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National Journal of Andrology

2002 (v1, n1) to Present ISSN: 1671-8925

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Clinicopathological study of primary carcinoid tumor of the testis.

You-cai ZHAO ; Qun-li SHI ; Xiao-jun ZHOU ; Heng-Hui MA ; Zhen-feng LU ; Hang-bo ZHOU

National Journal of Andrology.2007;13(2):157-160.

OBJECTIVETo study the clinicopathological characteristics, immunohistochemical features and histogenesis of primary testicular carcinoid tumor and its differential diagnosis.

METHODSLight microscopy and immunohistochemical stains were performed in 4 cases of primary testicular carcinoid tumor.

RESULTSThe patients sought care for scrotum mass presented from 2 to 36 years, 2 cases accompanied with tender swelling of the testis. The tumors were described as nodular, yellowish-gray in color, 3.0-4.0 cm in the greatest dimensions, and well circumscribed, focal necrosis seen in 1 case. Histologically, they showed insular and trabecular patterns separated by fine fibrous bands. The tumor cells were round or polygonal with regular monomorphic nuclei, stippling chromatin and eosinophilic granular cytoplasm. There were rosette-like and tubuloglandular patterns with eosinophilic secretion in the cavity. Immunohistochemical staining for synaptophysin, chromogranin A, NSE and cytokeratin showed diffusely positive expression in the tumor cells.

CONCLUSIONPrimary testicular carcinoid tumor is extremely rare with good prognosis and its histogenesis remains controversial. Diagnostically it has to be differentiated from seminoma, metastatic carcinoid tumor, Sertoli cell tumor and granulosa cell tumor.


Adult ; Carcinoid Tumor ; diagnosis ; pathology ; Diagnosis, Differential ; Granulosa Cell Tumor ; pathology ; Humans ; Male ; Neoplasm Metastasis ; Seminoma ; pathology ; Sertoli Cell Tumor ; pathology ; Testicular Neoplasms ; diagnosis ; pathology

Adult ; Carcinoid Tumor ; diagnosis ; pathology ; Diagnosis, Differential ; Granulosa Cell Tumor ; pathology ; Humans ; Male ; Neoplasm Metastasis ; Seminoma ; pathology ; Sertoli Cell Tumor ; pathology ; Testicular Neoplasms ; diagnosis ; pathology

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Interns' knowledge on male reproductive health: a comparison between pre- and post-training in the department of urology.

Wen-hao TANG ; Lu-lin MA ; Kang-ping LUO ; Kai HONG ; Lian-ming ZHAO ; Yi HUANG ; Hui JIANG

National Journal of Andrology.2007;13(2):153-156.

OBJECTIVETo investigate whether training in the department of urology will help interns acquire more knowledge on male reproductive health in such aspects as male erectile dysfunction (ED), premature ejaculation, male infertility (PE), male contraception, and so on.

METHODSSixty interns receiving rotatory training in the Department of Urology of the Peking University Third Hospital were recruited to complete a questionnaire designed by ourselves. A comparison was made of their knowledge on male reproductive health before and after their training in the department by using the chi-square statistical test in SPSS 11.0 software.

RESULTSWith regard to ED in such questions as "Do you regard ED as a disease affecting the aging male?" and "Do you regard ED as a local symptom of some male systemic disease?", all the interns knew significantly better after trained in the department of urology. Concerning the definition of ED and the effect of sildenafil citrate on ED, no significant difference was found in their knowledge between pre-training and post-training. As to patients' questions about ED, most of them showed interest but rarely made any initiative inquiries, which was not significantly changed after the training. Regarding PE, most of them knew very little even after trained, but they all thought of it as a disease affecting life quality. As regards male infertility, although some knew something about its definition and the normal parameters of semen routine analyses, others remained quite ignorant. As for male contraception, most of them knew little even after trained in the department.

CONCLUSIONInterns generally acquire more knowledge on male reproductive health after trained in the department of urology. However, in regard to male infertility and male contraception, their knowledge is quite insufficient, which implies the need for strengthening the training in the related aspects.


