The acidity and osmolarity of urine, and semen contamination with cell suspension or bacteria in the urine could lower sperm motility of retrograde ejaculates. So far, however, very few reports about the influence of chemical components of the urine on the sperm motility have been published. In the present study, the effects or the major chemical components in the urine (ammonia, creatinine, urea, and uric acid) on the sperm motility were investigated. For objective and accurate determination of the sperm motility, Sperm Quality Analizer was utilized in addition to Makler counting chamber, and semens were taken from one and the same young man with normal spermiogram. The amount of the chemical components which were applied to the semen was determined by calculating their daily output in urine. Each test was repeated 5 times. The higher the concentration of The urine to normal saline in the state of the same pH and osmolarity, the lower the sperm motility, which means the chemical components of the urine may have detrimental effect on the motility. Uric acid, urea and crealinine had little effects on the motility, regardless of concentration until 30 minutes after exposure. But ammonit had acute lethal effect on the motility even in the minimal amount. In conclusion, ammonia seems to be one of the most import factors in urine detrimental to sperm motility.
Ammonia ; Bacteria ; Creatinine ; Hydrogen-Ion Concentration ; Osmolar Concentration ; Semen ; Sperm Motility* ; Spermatozoa* ; Urea ; Uric Acid

T cell lymphoblastic lymphoma is characterized by immature lymphoid cells that are indistinguishable from the lymphoblasts and prolymphocytes of acute lymphoblastic leukemia. Several characteristic clinical features of lymphoblastic lymphoma, with include a high male-to-female ratio, a relatively high incidence in older children and young adults, the frequent presence of mediastinal involvement at the time of diagnosis. Also, this disease is rapidly progressive, and early dissemination to the bone marrow, blood, and central nervous system leads to the evolution of a picture resembling a acute lymphoblastic leukemia. We have experienced a rare case of congenital T-cell lymphoblastic lymphoma in which 1/365 year old female newborn had generalized multiple irregular protruding mass on her body. On bone marrow biopsy, CSF analysis, ultrasonogram and whole body MRI studies. We found metastasized tumor mass to, orbit, abdominal cavity, bulva, skin, and lower extremities. Histopathologically, specimen from mass on the right thigh showed diffuse infiltration of poorly differentiated and immature lymphoid cells in the skelectal muscle and subcutaneous soft tissue. By immunophenotyping studies using anti T cell and B cell monoclonal antibody, these cells were reactive with UCHL-1, MB2, but unreactive with MB1, L26. Based on these findings, the lesion was diagnosed as lymphoblastic lymphoma of the T-cell type, which occurred congenitally. Most T cell lymphoblastic lymphoma are noted, but congenital case was not reported. So we report it with a brief review of literature.
Abdominal Cavity ; Biopsy ; Bone Marrow ; Central Nervous System ; Child ; Diagnosis ; Female ; Humans ; Immunophenotyping ; Incidence ; Infant, Newborn ; Lower Extremity ; Lymphocytes ; Magnetic Resonance Imaging ; Orbit ; Precursor Cell Lymphoblastic Leukemia-Lymphoma* ; Skin ; T-Lymphocytes ; Thigh ; Ultrasonography ; Young Adult

The "bridge" alloplastic spermatocele, which connected the tails of the both epididymis and collected sperms from both testes, were constructed in 30 male Wistar rats, using Goretex cylinder. The artificial cylinder were aspirated postoperatively every week for 8 weeks, and the animals were then sacrificed and the epididymis connected with spermatoceles were examined histologically. The valid experimental results were not obtained because of the inflammation. However, the surgical procedure was relatively easy and a greater quantity of aspirate was obtained with easy execution of the single puncture. The number of sperms was markedly decreased from the 3rd weeks, and no sperms were survived at the first week in all the experimental rats. Therefore, it is recommended that the basic aspect of the spermatocele should be worked out experimentally before applying it to human patients.
Animals ; Epididymis ; Humans ; Inflammation ; Male ; Polytetrafluoroethylene ; Punctures ; Rats ; Rats, Wistar ; Spermatocele* ; Spermatozoa ; Testis

Ovarian cysts in the newborn are uncormnon. Fetal ovarian cysts are being diagnosed with inaeasing fiequency with development of obstetrical sonography. Most of these cysts are found within the first few months of life and have no clinical significance. But, a large ovarian cyst would be founded antenatally with sonography. A large ovarian cyst can cause life-theatening complications during parturition and in the neonatal period. We have experienced a case of fetal ovarian cyst in a 32-year-old primiparous woman with antenatal sonography and report our experience with a brief review of literatures.
Adult ; Female ; Humans ; Infant, Newborn ; Ovarian Cysts* ; Parturition ; Ultrasonography

No abstract available.
C-Reactive Protein* ; Tocolysis*

BACKGROUND: The aims of this study were to compare the suitability of repetitive-PCR genomic fingerprinting procedures to investigate genetic relatedness of the genus Vibrio and its applicability for the molecular identification of Vibrio vulnificus. METHODS: Forty-eight Vibrio strains were included for this study. REP-, ERIC-, BOX- and SERE-PCR were compared with 13 members of the genus Vibrio. RESULTS: REP-, BOX- and SERE-PCR showed V. vulnificus strains could not be separated well from other Vibrio species. However, approximately 320 bp of highly discriminatory specific fragments was recovered from V. vulnificus strains by ERIC-PCR. CONCLUSIONS: ERIC-PCR could be used as rapid classification and identification methods of V. vulnificus from other members of the genus Vibrio.
Classification* ; Dermatoglyphics* ; Vibrio vulnificus ; Vibrio*

