1.The Changes of Scanning Laser Polarimeter(GDx) Values in LASIK.
Cheol Seung LEE ; Hyun Joon PARK
Journal of the Korean Ophthalmological Society 2000;41(12):2618-2624
No Abstract Available.
Keratomileusis, Laser In Situ*
2.The Influences of Vascular Endothlelial Growth Factor and Endothelin-1 on Speramtogenesis in Testis.
Sung Woo PARK ; Hyun Jun PARK ; Nam Cheol PARK
Korean Journal of Fertility and Sterility 2004;31(4):235-244
OBJECTIVE: The effects on spermatogenesis by expression of vascular endothelial growth factor (VEGF) and endothelin-1 (ET-1) were investigated. MATERIALS AND METHODS: Testicular specimens were obtained from 40 infertile males due to primary testicular failure and from 10 fertile males with other urologic problems. The specimens of infertile males were devided into 4 groups according to histologic findings; Sertoli cell only syndrome (A), maturation arrest (B), hypospermatogenesis (C) and sloughing and disorganization (D). VEGF and ET-1 expression were detected with immunohistochemical stain. RESULTS: VEGF expression on Leydig cell was detected in all cases. But, VEGF expression rates on germ cell were significantly higher in infertile group B, C, D compared to that of the control group (p<0.05). ET-1 expression rates on Leydig cell was significantly lower in all infertile group compared to that of the control group (p<0.05). But, ET-1 expression rates on Sertoli cell was significantly higher in all infertile group compared to that of the control group (p>0.05). In germ cell of infertile group, LH, FSH and prolactin were significantly decreased, and estradiol is increased in positive stain group on ET-1 immunohistochemical stain (p<0.05). VEGF and ET-1 expression were not correlated mean seminiferous tubule diameter (p>0.05). CONCLUSIONS: Abnormal spermatogenesis would be reflected in VEGF expression in germ cell.
Endothelin-1*
;
Estradiol
;
Germ Cells
;
Humans
;
Male
;
Oligospermia
;
Prolactin
;
Seminiferous Tubules
;
Sertoli Cell-Only Syndrome
;
Spermatogenesis
;
Testis*
;
Vascular Endothelial Growth Factor A
3.Absorption, Excretion and Antioxidative Effect of Rebamipide on Reproductive Organ.
Jong Il KIM ; Hyun Jun PARK ; Nam Cheol PARK
Korean Journal of Fertility and Sterility 2005;32(4):301-314
OBJECTIVE: Rebamipide is a propionic acid derivative that has an action of the inhibition of superoxide production and removal of hydroxyl radical with the sperm incubation and cryopreservation. In the present study, to investigate whether rebamipide is useful to treat male infertility and sterility, the author observed the antioxidative effects in patient with male infertility and also examined its absorption and distribution in rat genital organ. METHODS: To measure the distribution of rebamipide in reproductive organ in the rat, carbon indicated rebamipide, 14C-OPC-12759, was orally administered to 10 Spraque-Dawley rats and its organ concentration in serum, liver, kidney, stomach, duodenum, colon, urinary bladder, seminal vesicle, epididymis and testicle were measured each time after 0.5, 1, 2, 4, 8 and 24 hours by using HPLC fluorescent method. The concentrations in semen were measured by HPLC fluorescent method in a sample of 50 infertile males who took 900 mg of rebamipide daily for 3 months. To measure the antioxidative effect and fertility rate for 3 months, each month before and after the treatment, sperm motility, vitality, the oxygen free radical formation, level of peroxidation, fetilizing capacity of semen sample which were obtained from infertile male patients by masturbation after at least 48 hours abstinence were analyzed by computer assisted semen analyzer, eosin-nigrosin stain, chemiluminescence, thiobarbituric acid method and hypo-osmotic swelling test. Simultaneously in a sample that wanted baby, both pregnancy and delivery were researched. RESULTS: The 14C-OPC-12759 concentration in the body of white rats was highest in gastrointestinal organ like stomach, smal intestine and duodenum and followed by genital organ like seminal vesicle, testis and epididymis. The rebamipide concentration in semen of infertile males was 220.77+/-327.84 ng/mL (SD) which showed a large deviation but it was higher than serum which was 126+/-76 ng/mL (SD). In the infertile males, after the treatment with rebamipide, the level of seminal reactive oxygen species (ROS) and lipid peroxidation have significantly decreased in duration of the treatment (p<0.05) and sperm vitality and fertilizing capacity except sperm motility significantly improved on post treatment of 2~3 months (p<0.05). Out of the 41 cases who hoped for pregnancy, 15 cases (36.6%) became pregnant and 12 cases had childbrith, 2 cases had miscarriage and one case is ongoing. The side effect was observed in 1 case (2%) which experienced diarrhea but it was lost spontaneously. CONCLUSIONS: We conclude from this study that rebamipide showed relatively high tendancy of absorption and excretion in the genital organ. In infertile males who had elevated ROS in semen, by specifically inhibiting the cell damage from the antioxidation, a way to preserve sperm motility, vitality and fertilizing capacity was confirmed.