Adult ; Health Knowledge, Attitudes, Practice ; Humans ; Infertility, Male ; Internship and Residency ; Male ; Reproduction ; Surveys and Questionnaires ; Urology ; education

Adult ; Health Knowledge, Attitudes, Practice ; Humans ; Infertility, Male ; Internship and Residency ; Male ; Reproduction ; Surveys and Questionnaires ; Urology ; education

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Comparison of transurethral surgical methods for treating small-size prostate hyperplasia.

Zi-qiang DONG ; Ke-jun LI ; Ping ZHANG ; Lu-sheng ZHANG ; Zheng MAO

National Journal of Andrology.2007;13(2):150-152.

OBJECTIVETo analyze different transurethral surgical methods for the treatment of small-size benign prostate hyperplasia (BPH) in order to improve the curative effect.

METHODSThe clinical data of 52 cases of small-size BPH treated by transurethral surgery were reviewed and analyzed. Of the total number, 12 underwent transurethral prostate resection (TURP), 18 TURP plus transurethral incision of the bladder neck (TUIBN) and 22 TURP plus transurethral resection of the bladder neck (TURBN). The curative effect of the three different surgical methods was evaluated by international prostate symptom score (IPSS), maximum flow rate (Qmax) and post-voiding residual urine volume (PVR).

RESULTSIn the TURP group, 3 cases were complicated with contracture of the bladder neck, and the IPSS, Qmax and PVR were (12.2 +/- 3.2), (11.7 +/- 2.6) ml/s and (27.6 +/- 13.0) ml, respectively. In the TURP + TUIBN group, there was only 1 case of the complication and the three indices were respectively (8.6 +/- 3.2), (16.7 +/- 3.0) ml/s and (20.0 +/- 8.0) ml. No complication was observed in the TURP + TURBN group and the three indices were (6.2 +/- 3.0), (22.7 +/- 3.1) ml/s and (8.0 +/- 4.0) ml, respectively. No statistical difference (P > 0.05) was found in IPSS, Qmax and PVR among the three groups before the operation, but significant difference (P < 0.01) was observed after it. The curative effect was better in the TURP + TUIBN group than in the TURP, but was the best in the TURP + TURBN.

CONCLUSIONSTURP + TURBN, being more effective than TURP + TUIBN, should be used as the first option for the surgical treatment of small-size BPH. The key to the operation is to thoroughly remove not only the hyperplastic gland but also the pathological changes of the bladder neck.


Aged ; Aged, 80 and over ; Humans ; Male ; Middle Aged ; Prostatic Hyperplasia ; surgery ; Transurethral Resection of Prostate ; methods ; Urinary Bladder Neck Obstruction ; surgery

Aged ; Aged, 80 and over ; Humans ; Male ; Middle Aged ; Prostatic Hyperplasia ; surgery ; Transurethral Resection of Prostate ; methods ; Urinary Bladder Neck Obstruction ; surgery

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Establishment of an animal model of azoospermia in male mice.

Xun-bin HUANG ; Hong-gang LI

National Journal of Andrology.2007;13(2):147-149.

OBJECTIVETo establish a stable animal model of azoospermia in male mice.

METHODSTwo groups of mice, with 30 in each, were intervened respectively by chemotherapy (intraperitoneal injection of Busulfan and Cyclophosphamide) and subcutaneous injection of Estradiol. At different times after the injection, the microscopic structures of the seminiferous tubules of both groups were observed and compared. The recovery of the germ cells in the seminiferous tubules was also evaluated after the termination of the intervention.

RESULTSA stable animal model was established by chemotherapeutic method with Busulfan and cyclophosphamide, while the model constructed by muscle injection of Estradiol was not stable.

CONCLUSIONCompared with estrogen injection, chemotherapeutic intervention is a reliable method for constructing an animal model of azoospermia in male mice.


