No abstract available.
Humans ; Infertility, Male* ; Male ; Male*

No abstract available.
Humans ; Infertility, Male* ; Male ; Male*

The goals of the evaluation is to identify; 1) potentially correctable conditions, 2) irreversible conditions but are amenable to ART using male partner sperm, 3) irreversible conditions not amenable to ART, fro which donor IUI or adoption are possible options, 4) life- or health threatening conditions that may underlie infertility and require medical attention and 5) genetic abnormalities that may affect offspring if ART is employed.
MALE ; INFERTILITY ; INFERTILITY, MALE

No abstract available.
Humans ; Infertility* ; Infertility, Male* ; Male ; Male*

No abstract available.
Biopsy* ; Humans ; Infertility, Male* ; Male ; Male*

BACKGROUND AND OBJECTIVES: Sepatal deviation with caudal septal dislocation is difficult to correct using the classic septoplasty technique. Using the columellar flap approach, we remodeled the dislocated septal cartilage and fixed it at the anterior nasal spine. We report the techniques and results. MATERIALS AND METHOD: Eighteen men with the caudal septal dislocation from anterior nasal spine were operated using the columella flap approach. The study was conducted in a retrospective fashion focusing on preoperative status, operative results and complications. RESULTS: The operation time was in the average of 30 minutes. All patients except one showed improvement in nasal obstruction. Dislocation and deviation was corrected in all patients. The scar at nasolabial angle was not remarkable and no patient complained about the scar. CONCLUSION: Columellar flap approach in septoplasty can be used in patients with caudal septal dislocation.
Male ; Humans

PURPOSE: This study examined the effect of the stem design and method of fixation on biomechanical features around a stem tip in revision total knee arthroplasty using finite analysis. MATERIALS AND METHODS: A 3D Finite element model was reconstructed for a CT scan of the normal tibia from a 26 year old male and the CAD model of total knee arthroplasty revision was developed. The design change in the stem such as the length, diameter, slot, press fit and coefficient of friction was performed. The contact pressure, von-Meises stress around the stem and the micromotion were evaluated. RESULTS: A longer length and larger diameter press fit stem significantly increased the contact pressure and stress at the end of stem. The distal slot reduces the contact pressure and stress at the end of stem. Less displacement between the tibial component and bone was noted in the increased coefficient of friction. CONCLUSION: A stem with shorter length sufficient to engage proximal diaphysis, a closer diameter of the proximal canal and a minimal press fit can be used to reduce the contact pressure and stress if the patient's surgical anatomy such as bone loss and quality is tolerable in revision total knee arthroplasty.
Male ; Humans

OBJECTIVE: Clozapine is known as an atypical antipsychotic drug which has less side effects in the extrapyramidal system than typical antipsychotic drugs and recommended as a treatment of choice in severe tardive dyskinesia (TD). However, it has been reported that the existing TD was worsened or new TD appeared in some cases where the antipsychotic drugs were switched to clozapine. METHODS: We experienced a single case in which TD was appeared in the tongue and jaw 5 months after chlorpromazine was switched to clozapine. RESULTS: The subject was 57 years old male patient with bipolar disorder. He had been treated intermittently with lithium and chlorpromazine for over 30 years. Five months after switching from chlorpromazine to clozapine, TD appeared in the tongue and jaw. Using Extrapyramidal Symptom Rating Scale (ESRS), the dyskinesia score was 10. Hence, clozapine was stopped and chlorpromazine was re-administrated resulting gradual improvement of TD. The dyskinesia score of ESRS was dropped to 6. CONCLUSION: It is speculated that this case is most likely a withdrawal tardive dyskinesia but other possibilities should be considered too. The question "Does withdrawal tardive dyskinesia occur more easily when switched to clozapine which has a weak dopamine antagonism?" should be addressed in future study.
Male ; Humans

Varying types of polyps could occur in the vermiform appendix. However, it is very unusual. Collins found 57 cases (0.08%) of benign mucosal polyps in the 71,000 cases of appendectomy specimens. There has been no reported case of appendiceal polyp in the literature in Korea. The authors experienced two cases of polyp in the vermiform appendix. The first case was a 51 year-old male patient who received a left hemicolectomy due to colonic polyposis. The second case was a 71 year-old male patient who was treated by appendectomy under the clinical diagnosis of acute appendicitis. The microscopic type of both cases were hyperplastic polyp.
Male ; Humans

The brown bowel syndrome (BBS) is an uncommon disorder, which is characterized by brown pigmentation of the intestine due to the accumulation of lipofuscin in the smooth muscle cells. Vitamin E deficiency has generally been considered as the cause of this malady. BBS has been reported in a wide variety of malabsorptive diseases involving the pancreas, liver and gastrointestinal tract. We report here on a case of brown bowel syndrome that occurred in a 73-year-old man who had undergone total gastrectomy 11 years ago for gastric adenocarcinoma. He has complained about intestinal obstructive symptoms for several years, and these symptoms were recently aggravated. He showed a low serum concentration of total protein, albumin and cholesterol, and he had been treated for megaloblastic anemia due to vitamin B12 and folate deficiency several months ago. The resected small bowel showed lipofuscin deposition in the muscle layer of the intestine and large vessels. The electron microscopic examination revealed multiple electron dense lipofuscin deposits with irregular shapes and sizes in the cytoplasm.
Male ; Humans