Penile necrosis is a very rare complication because of its rich collateral supply. Conservative management is apt to be ineffective; thus penectomy is usually performed. We present a case of penile necrosis and claudication of both legs with multiple atherosclerosis in a type II diabetes mellitus patient who was successfully treated with angioplasty, penoplasty, and additional intracavernous injections of prostaglandin E1. The treatment resulted in relief of the leg pain and healing of the penile ischemic lesions.
Alprostadil ; Angioplasty ; Atherosclerosis* ; Diabetes Mellitus ; Humans ; Leg ; Male ; Necrosis* ; Penis*

PURPOSE: We report on the prevalence of benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) among men of Jeju Island, representing a coastal and insular area, using a cross-sectional community-based survey. MATERIALS AND METHODS: A total of 553 participants in a prostate health screening campaign on Jeju Island were subjected to measurements of the International Prostate Symptom Score (IPSS), prostate volume, uroflowmetry, postvoiding residual urine volume, and prostate-specific antigen levels. Eliminating 58 participants who were suspected of having prostate cancer, we analyzed the data from 495 participants. The definition of BPH was a combination of moderate IPSS (8~19) to severe IPSS (>19) and prostate enlargement (>30 g on transrectal ultrasonography). RESULTS: The prevalence of BPH was 21.0% overall: 11.6% among subjects aged 50~59 years, 18.1% for those aged 60~69, 30.8% for those aged 70~79 and 50.8% among those aged 80 years or more. Compared with previous studies in urban or rural areas, the prevalence was slightly lower. The prevalence of BPH and of moderate to severe LUTS increased with age and showed significant differences between age groups (p=0.028 and 0.033, respectively). A positive correlation was found between the IPSS and quality of life score. Among subunits of IPSS, the nocturia score contributed most to the severity of LUTS and had the highest correlation with a quality of life score. CONCLUSIONS: The overall prevalence of BPH in this study was 21.0%, which is slightly lower than in previous studies in urban or rural areas.
Aged ; Humans ; Lower Urinary Tract Symptoms ; Male ; Mass Screening ; Nocturia ; Prevalence ; Prostate ; Prostate-Specific Antigen ; Prostatic Hyperplasia ; Prostatic Neoplasms ; Quality of Life

No abstract available.
Cisplatin* ; Etoposide* ; Ovarian Neoplasms*

No abstract available.
Doxorubicin* ; Etoposide* ; Stomach Neoplasms*

STUDY DESIGN: A retrospective comparative study. PURPOSE: To provide an ideal correction angle of lumbar lordosis (LL) in degenerative flat back deformity. OVERVIEW OF LITERATURE: The degree of correction in degenerative flat back in relation to pelvic incidence (PI) remains controversial. METHODS: Forty-nine patients with flat back deformity who underwent corrective surgery were enrolled. Posterior-anterior-posterior sequential operation was performed. Mean age and mean follow-up period was 65.6 years and 24.2 months, respectively. We divided the patients into two groups based on immediate postoperative radiographs-optimal correction (OC) group (PI-9degrees< or =LL or =55degrees). Radiological and clinical results were analyzed. RESULTS: Patients in OC group had significantly less correction loss and maintained normal sagittal alignment (sagittal vertical axis<5 cm), as compared to patients in UC group (p<0.05). LL of low PI group significantly maintained within 9degrees better than high PI group (p<0.05). Oswestry disability index (ODI) significantly decreased at last follow-up, as compared to preoperative state. However, there was no significant difference in last follow-up ODI between the groups. CONCLUSIONS: In flat back deformity, correction of LL to within 9degrees of PI will result in better sagittal balance. Thus, we recommend sufficient LL to prevent correction loss, especially in patients with high PI.
Animals ; Congenital Abnormalities* ; Follow-Up Studies ; Humans ; Incidence ; Lordosis* ; Retrospective Studies

Excessive teeth wear can lead to reduced chewing efficiency, occlusal plane collapse, and facial changes. Full mouth rehabilitation with a change in vertical dimension may cause pain in the temporomandibular joint, masticatory muscle and teeth, so an accurate diagnosis and treatment plan is required. In this case, a 69-year-old man had excessive teeth wear with a loss of posterior support. We evaluated the degree of adaptation to the increased vertical dimension with the removable occlusal splint and provisional restoration. We report this case because the treatment result has been functionally and aesthetically satisfactory by providing stable anterior guidance, proper posterior teeth disclusion, and even contact of all teeth in centric occlusion.

Excessive teeth wear can lead to reduced chewing efficiency, occlusal plane collapse, and facial changes. Full mouth rehabilitation with a change in vertical dimension may cause pain in the temporomandibular joint, masticatory muscle and teeth, so an accurate diagnosis and treatment plan is required. In this case, a 69-year-old man had excessive teeth wear with a loss of posterior support. We evaluated the degree of adaptation to the increased vertical dimension with the removable occlusal splint and provisional restoration. We report this case because the treatment result has been functionally and aesthetically satisfactory by providing stable anterior guidance, proper posterior teeth disclusion, and even contact of all teeth in centric occlusion.

In completely edentulous patients, reference points for determining the occlusal plane and vertical dimension are lacking. Therefore, accurately recording the jaw relation is essential for the fabrication of dentures or implant prostheses. Traditional methods using occlusal rims for bite registration require time for fabrication and intraoral adjustments, leading to patient discomfort with multiple visits. Recently, several methods have been developed to address these limitations by simultaneously obtaining impressions and jaw relation records. The JB Fork (PNUADD Co., Ltd., Busan, Korea) is a one-step jaw-relation recording system that can be integrated with digital protocols for fabrication of dental prostheses. It allows for simultaneous impression-making, verification of the maxillary anterior tooth arrangement, and recording of vertical and horizontal jaw relations, thereby facilitating the transfer of the occlusal plane. This case report aims to present a method for acquiring jaw-relation records using a JB fork and digital scan data.

In completely edentulous patients, reference points for determining the occlusal plane and vertical dimension are lacking. Therefore, accurately recording the jaw relation is essential for the fabrication of dentures or implant prostheses. Traditional methods using occlusal rims for bite registration require time for fabrication and intraoral adjustments, leading to patient discomfort with multiple visits. Recently, several methods have been developed to address these limitations by simultaneously obtaining impressions and jaw relation records. The JB Fork (PNUADD Co., Ltd., Busan, Korea) is a one-step jaw-relation recording system that can be integrated with digital protocols for fabrication of dental prostheses. It allows for simultaneous impression-making, verification of the maxillary anterior tooth arrangement, and recording of vertical and horizontal jaw relations, thereby facilitating the transfer of the occlusal plane. This case report aims to present a method for acquiring jaw-relation records using a JB fork and digital scan data.

In completely edentulous patients, reference points for determining the occlusal plane and vertical dimension are lacking. Therefore, accurately recording the jaw relation is essential for the fabrication of dentures or implant prostheses. Traditional methods using occlusal rims for bite registration require time for fabrication and intraoral adjustments, leading to patient discomfort with multiple visits. Recently, several methods have been developed to address these limitations by simultaneously obtaining impressions and jaw relation records. The JB Fork (PNUADD Co., Ltd., Busan, Korea) is a one-step jaw-relation recording system that can be integrated with digital protocols for fabrication of dental prostheses. It allows for simultaneous impression-making, verification of the maxillary anterior tooth arrangement, and recording of vertical and horizontal jaw relations, thereby facilitating the transfer of the occlusal plane. This case report aims to present a method for acquiring jaw-relation records using a JB fork and digital scan data.