Animals ; Azoospermia ; Busulfan ; administration & dosage ; Cyclophosphamide ; administration & dosage ; Disease Models, Animal ; Estradiol ; administration & dosage ; Injections, Intraperitoneal ; Injections, Subcutaneous ; Male ; Mice ; Mice, Inbred C57BL

Animals ; Azoospermia ; Busulfan ; administration & dosage ; Cyclophosphamide ; administration & dosage ; Disease Models, Animal ; Estradiol ; administration & dosage ; Injections, Intraperitoneal ; Injections, Subcutaneous ; Male ; Mice ; Mice, Inbred C57BL

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Level of free L-carnitine in human seminal plasma and its correlation with semen quality.

Ke LI ; Wei LI ; Yu-feng HUANG ; Xue-jun SHANG

National Journal of Andrology.2007;13(2):143-146.

OBJECTIVETo evaluate the difference of the free L-carnitine level in seminal plasma between fertile and infertile men and the correlation of free L-carnitine with semen quality, and to study the effect of L-carnitine on male fertility and its role in the evaluation and treatment of male infertility.

METHODSSemen samples of 230 infertile (normozoospermia, n=117, oligozoospermia, n=81, azoospermia, n=32) and 30 fertile men were collected and the level of free L-carnitine in seminal plasma and such sperm parameters as sperm concentration, motility and vitality, were determined by high performance liquid chromatography and computer-assisted semen analysis system, respectively. The results were analyzed with the SPSS 12.0 software.

RESULTSThe level of free L-carnitine in the seminal plasma of the fertile men was significantly higher than that of the infertile (P < 0.01). The lower the sperm concentration, the weaker the sperm vitality, the more significant the difference. The level of free L-carnitine in the semen was positively correlated with sperm concentration (r = 0.521, P < 0.001), and sperm motility (r = 0.319, P < 0.001) and vitality (r = 0.251, P < 0.001).

CONCLUSIONThe level of free L-carnitine in seminal plasma, significantly correlated with sperm concentration, motility and vitality, can be taken as a biochemical index used as a guidance for the clinical treatment of male infertility as well as for the study on the mechanisms of male reproduction.


Adult ; Carnitine ; analysis ; Case-Control Studies ; Chromatography, High Pressure Liquid ; Humans ; Infertility, Male ; physiopathology ; Male ; Semen ; chemistry ; Sperm Count ; Sperm Motility

Adult ; Carnitine ; analysis ; Case-Control Studies ; Chromatography, High Pressure Liquid ; Humans ; Infertility, Male ; physiopathology ; Male ; Semen ; chemistry ; Sperm Count ; Sperm Motility

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Potassium channel blocker regulates the proliferation of prostatic epithelial cells in SD rats.

Zheng-xing ZHOU ; Chao-zhao LIANG ; Zhi-guo TANG ; Zong-yao HAO ; Qing-kui GUO ; Yong HU ; Jun ZHAO

National Journal of Andrology.2007;13(2):138-142.

OBJECTIVETo investigate the regulatory effect of potassium channel blocker (tetraethylammonium [TEA], aminopyridine [4-AP], glibenclamide [Glib]) on the proliferation of SD rat prostatic epithelial cells in vitro.

METHODSThe primary culture was prepared by collagenase dissociation of minced prostatic tissues. Cells were cultured in serum-free prostate epithelial cell growth media and identified by immunocytochemical studies. TEA and 4-AP at the concentration of 1, 5 and 10 mmol/L and Glib at the concentration of 10, 50 and 100 mol/L were added, and after 24, 48 and 72 hours of culturing, a cell column diagram was drawn and the cell number counted. The post-passage cell growth was observed by MTT assay and Hoechst33258 nucleus staining.

RESULTSThe cultured cells showed the typical morphological features of epithelia, with positive stain. MTT assay and Hoechst33258 staining showed that TEA, 4-AP and Glib at the increasing concentration effected different degrees of proliferation of prostatic epithelial cells after 24, 48 and 72 h (P < 0.01).

CONCLUSIONThe potassium channel blocker is a direct physiological regulator of the proliferation of SD rat prostatic epithelial cells.


