Male genital tract inflammatory conditions may be associated with unexplained infertility. The presence of cytokine such as tumor necrosis factor-alpha (TNF-alpha) was reported in the semen of infertile men. However, the effect of these cytokines on human sperm function is still unclear. The purpose of this study was to investigate the in-vitro effects of TNF-alpha on human sperm motility with computer assisted sperm analysis. Washed sperm from 16 normal men were incubated without and with TNF-alpha(0.1, 10, 1000 ng/ml). The changes of parameters of sperm motility were recorded at different time intervals (0, 5, 24 hour). There was no significant change of parameters of sperm motility in the incubation with TNF-alpha. It is suggested that TNF-alpha alone does not interfere with the sperm motility and more studies are needed.
Cytokines ; Humans ; Infertility ; Male ; Semen ; Sperm Motility* ; Spermatozoa* ; Tumor Necrosis Factor-alpha*

The urethral polyp is relatively unusual lesion but recently, has been reported more frequently Polyps of the anterior urethra are less common than those of the posterior urethra. The lesion is usually encountered in the young child but has occurred in the adult. Recently, we found two cases of urethral polyp. So, we report these with a brief review of the literature.
Adult ; Child ; Humans ; Polyps* ; Urethra

This study was performed to evaluate the influence of the possible preoperative prognostic factors on the results of pyeloplasty and to predict the postoperative prognosis according to these factors. Of 56 cases under the age of 15 years admitted to Yonsei University Medical Center from 1979 to 1988 with the diagnosis of ureteropelvic junction obstruction, 30 cases, who could be followed up after dismembered pyeloplasty, were analyzed for the preoperative prognostic factors. The possible preoperative prognostic factors affecting postoperative results after pyeloplasty are the age at the time of surgery. the length of obstruction and the state of growth and development. But the pyuria, the urinary tract infection, the severity of hydronephrosis, the presence of extrarenal pelvis, the function and degree of obstruction of the diseased kidney on renography, the thickness of renal parenchyme and the presence of the obstruction of contralateral kidney did not affect the postoperative results after pyeloplasty.
Academic Medical Centers ; Child* ; Diagnosis ; Growth and Development ; Humans ; Hydronephrosis ; Infant* ; Kidney ; Pelvis ; Prognosis ; Pyuria ; Radioisotope Renography ; Urinary Tract Infections

No abstract available.
Animals ; Clomipramine* ; Preoptic Area* ; Rats* ; Serotonin Uptake Inhibitors* ; Serotonin*

The clinical observation on diagnosis and treatment was made in 84 patients of renal injury during the period from 1983 to 1989. The results were as follows. 1. The sex ratio of male to female was 3.4:1 and the most favorable age was from 20 to 39 years for 46.4%. 2. The main cause of injury was nonpenetrating injury of which traffic accidents was the most common cause. 3. The associated injuries were seen in 100% of penetrating injury and 55.1% of nonpenetrating injury. The most common associated injury was diaphragmatic injury in penetrating injury and head injury in nonpenetrating injury. 4. Flank pain and hematuria were found in 91.7% and 84.5% in the patients with renal injury, respectively.5. IVP. CT scan, ultrasonography and retrograde pyelography were taken in 63. 50.5 and 2 patients. respectively for the diagnosis of renal injury. The frequency of minor. major and pedicle renal injury were 63.1%. 33.3% and 3.6%, respectively. 6. In minor injury. conservative treatment and renorrhaphy were performed in 98.1% and 1.9% and complication occurred in 3.8%. In major injury. conservative treatment. nephrectomy. partial nephrectomy and renorrhaphy were performed in 46.4%, 32.1%. .14.2% and 7.1%. respectively and complication occurred in 21.4%. In pedicle injury. nephrectomy was performed in 100% and complication was happened in 33.3%. From the viewpoint of the cause of injury, conservative treatment was performed in 16.7% in penetrating injury and 82.1% in nonpenetrating injury. In conclusion. the accurate diagnosis and treatment plan of renal injury with computed tomography are important. When the selection between conservative treatment and operative treatment is difficult, aggressive operative treatment is effective for the preservation of the injured kidney and the prevention of complications.
Accidents, Traffic ; Craniocerebral Trauma ; Diagnosis* ; Female ; Flank Pain ; Hematuria ; Humans ; Kidney ; Male ; Nephrectomy ; Sex Ratio ; Tomography, X-Ray Computed ; Ultrasonography ; Urography ; Wounds, Nonpenetrating

No abstract available.
Animals ; Flowmeters* ; Magnets* ; Male ; Models, Animal* ; Penile Erection* ; Rats*

Transrectal Ultrasonography (TRUS) easily provides an accurate assessment of the seminal tract. In Magnetic Resonance Imaging(MRI) of the seminal tract, the anatomic relationships are more clearly seen and the multiplanar imaging is available, so a more definitive diagnosis can be achieved. Although TRUS and MRI have been studied extensively, the findings of TRUS have not been compared with those of MRI. We studied 29 patients who were assessed with TRUS and MRI simultaneously due to disease of the seminal tract. The findings of cystic disease were coincident between TRUS and MRI. But the small size Mullerian duct cysts were not found in TRUS but were found in MRI. Hemorrhage of the ejaculatory duct and seminal vesicle, thickened ampulla portion of vas deferens were found only in MRI. Ejaculatory duct and seminal vesicle calcification were not easily found in TRUS due to their small size. The findings of seminal vesicle atrophy, dilatation and prostatic calcification between TRUS and MRI were discrepant. In conclusion, MRI is more helpful than TRUS in the diagnosis of small Mullerian duct cyst, small ejaculatory duct calculi, small seminal vesicle calculi, hemorrhage of ejaculatory duct and seminal vesicle and thickened ampulla portion of vas eferens.
Atrophy ; Calculi ; Diagnosis* ; Dilatation ; Ejaculatory Ducts ; Hemorrhage ; Humans ; Magnetic Resonance Imaging* ; Male ; Seminal Vesicles ; Ultrasonography* ; Vas Deferens