We recently experienced a case of hypervascularization of the glans after arterialization of the deep dorsal vein(Furlow`s method) in a 25-year-old man having vasculogenic impotence due to arterial insufficiency of the penis. The Hypervascularization of the glans was corrected by ligating the branches of the deep dorsal Vein at the corona of the penis.
Adult ; Female ; Humans ; Impotence, Vasculogenic ; Male ; Penis ; Veins*

BACKGROUND: Pulmonary tuberculosis(TB) is still prevalent and remains a significant clinical problem for the elderly. However, the disease presents in many ways, and there are frequent adverse drug reactions that may prevent the early diagnosis and treatment of elderly TB patients compared to the young. The purpose of this study was to determine whether or not there are any differences in the clinical feature of pulmonary tuberculosis(TB) in both the diagnosis and treatment between the young (less than 64 years) and the elderly (65 years and more). METHODS: The medical records of 125 young and 70 elderly pulmonary TB patients, who were diagnosed with and treated for pulmonary TB at the Seoul Municipal Boramae Hospital from November 1991 to January 1997, were analyzed retrospectively. RESULTS: Anorexia(12% vs. 31.4%), general weakness (20.0% vs. 54.3%), dyspnea(21.6% vs. 37.1%) and an abnormal mentality (0.8% vs. 15.7%) were more frequent presenting symptoms in elderly TB patients, whereas hemoptysis (32.8% vs. 10.0%) and fever (BT>37℃ 58.4% vs. 35.7%) were more frequent in the young. The elderly had a higher number of cardiovascular and chronic obstructive pulmonary diseases as underlying illnesses. In chest PA, there were no differences in the location of the TB lesion, but the appearances were initially diagnosed more frequently as pneumonia or lung cancer (8.8% vs. 30.0%, p<0.05) in the elderly. There was no difference in the detection rate of acid fast bacilli(AFB) in the sputum between the two groups. There were no differences in the treatment response and follow-up loss. However, adverse drug reactions (13.6% vs. 45.7%, p<0.05), and changes in medication (4.9% vs. 25.7%, p<0.05) during treatment occurred more frequently in the elderly. One among the 125 young patients died from tuberculosis whereas 6 among the 70 elderly patients died from the disease. CONCLUSION: Because the clinical and radiological presentations were more atypical, a sputum AFB smear and culture should be done immediately in the elderly who are TB. The elderly experienced more frequent adverse drug reactions and mortality during treatment, but the response to treatment was good and rapid.
Aged* ; Diagnosis ; Drug-Related Side Effects and Adverse Reactions ; Early Diagnosis ; Fever ; Follow-Up Studies ; Hemoptysis ; Humans ; Lung Diseases, Obstructive ; Lung Neoplasms ; Medical Records ; Mortality ; Pneumonia ; Retrospective Studies ; Seoul ; Sputum ; Thorax ; Tuberculosis ; Tuberculosis, Pulmonary*

We have followed up 85 patients who have underwent penile prosthetic surgeries(Jonas ; 12. AMS 600 ; 33. AMS 700 ; 11, AMS 700 CX ; 5, Mentor ; 1, Hydroflex ; 23) for erectile dysfunction with a mean follow-up period of 28.7 months. Nineteen cases of complications in 15 patients(17.6%) developed of which 17 cases of medico-surgical in 14 patients and 2 cases of mechanical in one patient. As the medico-surgical complications, occurred a crural corporeal perforation, a protrusion of AMS 600 against glans, an acute angled protrusion of Hydroflex on penile base in flaccid state, 2 cases of exposure of Scott's inflatable prostheses through scrotal erosion (a case of tubing exposure and a case of pump exposure), two cases of urethral erosion and urine leak with infected prostheses, a skin necrosis of glans, 2 infected prostheses, 4 cases of urinary retention, and a dehiscence of perineal surgical wound. As the mechanical complications, crevice of the Hydroflex of both sides with fluid leak happened with 9 months interval in one patient.
Erectile Dysfunction ; Follow-Up Studies ; Humans ; Male ; Mentors ; Necrosis ; Penile Prosthesis ; Prostheses and Implants ; Skin ; Urinary Retention ; Wounds and Injuries

Penile-brachial Index(P. B. I) was measured before and after injection of papaverine in 79 psychogenic impotences, 31 arteriogenic impotences and 11 neurogenic impotences. Its diagnostic usefulness was compared with qualities of papaverine induced artificial erection and pudendal angiographic findings. The results were as follows , 1. Among 31 patients with arteriogenic impotence, 17(54.8%) patients were above 0.8 in P. B. I before injection of papaverine. Thus, the arteriogenic impotence could not be excluded in patients of P. B. I. above 0.8. 2. Among the psychogenic impotences, there was no case of P. B. I. below 0.8 after injection of papaverine. So arteriogenic impotence could be like in the case of P. B. I. below 0.8. However, the arteriogenic impotence could not be excluded in the case of P. B. I. above 0.8 because 25(86.6%) patients of arteriogenic impotence were above 0.8. 3. The specificity. sensitivity and efficiency of the P. B. I. concerning prediction of response to papaverine injection were 88.2, 41.2, 80.4% in P. B. I. of 0.8. 4. The specificity, sensitivity and efficiency of the P. B. I. concerning prediction of findings of pudendal angiogram were 71.4, 90.3, 86.8% in P. B. I. of 0.9. In conclusion, it was difficult to establish the base line of normal value of P. B. I. and there was limitation of diagnostic value of the P.B.I.
Female ; Humans ; Impotence, Vasculogenic ; Male ; Papaverine ; Reference Values ; Sensitivity and Specificity