Abortion, Spontaneous
;
Absorption*
;
Animals
;
Birth Rate
;
Carbon
;
Chromatography, High Pressure Liquid
;
Colon
;
Cryopreservation
;
Diarrhea
;
Diethylpropion
;
Duodenum
;
Epididymis
;
Female
;
Genitalia
;
Hope
;
Humans
;
Hydroxyl Radical
;
Infertility
;
Infertility, Male
;
Intestines
;
Kidney
;
Lipid Peroxidation
;
Liver
;
Luminescence
;
Male
;
Masturbation
;
Oxygen
;
Pregnancy
;
Rats
;
Reactive Oxygen Species
;
Semen
;
Seminal Vesicles
;
Sperm Motility
;
Spermatozoa
;
Stomach
;
Superoxides
;
Testis
;
Urinary Bladder
4.The Clinical Trial of Apomorphine Hydrochloride SL(Uprima(r)) in Patients with Erectile Dysfunction.
Hyun Cheol PARK ; Hyun Jun PARK ; Nam Cheol PARK
Korean Journal of Urology 2003;44(10):1038-1044
PURPOSE: The clinical efficacy and safety of apomorphine hydrochloride SL, a new centrally acting oral agent for the management of the male erectile dysfunction (ED), were evaluated. MATERIALS AND METHODS: Sixty consecutive patients with ED, who visited the Male Sexual Dysfunction Clinic at Pusan National University Hospital, between April and December 2002, were evaluated by open labelled and uncontrolled randomized methods. Apomorphine hydrochloride SL (Uprima(r)), 4-8 3mg tablets, was prescribed on each visit, which was administered sublingually according to the standard patient guidelines. An overall evaluation of erectile function was performed using the international index of erectile function (IIEF) and global efficacy assessment questions (GAQ). RESULTS: The age distribution of the 51 cases was 22 to 76 years, with a mean of 47.6+/-10.6 years. During the mean follow-up period of 26.2+/-18.6 days, ranging from 7 to 156 days, the sum of the IIEF symptom scores changed significantly, from 11.2+/-6.7, at the baseline, to 17.0+/-8.2, on the 3rd visit (p>0.05). The IIEF scores were significantly improved in the Q3 and Q4, at 45.7% and 59.8%, respectively(p<0.05), while those in the Q6, Q10, Q12 and Q13 were not improved after treatment (p>0.05). The improvements in the IIEF scores revealed in psychogenic and mild grade ED were statistically significance (p<0.05). Selectivity as a treatment regimen was shown in only 5 cases (8.3%). Adverse reactions were noted in 7 cases (13.7%), but were self-limited, and resulted in only 1 (1.9%) drop-out due to dizziness. CONCLUSIONS: Apomorphine hydrochloride SL is suggested would be a proper oral agent in patients with psychogenic or mild degree organic ED.
Age Distribution
;
Apomorphine*
;
Busan
;
Dizziness
;
Erectile Dysfunction*
;
Follow-Up Studies
;
Humans
;
Male
;
Tablets
5.Adenomatoid Tumor of the Epididymis.
