OBJECTIVE: This study aimed to determine clinical characteristics that are associated with tuberculosis orchitis in patients who present with a testicular mass.

MATERIALS AND METHODS: This is an analytic retrospective cohort study of patients who underwent radical orchiectomy for a possible testicular malignancy based on a testicular mass from 2005 to 2009. The following data were derived from a review of the patient's charts: patient age, laterality of the disease, duration of symptoms, concomitant extra-testicular tuberculosis (TB), pre-operative anti-TB treatment received, pertinent pre-operative physical findings, pertinent diagnostics done pre-operatively, and intra-operative findings.

RESULTS: The prevalence of testicular tuberculosis in persons who underwent radical orchiectomy for a scrotal mass is 31.8%. TB orchitis occurs more often in younger patients, those who have had tuberculosis in the past, or have received treatment, those with larger testicular masses, those with scrotal skin sinus and tenderness or swelling, tunica, vaginalis invasion, scrotal skin invasion, and epididymal enlargement, and those with cheesy substance noted in intraoperative findings. There were no significant differences between testicular tuberculosis and testicular tumor in terms of ultrasound findings.

CONCLUSION: Testicular tuberculosis is prevalent among patients who underwent radical orchiectomy due to a scrotal mass. Several clinical characteristics preoperatively and intraoperatively may predict TB orchitis in these patients.

Human ; Male ; Aged 80 and over ; Aged ; Middle Aged ; Adult ; Young Adult ; Adolescent ; Child ; Child Preschool ; Infant ; Orchitis ; Testicular Diseases ; Male Urogenital Diseases ; Orchiectomy ; Tuberculosis-history

A transurethrally-inserted foreign body is a rare urologic case that may be brought about by deviant sexual behavior or mental disability. This is a case of a 42-year old male presenting with repeated episodes of inserting a twisted electrical wire into his urethra. He already underwent open transvesical extraction of intravesical screw two years prior. A pre-operative pelvic x-ray confirmed the length of the intravesical component of the electrical wire. Open transvesical extraction of the wire was done followed by urethroscopy to ensure the absence of a urethral injury. An open approach was chosen over an endoscopic one because of the significant intravesical component of the foreign body. The patient did not experience any post-operative complications such as fever and superficial wound infections. He was referred to psychiatry service cleared for any deviant behavioral or psychiatric conditions.

OBJECTIVE: This study aimed to determine the knowledge, attitudes and beliefs of adult Filipino males consulting in the Philippine General Hospital on vasectomy, and the affect of marital status, length of marriage, number of children, level of education, economic status, religion and type of mass -media exposure on these attitude and beliefs.

MATERIALS AND METHODS: This is a descriptive cross-sectional study. A total of 1120 adult male patients were included in the study. Data were collected using a standardized, self-administered questionnaire. Percentages and means were calculated for all variables. Analysis was done using multiple regression models.

RESULTS: The mean age of the participants was 50.7 years (SD 16.5) and the mean number of children was 2.5 (SD 2.2). Of the whole sample, 363 (32.4%) have used or are currently using one from of contraception. Among the 518 (46.2%) of men who knew about vasectomy as a form of contraception, 451(87.1%) knew that vasectomy involves ligation of the vas deferens. Higher educational status, previous or current use of contraceptive and not being a Roman Catholic were shown to be statistically significantly associated with knowing about vasectomy as a form of contraception. Only knowledge about the safety of vasectomy was shown to influence men's willingness to undergo the procedure.

CONCLUSION: Improved awareness of the safety and reversibility of vasectomy may lead to increased acceptance of the procedure amongst Filipino men. Physicians play an important role in the dissemination of information about contraception, alongside the mass media, and should make efforts to ensure that adequate and accurate information is made available.

Human ; Male ; Vasectomy ; Psychology ; Contraception ; Sterilization, Reproductive ; Health Knowledge, Attitudes, Practice ; Attitude to Health ; Culture ; Information Dissemination ; Awareness ; Safety

Introduction: Limited access to the perineum and limited operating room space are just some of the limitations of the standard lithotomy docking for robot-assisted radical prostatectomy (RARP-LD). The side-docking technique (RARP-SD) may address these problems. Methods: Thirty cases of robot-assisted radical prostatectomy were matched to 120 cases of RARP-LD cases by propensity scoring using age, body mass index (BMI), clinical T stage, biopsy Gleason score, and ultrasound prostate volume. Operative and docking time, complications were used to compare peri-operative and safety outcomes. Results: Evaluation of 30 RARP-LD and 30 RARP-SD cases was done after propensity matching. Patient age, BMI, clinical T stage, biopsy Gleason score, and prostate volume were similar between the two groups (p>0.050). The mean docking time of RARP-SD is shorter than that of RARP-LD cases (7.56 vs. 4.12, p <0.001), but this did not translate to a shorter operative time. There were less peri-operative complications in the RARP-SD cases. Conclusions RARP-SD has a docking time and produces less complication than RARP-LD.
Prostatic Neoplasms