Animals ; Cell Proliferation ; drug effects ; Cells, Cultured ; Epithelial Cells ; drug effects ; Male ; Potassium Channel Blockers ; pharmacology ; Prostate ; cytology ; drug effects ; Rats ; Rats, Sprague-Dawley

Animals ; Cell Proliferation ; drug effects ; Cells, Cultured ; Epithelial Cells ; drug effects ; Male ; Potassium Channel Blockers ; pharmacology ; Prostate ; cytology ; drug effects ; Rats ; Rats, Sprague-Dawley

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Investigation of semen quality of 18-35 year old Chinese army men.

Su-wen YAN ; Jie TANG ; Ning ZHANG ; Xi-liang WANG ; Hai-ou LU ; Meng-xing WANG

National Journal of Andrology.2007;13(2):134-137.

OBJECTIVETo investigate the semen quality of the Chinese army men.

METHODSTen-item sperm quality analyses were made by manual methods and the computer assisted sperm analysis system in 1054 young Chinese army men. The subjects were divided into 4 age groups (18-20 yrs., 21-25 yrs., 26-30 yrs and 31-35 yrs.), and the results of the analyses were compared.

RESULTSAmong the 1 054 young males investigated, the semen volume was (2.6 +/- 1.4) ml, sperm density (55.9 +/- 46.5) x 10(6)/ml, sperm grade a + b motility (47.1 +/- 19.0)%, sperm viability (70.6 +/- 22.1)%, morphologically normal sperm (84.7 +/- 10.2)%, and acrosomal integrity (86.1 +/- 7.2)%. As for the percentages of the quality indexes that met WHO standards, the sperm volume was 73.5%, liquefaction time 91.1%, pH 93.0%, grade a + b motility 45.5%, viability 86.7%, sperm density 80.4%, morphologically normal sperm 98.2%, and the sperm total number 78.0%. Those who accorded with all the WHO standards accounted for 40.2%.

CONCLUSIONThe semen quality of the 18-35 year old army men was better than previously reported in the similar literature. And that of the 26-30 yrs. group was the best among all the age groups.


Adolescent ; Adult ; Humans ; Hydrogen-Ion Concentration ; Male ; Military Personnel ; statistics & numerical data ; Sampling Studies ; Semen ; chemistry ; physiology ; Sperm Count ; Sperm Motility

Adolescent ; Adult ; Humans ; Hydrogen-Ion Concentration ; Male ; Military Personnel ; statistics & numerical data ; Sampling Studies ; Semen ; chemistry ; physiology ; Sperm Count ; Sperm Motility

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Quantitative detection of DD3 mRNA in prostate cancer tissues by real-time fluorescent quantitative reverse transcription polymerase chain reaction.

Zhi-hua TAO ; Xiao-lu MAO ; Cai-hong WANG ; Xiao-dong CHEN ; Kai-yuan YU ; Zhi-liang WENG ; Yuan-ping HU ; Xiao-hua ZHANG ; Hui XIE ; Ou-chen WANG ; Qi-tong SONG ; Cheng-di LI ; Zhan-guo CHEN

National Journal of Andrology.2007;13(2):130-133.

OBJECTIVETo analyze the expression of DD3 mRNA in the prostate tissues.

METHODSDD3 mRNA was detected by realtime fluorescent quantitative reverse transcription polymerase chain reaction (FQ-RT-PCR) based on the Taqman technique in the tissues of 27 patients with non-prostate cancer( NPCa), 21 prostate cancer( PCa), 39 benign prostatic hyperplasia (BPH) and 15 normal prostate (NP). The ROC curve was used to evaluate the diagnostic value of DD3 mRNA.