Hyun Cheol PARK ; Hyun Jun PARK ; Nam Cheol PARK
Korean Journal of Andrology 2003;21(2):111-113
Adenomatoid tumor is an uncommon neoplasm found mainly near or in the epididymis in the male and the fallopian tubes and ovary in the female. We observed a case of adenomatoid tumor of the epididymis, which was found incidentally 20 years ago by patient self examination. A rubbery, non-tender, 2 X 1-cm mass was found in the tail portion of the right epididymis. Scrotal ultrasonography showed a 2.1 X 1.1 X 1.2-cm hypoechoic solitary mass. Mass excisional biopsy with partial epididymectomy was done under local anesthesia. Pathologic examination showed an adenomatoid tumor.
Adenomatoid Tumor*
;
Anesthesia, Local
;
Biopsy
;
Epididymis*
;
Fallopian Tubes
;
Female
;
Humans
;
Male
;
Ovary
;
Self-Examination
;
Ultrasonography
6.A clinical study of liver abscess.
Soon Hwa RHO ; Jin Hyun PARK ; Byung Cheol LEE
Journal of the Korean Surgical Society 1991;40(2):175-184
No abstract available.
Liver Abscess*
;
Liver*
7.Current status of laparoscopic cholecystectomy in Korea.
Yong Hyun PARK ; Sun Whe KIM ; Hee Cheol KIM
Journal of the Korean Surgical Society 1993;44(6):929-937
No abstract available.
Cholecystectomy, Laparoscopic*
;
Korea*
8.A COMPARISON OF MIDAZOLAM AND DIAZEPAM AS SEDATIVES FOR AMBULATORY PLASTIC SURGERY PATIENTS.
Yong Chan CHUN ; Hyun Cheol PARK ; Sung Ho CHOI
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(6):1274-1282
No abstract available.
Diazepam*
;
Humans
;
Hypnotics and Sedatives*
;
Midazolam*
;
Surgery, Plastic*
9.Study on antigenic analysis and serial antibody titration by using leptospira interrogans isolated at Chungchongbukdo.
Kyung Hee PARK ; Seok Cheol HONG ; Woo Hyun CHANG
Journal of the Korean Society for Microbiology 1991;26(4):317-327
No abstract available.
Chungcheongbuk-do*
;
Leptospira interrogans*
;
Leptospira*
10.Patterns of Vascular Invasion of Intrahepatic Peripheral Cholangiocarcinoma Examined with Angiography and Angiographic CT.
Jae Chun CHANG ; Hyun Cheol CHO ; Won Kyu PARK
Journal of the Korean Radiological Society 1995;32(1):145-152
PURPOSE: To evaluate the radiological patterns of vascular invasion in peripheral cholangiocarcinomas. MATERIALS AND METHODS: Hepatic arteriography and portography in 20 cases with cholangiocarcinoma including 12 cases with anglographic CT were retrospectively analized. RESULTS: The arteriography showed no arterioportal shunt, hypertrophy of tumor vessel, or tumor staining extending to central portion of the mass in all cases. However, doughnut shaped peripheral tumor staining was seen until late hepatogram phase in 12 cases and compensatory hyperperfusion around the mass was seen in six cases(eight cases if include arterial CT). Encasement of tumor vessel was seen in 12 cases, and hypertrophy of feeding vessel in nine cases. On portogrphy, the filling defect on segmental portal branch could be demonstrated only in 11 cases. Shape of the portal defect was tapered narrowing in six cases, abrupt narrowing in two cases but intraluminal nodular filling defect was not seen. Remainning three cases were difficult to define the shape. On seven cases of CT during arterial portography, three cases showed mass shaped defect and four showed segmental defect but three of them could demonstrate the partially preserved portal flow in defective portal area. CONCLUSION: Hepatic arteriography in peripheral cholagiocarcinoma showed no evidence of hypertrophy of tumor vessels and tumor stain extending to central portion but peripheral staining on late hepatogram phase and compensatory hyperperfusion could be seen. Portal vein was more commonly involved through perivascular connective tissue invasion rather than by direct extension into the portal lumen.
Angiography*
;
Cholangiocarcinoma*
;
Connective Tissue
;
Hypertrophy
;
Portal Vein
;
Portography
;
Retrospective Studies