decline in satisfaction, as was a decrease in perceived penile length. Long-term, males with EEC are more dissatisfied with penile length than with continence problems. In cases of severe penile insufficiency, phalloplasty shows promising psychosexual outcomes at the price of a high complication rate. Female EEC patients show higher rates of pregnancy complications, portending a higher risk of miscarriage.
    Summary: Psychosexual satisfaction of patients with repaired hypospadias transitioning into adulthood demonstrates equal satisfaction rates to those found in controls, without decisional regret associated with surgery during childhood. In EEC, more complications are seen when transitioning into a sexually active adult life.
    MeSH term(s) Adult ; Child ; Epispadias/surgery ; Female ; Humans ; Hypospadias/surgery ; Male ; Parents ; Penis ; Pregnancy ; Treatment Outcome ; Urethra/surgery
    Language English
    Publishing date 2021-07-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1091792-5
    ISSN 1473-6586 ; 0963-0643
    ISSN (online) 1473-6586
    ISSN 0963-0643
    DOI 10.1097/MOU.0000000000000920
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    Zs.A 3345: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  8. Article ; Online: The self-assessment of genital anatomy, sexual function, and genital sensation (SAGASF-M) questionnaire in a Belgian Dutch-speaking male population: A validating study.

    Claeys, Wietse / Bronselaer, Guy / Lumen, Nicolaas / Hoebeke, Piet / Spinoit, Anne-Françoise

    Andrology

    2022  Volume 11, Issue 3, Page(s) 489–500

    Abstract: Introduction: Penile and genital surgery for congenital or acquired conditions is daily practice in reconstructive urology. These procedures, which carry the risk of disrupting nerves and blood vessels, may impair the genital sensation, and affect the ... ...

    Abstract Introduction: Penile and genital surgery for congenital or acquired conditions is daily practice in reconstructive urology. These procedures, which carry the risk of disrupting nerves and blood vessels, may impair the genital sensation, and affect the capacity for sexual pleasure. Self-reported tools are needed to systematically assess the male genitalia before and after reconstructive surgeries in terms of genital sensation and sexual experience.
    Aim: This study validated the Dutch translation of the "self-assessment of genital anatomy and sexual functioning in male" (SAGASF-M) questionnaire and investigated the perceptions of healthy men regarding their genital anatomy and sensory function.
    Methods: Eight hundred and eight sexually active men with a median age of 39 years (18-79 years) and no history of genital procedures other than circumcision filled out an online version of the questionnaire. Twenty-four participants were randomly recruited to confirm the responses of the "self-assessment of genital anatomy and sexual functioning in male" questionnaire by a clinical evaluation.
    Main outcome measures: The "self-assessment of genital anatomy and sexual functioning in male" questionnaire comprises of multiple-choice questions and clarifying illustrations asking men to rate their genital appearance, overall sexual sensitivity, and pain perception as well as the intensity and the effort to reach orgasm. Prespecified regions of the glans, penile shaft, scrotum, perineum, and anus are evaluated through this questionnaire.
    Results: Only slight variability in anatomical ratings was observed. Overall discrimination between different genital areas in terms of genital sensation was significant. The bottom of the glans or frenular area was rated the highest contributor to "sexual pleasure," followed by the other regions of the glans and shaft. The same distribution was found for "orgasm intensity" and "orgasm effort." The anal region was generally rated the lowest. "Discomfort/pain" was rated lower than any of the other sensory function indicators and the top of the glans and anal region were rated most likely to perceive this unpleasant sensation. Participants reported significantly more sexual pleasure and intense orgasms when stimulated by a sexual partner than self-stimulation. Homosexual and bisexual men reported a higher contribution of the perineal and anal regions in sexual pleasure and orgasm. No significant difference between circumcised and uncircumcised individuals regarding overall genital sensation could be found.
    Conclusion: The Dutch translation of the SAGASF-M questionnaire is a valuable and reliable tool for self-assessment of genital anatomy and sensation, providing a site-specific attribution of a patient's perceived sexual function. Further prospective research with this questionnaire could aid in the patient-centered improvement of genital surgery.
    MeSH term(s) Humans ; Male ; Adult ; Self-Assessment ; Belgium ; Sensation/physiology ; Sexual Behavior ; Orgasm/physiology ; Surveys and Questionnaires
    Language English
    Publishing date 2022-12-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2696108-8
    ISSN 2047-2927 ; 2047-2919
    ISSN (online) 2047-2927
    ISSN 2047-2919
    DOI 10.1111/andr.13348
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    Zs.A 6983: Show issues Location:
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  9. Article: Secondary phallic prosthesis placement in transgender patients postmetoidioplasty: a case report on technique and outcome.