PURPOSE: To evaluate whether radial rigidity measured using RigiScan(R) represents the intracorporeal pressure effectively. MATERIALS AND METHODS: From January 1998 to May 1999, total of 23 patients with erectile dysfunction were evaluated by RigiScan(R) and duplex ultrasonography after the intracorporeal injection of prostaglandin E1. Peak systolic velocity and end diastolic velocity were measured by duplex ultrasonography and then the resistance index was calculated as (peak systolic velocity-end diastolic velocity)/(peak systolic velocity). Radial rigidity of penile tip and base was measured by RigiScanR . The results were analyzed statistically by PC-SPSS version 7.5. RESULTS: There were statistically significant correlations between radial rigidity of penile tip and base and the resistance index by Spearman's correlation analysis, respectively (r=0.680, p<0.001)(r=0.703, p<0.001). When radial rigidity of penile tip and base exceeded 60% of maximum, radial rigidity of penile tip and base again correlated well with the resistance index, respectively (r=0.659, p=0.020)(r=0.759, p=0.011). Based on clinically determined degree of erection, radial rigidity of penile tip and base represented the intracorporeal pressure effectively. CONCLUSIONS: Radial rigidity measured by RigiScan(R) represents the intracorporeal pressure effectively.
Alprostadil* ; Erectile Dysfunction ; Humans ; Male ; Ultrasonography

Seminal biochemical compositions are to be affected during inflammatory conditions of seminal tract such as chronic prostatitis. Especially chronic prostatitis induces changes in composition of prostatic fluid, and the chronic nature of disease also induces atrophy of prostatic secretory acini and the inflammation of seminal vesicle. We investigated the change of the seminal composition and the possible effect in sperm motility of chronic prostatitis patients. Sperm motility and seminal levels of zinc, citric acid, prostatic acid phosphatase(PAP) and fructose were measured on 12 healthy males and 21 chronic prostatitis patients. Sperm motility in chronic prostatitis patients was decreased and seminal levels of zinc, citric acid, PAP and fructose in control and chronic prostatitis patients were 143+/-10/102+/-7(ug/L), 389+/-17/293+/-25(mg/dl), 446+/-61/ 382+/-28(U/ml), 306+/-7/297+/-6(mg/dl), respectively. The change of zinc was statistically significant. In conclusion, although decrease of seminal zinc in patients with chronic prostatitis was found, there was no convincing evidence to suggest that alterations in seminal composition due to chronic prostatitis lead to decrease of sperm motility.
Atrophy ; Citric Acid ; Fructose ; Humans ; Inflammation ; Male ; Prostatitis* ; Semen ; Seminal Vesicles ; Sperm Motility ; Zinc

Inflammatory white blood cells in semen is related to semen quality affecting fertility. The role of inflammatory cells on the seminal levels of various cytokines associated with inflammation and sperm motility is evaluated. Semens from 10 healthy males and 20 chronic prostatitis patients were evaluated for the levels of interleukin(IL)-1a, IL-6, IL-8 and tumor necrosis factor(TNF)-a. Motility parameters were recorded using Hamilton-Thorne computer semen analysis system. Sperm motility parameters such as including average path velocity(VAP), straight line velocity(VSL), curvilinear velocity(VCL), lateral head displacement(ALH), beat frequency(BCF), straightness(STR), linearity(LIN), elongation and area in control and chronic prostatitis patients were 44.9+/-2.5/38.8+/-1.3(um/sec), 36.4+/-2.4/30.5+/-1.1(um/sec), 64.2+/-3.9/ 58.0+/-2.4(Fm/sec), 3.3+/-0.2/4.8+/-0.3tm), 19.8+/-3.7/13.9+/-0.3(Hz), 77.7+/-5.1/78.8+/-1.2(%), 50.6+/-17.5/53.5+/-1.9(%), 66.8+/-5.4/57.8+/-1.1(9%), 2.9+/-0.3/3.8+/-0.1(um/sec), respectively. Statistical significance was noted in VAP, VSL, ALH, BCF, elongation and area. Semen levels of IL-1a, IL-6, IL-8 and TNF-a in control and chronic prostatitis patients are 15.1+/-1.5/52.9+/-14.2 (pg/ml), 10.5+/-2.2/38.3+/-12.2 (pg/ml), 1.60+/-0.38/ 6.02+/-0.26 (ug/L), 11.8+/-2.5 / 21.7+/-4.0(pg/ml) statistically significant in all. For combined parameters, the correlation coefficient of IL-1a and VSL, ALH, Area were 0.40, 0.41, 0.37 respectively which were significant. The correlation coefficient of IL-8 and VAP, VSL, VCL, ALH, BCF, Elongation, Area were 0.48, 0.49, 0.39, 0.41, 0.55, 0.59, 0.66 respectively which were also significant. Seminal inflammatory cytokines are present in increased quantities if inflammatory white blood cells are present in semen and this increase might be related to sperm motility.
Cytokines* ; Fertility ; Head ; Humans ; Inflammation ; Interleukin-6 ; Interleukin-8 ; Leukocytes ; Male ; Necrosis ; Prostatitis ; Semen ; Semen Analysis ; Sperm Motility* ; Spermatozoa*