RESULTSDD3 mRNA expression was not detected in the NPCa tissues. The median expressions of DD3 mRNA in PCa, BPH and NP tissues were 7. 2 x 10(6), 2. 5 x 10(4) and 1.5 x 10(4) copies/mg tissue, respectively. The DD3 mRNA expression levels were significantly different between nonmalignant and malignant tissues (P < 0.01). No significant differences in DD3 mRNA expression were detected between the NP and BPH tissues and no significant correlation was found between the DD3 mRNA expression and clinical pathological parameters. The AUC-ROC was 0.937 (95% CI: 0.879 - 0.995) at cutoff value 1.4 x 10(5) copies/mg tissue. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio for DD3 were 90.5%, 85.0%, 86.7%, 76.0%, 94.3%, 6.03 and 0.11 respectively.

CONCLUSIONThe DD3 mRNA expression is confined to prostate tissues and highly upregulated in PCa tissues. It has a potential application value in the early diagnosis of prostate cancer and the follow-up of the patient.


Aged ; Aged, 80 and over ; Antigens, Neoplasm ; biosynthesis ; genetics ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Prostatic Hyperplasia ; metabolism ; pathology ; Prostatic Neoplasms ; metabolism ; pathology ; RNA, Messenger ; genetics ; ROC Curve ; Reverse Transcriptase Polymerase Chain Reaction

Aged ; Aged, 80 and over ; Antigens, Neoplasm ; biosynthesis ; genetics ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Prostatic Hyperplasia ; metabolism ; pathology ; Prostatic Neoplasms ; metabolism ; pathology ; RNA, Messenger ; genetics ; ROC Curve ; Reverse Transcriptase Polymerase Chain Reaction

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Making of the animal model with sterilized testes.

Feng-hua LIU ; Dong-zi YANG ; Yi-feng WANG ; Xiao-ping LIANG ; Wen-ming PENG ; Chang-an CAO ; Xi-gu CHEN ; Zhong-min GUO

National Journal of Andrology.2007;13(2):125-129.

OBJECTIVETo explore the methods of making an animal model with sterilized testes.

METHODS(1) X-ray local irradiation. Seventy 8-10-week-old male mice were equally divided into 6 experiment groups and a control group. The testes of the mice in the 6 experiment groups were irradiated sequentially by 1000, 1200, 1400, 1600, 1800 and 2000 cGy X-ray for 10 minutes, while those in the control group remained untreated. And then the pregnancy test was performed. (2) Cyclophosphamide injection. Forty 4-5-week-old male mice were divided into 3 experiment groups and a control group, the former treated with different doses of Cyclophosphamide via ip and the latter Natiichloridi Saline (N.S.) via i.p., followed by the pregnancy test. (3) Diphereline injection. Twenty 8-10-week-old male mice were equally divided into an experiment group and a control group, the former treated with Diphereline via ip and the latter N.S. via i.p., followed by the pregnancy test. (4) Identification by such pathologic examinations as TUNE1. technology, HE staining and immunohistochemical staining.

RESULTS(1) X-ray local irradiation. The male mice of Group 1 and 2 made their female partners pregnant respectively 10 and 15 days after the X-ray irradiation, but not those of Group 3 and 4 in our 3-month observation, and those of Group 5 and 6 died respectively 2 and 5 days after the X-ray irradiation. By comparison, the controls got their female partners pregnant within 3 days after placed together. (2) Cyclophosphamide injection. The male mice of Group 1 gained weight about 7 g and achieved pregnancy 9-14 days after drug termination, those of Group 2 gained around 4 g but failed to effect pregnancy, and those in Group 3 lost weight and died respective at 3, 4 and 5 weeks during the medication, while the controls all got their female partners pregnant within 3 days after put together. (3) Diphereline injection. The 10 male mice of the experiment group effected pregnancy 3 weeks after drug termination, while the 10 controls achieved the same result with 3 days after placed together. (4) Pathologic identification: TUNEL technology showed that apoptotic cells were occasionally seen (0.71 +/- 0.12)% in the testis tissue of the control group and remarkably increased (10.36 +/- 1.48)% in the model group, with significant difference between the two groups (P < 0.05). HE staining revealed normal testis tissues and convoluted seminiferous tubules with large numbers of germ cells in the control group, but atrophied convoluted seminiferous tubules and estranged cell linkage with only Ledig's cells but no germ cells in the model group. Immunohistochemical staining showed that the positive expression rates of CD29, Hsp90alpha and CD117 were respectively (50.30 +/- 5.2)%, (41.6 +/- 3.5)% and (73.6 +/- 3.7)% in the control group, as compared with (1.3 +/- 0.2)%, 0% and (1.6 +/- 0.3)% in the model group, with significant difference (P < 0.01). The positive expression rate of p53 was (19.7 +/- 0.8)% in the control group, significantly different from that of the model group, which was (39.4 +/- 2.9)% (P < 0.01).

