No abstract available.
Laparoscopy* ; Ureter*

PURPOSE: It is important to know for transurethral resection of prostate (TURP) affecting the serum prostate specific antigen (PSA) value how long one should wait before being able to ~ obtain an accurate and meaningful serum PSA level. We evaluated the change of serum PSA concentration in patients with benign prostate hypertrophy(BPH) before and after TURP in association with time course and resected prostatic weight. MATERIALS AND METHOD: The effect of TURP was examined in 27 patients with BPH (mean age: 64 years; range: 55-79 years). The serum PSA levels were measured serially (before and 1, 3, 5, 7, 14, 30, 60, 90 days after TURP) by Abott IMX assay. RESULTS: The level of serum PSA appeared to be consistent with prostatic volume by transrectal ultrasonography(TRUS) and was elevated by about 0.16 ng/mL for each gram of hyperplastic tissue present (p=0.375, p=0.058). TURP caused an immediate elevation in the serum PSA concentration, with a median increase of 19 ng/mL (p=0.0001). The larger resected group showed a dramatic and statistically significant PSA rise immediately after TURP than the smaller resected group (p=0.023). From the 15 post-operative day, the PSA concentrations continued slightly lower than that of pre-operative day (p=0.0001), and was still decreased on 30 days (p=0.0001). The median time to return to a baseline level of PSA was 30 days (range: 1460 days) after TURP. CONCLUSION: These findings indicate that TURP caused an immediate increase in the serum PSA level, which generally return to stable, baseline level within 30 days. However, because in some patients the serum PSA still remained elevated than upper normal limit after 30 days, it is recommended that a serum PSA determination should be obtained for at least 60 days after TURP.
Humans ; Hypertrophy* ; Prostate* ; Prostate-Specific Antigen* ; Transurethral Resection of Prostate*

PURPOSE: It is important to know for transurethral resection of prostate (TURP) affecting the serum prostate specific antigen (PSA) value how long one should wait before being able to ~ obtain an accurate and meaningful serum PSA level. We evaluated the change of serum PSA concentration in patients with benign prostate hypertrophy(BPH) before and after TURP in association with time course and resected prostatic weight. MATERIALS AND METHOD: The effect of TURP was examined in 27 patients with BPH (mean age: 64 years; range: 55-79 years). The serum PSA levels were measured serially (before and 1, 3, 5, 7, 14, 30, 60, 90 days after TURP) by Abott IMX assay. RESULTS: The level of serum PSA appeared to be consistent with prostatic volume by transrectal ultrasonography(TRUS) and was elevated by about 0.16 ng/mL for each gram of hyperplastic tissue present (p=0.375, p=0.058). TURP caused an immediate elevation in the serum PSA concentration, with a median increase of 19 ng/mL (p=0.0001). The larger resected group showed a dramatic and statistically significant PSA rise immediately after TURP than the smaller resected group (p=0.023). From the 15 post-operative day, the PSA concentrations continued slightly lower than that of pre-operative day (p=0.0001), and was still decreased on 30 days (p=0.0001). The median time to return to a baseline level of PSA was 30 days (range: 1460 days) after TURP. CONCLUSION: These findings indicate that TURP caused an immediate increase in the serum PSA level, which generally return to stable, baseline level within 30 days. However, because in some patients the serum PSA still remained elevated than upper normal limit after 30 days, it is recommended that a serum PSA determination should be obtained for at least 60 days after TURP.
Humans ; Hypertrophy* ; Prostate* ; Prostate-Specific Antigen* ; Transurethral Resection of Prostate*

No abstract available.
Urodynamics*

Testicular biopsy is an important tool in the diagnosis and management of male infertility. The increasing use of this procedure has permitted a rational classification of the testicular lesion responsible for infertility and provide an intelligent basis for the institution of corrective measures or the withholding of therapy in cases in which the biopsy indicates a hopeless prognosis for fertility. The testicular biopsy findings of 48 azoospermia cases were evaluated in aspects of testicular size and past history. The following results were obtained. 1. The biopsy findings of 8 cases with normal sized testes and no nodules of both epididymimides and vasa deferens were normal in 4 cases, germinal aplasia in 2 cases, maturation arrest in 1 case and hypospermatogenesis in 1 case. 2. The biopsy findings of 23 cases with small sized testes and no nodules of both epididymides and vasa deferens were germinal aplasia in 13 cases, generalized fibrosis in 6 cases, maturation arrest in 3 cases and hypospermatogenesis in 1 case. 3. The past history of 17 cases with normal sized testes and bilateral induration of epididymides of vasa deferens revealed nonspecific epididymitis in 6 cases, tuberculous epididymides in 6 cases, tuberculous epididymitis in 5 cases, vasectomy in 5 cases and trauma of scrotum in 1 case. The biopsy findings of these cases were normal in 10 cases, hypospermatogenesis in 3 cases, testicular blockage in 3 cases and atrophy in 1 case.
Atrophy ; Azoospermia* ; Biopsy* ; Classification ; Diagnosis ; Epididymitis ; Fertility ; Fibrosis ; Humans ; Infertility ; Infertility, Male ; Male ; Oligospermia ; Prognosis ; Scrotum ; Testis ; Vasectomy

