Hedon F, Cour F
Prog Urol. 2013 Jul;23(9):822-31. doi: 10.1016/j.purol.2012.09.013. Epub 2012 Nov 7.
To know the different types in sex therapy and their usefulness in urologic practice.
Review of articles published on this subject in the Medline (Pubmed) database, selected according to their scientific relevance, and a reflexion from our own experience.
Most pathologies can affect sexual function and a relationship directly or indirectly. It is advisable, therefore, to question patients about their sexual health, in particular during or after certain illnesses where deterioration of sexual function is more and more well known. Urologists are often faced with patients having such problems and should be familiar with the sexological approach so as to participate in multidisciplinary management of these problems, since urology alone does not bring a solution. The main axes of sex therapy: the emotional, cognitive, behavioral, and relational factors, will be associated as necessary and adapted to each case. The main objective is a holistic management of the problem with the patient and the partner going beyond the purely sexual aspect. Pharmaceutical treatment of the sexual problem alone, without taking into account the personal and relational problems of the patients, often leads to failure or abandon of the treatment in spite of initial success. By fixing a therapeutic strategy with the patients, based on their clear expectations, they become the actors in the recovery of a satisfactory sex life, with an interactive dialogue with the sex therapist.
了解性治疗的不同类型及其在泌尿外科实践中的作用。
回顾Medline（PubMed）数据库中发表的关于该主题的文章，根据其科学相关性进行筛选，并结合我们自身的经验进行思考。
大多数疾病可直接或间接影响性功能及两性关系。因此，建议询问患者的性健康状况，尤其是在某些已知性功能会恶化的疾病期间或之后。泌尿外科医生经常会遇到有此类问题的患者，应熟悉性学方法，以便参与这些问题的多学科管理，因为仅靠泌尿外科无法解决问题。性治疗的主要方面：情感、认知、行为和关系因素，将根据需要进行关联并针对每个病例进行调整。主要目标是对患者及其伴侣的问题进行全面管理，超越单纯的性方面。仅对性问题进行药物治疗，而不考虑患者的个人和关系问题，尽管起初可能成功，但往往会导致治疗失败或放弃。通过根据患者明确的期望制定治疗策略，他们成为恢复满意性生活的参与者，并与性治疗师进行互动对话。