CONCLUSIONThe animal model with sterilized testes can be made either by X-ray local irradiation of the testis or by Cyclophosphamide injection via i.p..


Animals ; Apoptosis ; radiation effects ; Cyclophosphamide ; administration & dosage ; Disease Models, Animal ; Dose-Response Relationship, Radiation ; Infertility, Male ; pathology ; Injections, Intraperitoneal ; Male ; Mice ; Mice, Inbred BALB C ; Testis ; cytology ; radiation effects

Animals ; Apoptosis ; radiation effects ; Cyclophosphamide ; administration & dosage ; Disease Models, Animal ; Dose-Response Relationship, Radiation ; Infertility, Male ; pathology ; Injections, Intraperitoneal ; Male ; Mice ; Mice, Inbred BALB C ; Testis ; cytology ; radiation effects

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Comparison of sperm parameters between male adults at different altitudes.

Liang-kuan YU ; Jun-hao GUI ; Jing FENG ; Bian HU ; Guo-xiang HUANG ; Zheng WANG ; Rui WANG ; Wu-zhong YU ; Dong-hui QIU

National Journal of Andrology.2007;13(2):122-124.

OBJECTIVETo investigate the influence of long-term anoxic exposure on the sperm function of male adults at different altitudes.

METHODSA total of 28 male adults that had stayed at the altitude of 5 340 m for 1-3 years were included as a high-altitude group (HAG), 34 at the mean altitude of 3 800 m for 2-5 years as a middle-altitude group (MAG) and 31 permanently at the altitude of 1 300 m as controls. Semen specimens were collected and the real-time semen analysis was performed by using computer-assisted semen analysis (CASA) system.

RESULTSThe sperm density, VCL, VSL, VAP and LIN in the HAG were (51.12 +/- 14.61) x 10(6)/ ml, (48.17 +/- 13. 52) microm/s, (32.64 +/- 6.70) microm/s, (41.21 +/- 9.32) microm/s and 52.24 +/- 8.14, respectively, significantly lower than those of the control (P < 0.01 or P < 0.05). Compared with the control group, there was a progressive decrease in sperm concentration, sperm motility rate, VSL, VCL, LIN, VAP and ALH in the MAG.

CONCLUSIONThe higher the altitude, the more obvious was the negative effect of anoxic exposure on the sperm function of male adults.


Adult ; Altitude ; Control Groups ; Diagnosis, Computer-Assisted ; Humans ; Male ; Sperm Count ; Sperm Motility ; Spermatozoa ; physiology

Adult ; Altitude ; Control Groups ; Diagnosis, Computer-Assisted ; Humans ; Male ; Sperm Count ; Sperm Motility ; Spermatozoa ; physiology

Country

China

Publisher

南京军区南京总医院

ElectronicLinks

https://nkxb.cbpt.cnki.net/

Editor-in-chief

E-mail

editor@androl.cn

Abbreviation

National Journal of Andrology

Vernacular Journal Title

中华男科学杂志

ISSN

1009-3591

EISSN

Year Approved

2008

Current Indexing Status

Currently Indexed

Start Year

1995

Description

历史沿革【现用刊名:中华男科学杂志;曾用刊名:中华男科学;男科学报 & 实用男科杂志;创刊时间:1995】,该刊被以下数据库收录【CA 化学文摘(美)(2009)】,核心期刊【中文核心期刊(2008)】,期刊荣誉【军队双效期刊;Caj-cd规范获奖期刊】。

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