The Igls-Vienna SexMed-Survy Programm - assessing the integration of sexual health aspects in disease management by various health professions and medical disciplines - the concept _ Medical University Vienna, Univ.Clinic for Surgery _ 2017
Ucsnik, L1; Kottmel, A2; Bitzer, J3; Teleky, B4
1: Medical University Vienna, Univ Clin for Surgery, Austria; 2: Private Practice for Gynecology and Sexual Medicine; 3: Private Practice, Switzerland; 4: Medical University Vienna, Univ.Clin f. Surgery, Austria
Introduction: At first sight surgery is a field which doesn’t belong to the core disciplines of sexual medicine. Having a closer look at surgical procedures they have an underestimated impact on sexual health: they either impair sexual dysfunction (pelvic floor functions, aortic surgery), have an impact on body image (e.g. breast cancer, bariatric surgery) strengthen or threaten fertility and reproduction via hormone and metabolic changes (bariatric surgery, endocrine surgery, HIPEC). Interdisciplinary networks are a key-assets for state of the art and holistic disease management maintaining quality of life – at least not reducing it dramatically or having a negative impact on it. In order to integrate sexual medicine in surgical procedures and disease management at Medical University Vienna, Austria, an analysis of the sexual medicine networks in and amongst health professionals and disciplines was essential to detect false expectations and define responsabilities, roles and sexual medicine support by discipline /profession – from prevention via diagnose to treatment and rehabilitation.
Method: Starting in the field of coloproctology, the project rapidly enlarged, grew a programme and was named Igls-Vienna SexMed-Survey. At congresses, meetings, symposia of various health professions, regionally, nationally, in Europe or internationally we kindly invited the members of various health professions, disciplines to self-assess their integration of sexual health problems in disease-management via 24-item-questionnaire by Kottmel and Bitzer in order to create some kind of sexual medicine landscape of Austria, Europe, the world.
Results: From March to December 2017 we 17.322 surveys will be distributed with return-rates between 15 up to 99%. Interestingly in the fields of gynecology, urology and andrology it was so far difficult to analyze the integration of sexuality in disease management due to return rates less than 15%. This raises the questions “who takes care of women’s / men’s sexuality if gynecologists and urologists/ andrologists don’t in daily routine?”
Conclusion: Some of the surveys were done so far in small study-populations, still reaching 15% return-rate and thus are shared and published in order to build first stones for crossing the river. Due to preliminary data further investigations need to be enforced in order to have bigger population samples and information relevant for specific training-concepts, strategies, building of interdisciplinary and –professionally networks of cooperation and increase patients’ sexual health locally, nationally, European-, worldwide.
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