    Claeys, Wietse / Weynants, Laurens / Jamaer, Caroline / Van der Jeugt, Jolien / Hoebeke, Piet / Spinoit, Anne-Françoise

    Sexual medicine

    2023  Volume 11, Issue 5, Page(s) qfad056

    Abstract: Introduction: Gender affirming surgery is common among transgender and gender-nonconforming individuals. Genital gender-affirming surgery is a form of surgery that involves transformation and reconstruction of the genitalia while maintaining urologic ... ...

    Abstract Introduction: Gender affirming surgery is common among transgender and gender-nonconforming individuals. Genital gender-affirming surgery is a form of surgery that involves transformation and reconstruction of the genitalia while maintaining urologic and sexual function. Masculinizing genital gender-affirming surgery can involve the removal of the female genital and reproductive organs and the creation of a more masculine appearance by using phalloplasty or metoidioplasty techniques. While metoidioplasty has advantages such as limited scarring and preserved genital sensation and clitoral erection, it may not always guarantee the ability to void while standing or even penetrate a sexual partner.
    Aim: To describe our method of secondary phallic enhancement after metoidioplasty with a phallic prosthesis.
    Methods: Our case is based on a 39-year-old transgender male who underwent metoidioplasty with vaginectomy, scrotoplasty, and urethral lengthening. However, the original surgery was complicated by extensive hematoma formation in the suprapubic area and neoscrotum, leading to a buried position of the neophallus. Subsequent surgery was performed to reduce the prepubic fat pad and penoscrotal interposition, but it too was complicated by hematoma formation and wound dehiscence. To maximize phallic elongation, the tethering urethra was removed, and perineal urethrostomy was performed but could not sufficiently alleviate the buried phallus. As a further step to improve the outcome, we proposed the implantation of a specific phallic prosthesis designed for metoidioplasty with testicular prosthesis placement. Surgery was performed as a single procedure through a penoscrotal incision and greatly enhanced genital appearance.
    Results: Three months after surgery, the patient had good sensation of the phallus and was able to have satisfactory sexual activity with his partner. However, he remained dissatisfied with the amount of prepubic tissue and opted to undergo further liposuction.
    Conclusion: Phallic prosthesis implantation can be a procedure to improve the condition of multioperated cases of metoidioplasty with resistant phallic burying. Reconstruction with a phallic prosthesis was performed successfully in this case. However, long-term complications and functional outcomes, such as the ability to void while standing or penetrate a sexual partner, remain uncertain. Further experience is needed to determine the efficacy and safety of using a phallic prosthesis as a secondary procedure in patients undergoing metoidioplasty.
    Language English
    Publishing date 2023-11-20
    Publishing country England
    Document type Case Reports
    ZDB-ID 2734882-9
    ISSN 2050-1161
    ISSN 2050-1161
    DOI 10.1093/sexmed/qfad056
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  10. Article ; Online: Individualized care for patients with intersex (differences of sex development): Diagnosis and treatment of aphallia.

    Bangalore Krishna, Kanthi / Cinnatti, Celine / Hoebeke, Piet / Spinoit, Anne-Francoise / De Castro, Roberto / Lee, Peter A

    Journal of pediatric urology

    2023  Volume 20, Issue 1, Page(s) 39–44

    Abstract: This review discusses issues and concerns in the management of aphallia, updating status of a post-pubertal individual who required further surgery after having initial surgery for aphallia as an infant. Through this case, which discusses an 18-year-old ... ...

    Abstract This review discusses issues and concerns in the management of aphallia, updating status of a post-pubertal individual who required further surgery after having initial surgery for aphallia as an infant. Through this case, which discusses an 18-year-old young adult who had penile agenesis, who desired further phalloplasty involving glanuloplasty and implantation of an erectile device, we highlight the importance of periodic evaluation and close follow up. Surgery during infancy or early childhood to create a penis is important for gender development in a boy, especially if there were functional testes during fetal life, even if this surgery would only be the first stage. There is a strong probability of subsequent surgery after initial phalloplasty before puberty, even with the use of currently refined techniques. Here we discuss the changing techniques that document the ongoing, continued refinement of these procedures, highlighting that further outcome data are needed to identify ways to further optimize current techniques.
    MeSH term(s) Male ; Infant ; Young Adult ; Humans ; Child, Preschool ; Adolescent ; Penile Diseases/surgery ; Penis/surgery ; Penis/abnormalities ; Penile Erection ; Plastic Surgery Procedures ; Sexual Development
    Language English
    Publishing date 2023-09-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2237683-5
    ISSN 1873-4898 ; 1477-5131
    ISSN (online) 1873-4898
    ISSN 1477-5131
    DOI 10.1016/j.jpurol.2023.08.031
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