Lymphoma of the prostate is exceedingly rare. Much more common than primary lymphoma of the prostate id secondary involvement of malignant lymphomas originating at other sites. A variety of treatments have bee n used, including prostatectomy, radiotherapy or combinations of chemotherapy and radiotherapy. Generally, the prognosis is very poor, and there is currently no consensus regarding treatment. We report on a patient with T-cell lymphoma who presented with symptoms of bladder neck obstruction. The patient has been asymptomatic and under complete remission after completion of doxorubicin-based chemotherapy for 2 cycles.
Bees ; Consensus ; Drug Therapy ; Drug Therapy, Combination* ; Humans ; Lymphoma ; Lymphoma, T-Cell* ; Prognosis ; Prostate* ; Prostatectomy ; Radiotherapy ; T-Lymphocytes* ; Urinary Bladder Neck Obstruction

A total of 43 spinal cord injury patients with erectile dysfunction was placed on intracavernous injection of papaverine alone for one year. Thirty nine patients were able to obtain an erection adequate for penetration and 41 achieved transient functional penile erections after injection of papaverine. Of the 39 responders 20 patients practice self injection as a method to restore erectile function. Three episodes of priapism occurred in 3 patients and all patients were treated with aspiration of corpora. Two patients developedlocalized Intracorporeal induration and 5 suffered ecchymosis on injection site. We believe that intracavernous papaverine injection is a useful method for erectile impotence in men with spinal cord injury.
Ecchymosis ; Erectile Dysfunction* ; Humans ; Male ; Papaverine* ; Priapism ; Spinal Cord Injuries* ; Spinal Cord*

A kidney containing more than 1,000ml fluid in its collecting system is generally defined as giant hydronephrosis. The clinical manifestations of giant hydronephrosis are indistinct. The patient seems to seek medical help late due to tolerable symptoms and particularly in the state of poor economic condition. We present a giant hydronephrosis of contents of 60 liters associated with ureteropelvic junction stricture on a 43-year-old woman. The final diagnosis was performed by exploration of abdomen and nephrectomy was done.
Abdomen ; Adult ; Constriction, Pathologic ; Diagnosis ; Female ; Humans ; Hydronephrosis* ; Kidney ; Nephrectomy

PURPOSE: This study was performed in order to evaluate the factors related to the development of lower urinary tract symptoms (LUTS) and prostate associated symptoms of professional taxi drivers in Korea, who had to abstain from adequate voiding on working time. MATERIALS AND METHODS: A prospective study, including 192 professional taxi drivers and 120 sedentary desk workers (control group), was performed. The subjects were assessed by a questionnaire that was composed of three parts; structurized 13 basic questions including voiding abstinence, International Prostate Symptom Score (IPSS), and National Institute of Health-Chronic Prostatitis Symptom Index (NIH-CPSI). All possible factors that affect the presence of LUTS and prostate associated symptoms were analyzed, such as age, the duration of service, on-duty time per day, and length of voiding abstinence. RESULTS: There was no significant difference in age between the taxi driver group and the control group. The duration of service of the control group was significantly longer, however, on-duty time per day was significantly longer in the taxi driver group than the control group (p<0.01). The length of voiding abstinence during duty was significantly longer in the taxi driver group than the control group (p<0.01). The total score, irritative symptom score, obstructive symptom score, and quality of life score of the IPSS questionnaire were significantly high in the taxi driver group (p<0.01). Also, the total score, pain score, urinary symptom score, and quality of life impact score of the NIH-CPSI questionnaire were significantly higher in the taxi driver group (p<0.01). CONCLUSIONS: LUTS and prostate associated symptoms were more frequent and severe in the taxi driver group than the control group. The habitual abstinence of voiding and prolonged sedentary working environments could contribute to poor voiding function and prostate associated symptoms in taxi drivers.
Automobile Driving ; Korea ; Lower Urinary Tract Symptoms ; Prospective Studies ; Prostate* ; Prostatitis ; Quality of Life ; Surveys and Questionnaires ; Urinary Tract*

PURPOSE: The aim of this study is to evaluate the change in sexual function after treatment with finasteride in patients with benign prostatic hyperplasia using the validated International Index of Erectile Function (IIEF). MATERIALS AND METHODS: Sixty patients, who were treated with 5mg finasteride daily due to a benign prostatic hyperplasia, were assessed with the IIEF questionnaires prior to treatment and after 3 months of medication. Nine patients were excluded due to an erectile dysfunction. The patients' age ranged 50 to 78 years with a mean age of 63.3 years (by age group: 50-59 years, n=13; 60-69 years, n=27; 70-79 years, n=11). The total IIEF scores and all 5 IIEF domains scores were calculated to investigate the change in sexual function. RESULTS: The mean total IIEF scores decreased significantly from 43.24+/-15.02 to 37.00+/-17.78 after administering finasteride (p<0.05). The mean decrease in the total IIEF scores for the men in their fifties, sixties and seventies were 4.69, 7.59 and 4.73, respectively, and was most prominent in the sixties. Among the mean scores of each IIEF domain, the erectile function scores decreased from 17.53+/-6.83 to 15.04+/-7.78 (p<0.05), the intercourse satisfaction scores decreased from 7.59+/-2.86 to 6.25+/-3.43 (p<0.05), the orgasm function scores decreased from 6.37+/-2.65 to 5.16+/-3.07 (p<0.05), the sexual desire scores decreased from 5.47+/-1.71 to 4.86+/-2.06 (p<0.05), and the overall satisfaction scores decreased from 6.27+/-2.44 to 5.69+/-2.62 (p<0.05). CONCLUSIONS: With this IIEF questionnaire, the generalized sexual function decreased after finasteride treatment in patients with benign prostatic hyperplasia, particularly in those aged 60-69 years.
Erectile Dysfunction ; Finasteride* ; Humans ; Male ; Orgasm ; Prostatic Hyperplasia* ; Surveys and Questionnaires