INTRODUCTION: In recent years, () has emerged as the predominant cause of pyogenic liver abscess in Asia. - as the causative microorganism in other visceral organ abscesses-is less described. In this study, we seeked to describe the clinical characteristics of visceral organ abscesses in our institution and evaluated the prescription practices of physicians with regard to antibiotic therapy. MATERIALS AND METHODS: A retrospective analysis of patients with culture positive (blood or abscess aspirate) visceral organ abscesses from May 2014 to April 2016 requiring hospitalisation in Changi General Hospital was conducted. RESULTS: A total of 140 adult patients with visceral organ abscesses were identified. The commonest site of involvement was the liver (77.9%), followed by genitourinary tract (20.7%). Diabetic patients were more likely to have liver abscesses, genitourinary abscesses, abscesses in 2 or more organs, genitourinary disease with abscess formation outside of the genitourinary tract, and endovascular infection. Patients with extended spectrum beta-lactamase producing , were more likely to have an obstructive lesion related to the site of the abscess. Overall mortality rate was 7.1%. Amongst survivors, the mean total duration of parenteral antimicrobial therapy was 2.5 weeks before switching to oral antimicrobial agents. CONCLUSION Genitourinary tract is the commonest extra-hepatic site for visceral organ abscess in infections. Parenteral to oral switch of antimicrobial agents appears to be a safe and effective treatment option.
Abscess ; classification ; microbiology ; mortality ; therapy ; Anti-Bacterial Agents ; therapeutic use ; Diabetes Mellitus ; epidemiology ; Female ; Humans ; Klebsiella pneumoniae ; isolation & purification ; Liver ; pathology ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Singapore ; epidemiology ; Survival Analysis ; Urogenital System ; pathology ; Viscera ; pathology

Since menopause hormone therapy was first introduced, it has been widely used worldwide as the most effective treatment for vasomotor symptoms in menopausal women and for genitourinary syndrome of menopause. Menopause hormone therapy has been shown to prevent bone loss and fracture, but it may additionally offer various benefits for numerous other symptoms. The benefit-to-risk ratio of menopause hormone therapy is most favorable for women aged younger than 60 years or who are within 10 years of menopause onset and have no contraindications. Longer durations of therapy should be limited to patients with documented indications, such as persistent vasomotor symptoms or bone loss. For genitourinary syndrome of menopause, low-dose vaginal estrogen therapy or other therapies are recommended. Tibolone is a synthetic steroid that provides a therapeutic effect in the treatment of menopausal symptoms.
Estrogens ; Female ; Humans ; Menopause ; Osteoporosis ; Urogenital System ; Vasomotor System

OBJECTIVES: This meta-analysis aimed to evaluate congenital malformations in infants conceived by assisted reproductive techniques (ART), compared with infants conceived spontaneously. METHODS: In this study, available resources searched to find relevant articles included PubMed, ScienceDirect, Scopus, Google Scholar, Cochrane, ProQuest, Iranmedex, Magiran, and Scientific Information Database. After extracting the necessary information from evaluated articles, meta-analysis on the articles’ data was performed using Stata version 11.2. RESULTS: In this study, from a total of 339 articles, extracted from the initial investigation, ultimately 30 articles were selected for meta-analysis that assessed the use of ART on the risk of congenital abnormalities and some birth complications on 5 470 181 infants (315 402 cases and 5 154 779 controls). The odds ratio (95% confidence interval [CI]) for low birth weight was 1.89 (95% CI, 1.36 to 2.62), preterm labor 1.79 (95% CI, 1.21 to 2.63), cardiac abnormalities 1.43 (95% CI, 1.27 to 1.62), central nervous system abnormalities 1.36 (95% CI, 1.10 to 1.70), urogenital system abnormalities 1.58 (95% CI, 1.28 to 1.94), musculoskeletal disorders 1.35 (95% CI, 1.12 to 1.64), and chromosomal abnormalities in infants conceived by ART was 1.14 (95% CI, 0.90 to 1.44), which were all statistically significant, except chromosomal abnormalities. CONCLUSIONS: The risk of congenital abnormalities and some birth complications were significantly higher in ART than normal conception, while chromosomal abnormalities were not; therefore, the application of ART should be selected individually for patients by detailed assessment to reduce such risks in the population.
Central Nervous System ; Chromosome Aberrations ; Congenital Abnormalities ; Female ; Fertilization ; Humans ; Infant* ; Infant, Low Birth Weight ; Infant, Newborn ; Mothers* ; Obstetric Labor, Premature ; Odds Ratio ; Parturition ; Pregnancy ; Reproductive Techniques, Assisted* ; Sperm Injections, Intracytoplasmic ; Urogenital System

The average life expectancy in Korea is increasing with new medical technology and complete understanding of pathophysiology of diseases in human. Physician should provide good and appropriate treatment to patients and also are responsible for offering medical services. Also, needs to improve the quality of life and death for patients with end-of-life have been increased. Urologists are interested in the prevention, diagnosis and treatment of the urogenital system disease but are not interested in the end of terminal cancer patients. Cancer is the most common cause of mortality rate in Korea. Cancer affects individuals, families, and society. Hospice and palliative care is a kind of portion of medicine to take care patients with far-advanced diseases and short-life expectancy, especially less than 6 months, for whom the focus of care is relief of suffering physical problems, social problems, and mental problems, and improvement of the quality of life. It takes a lot of efforts to finish the end-of life in patient. Physician alone can hardly provide all parts of end-of-life cares and cares can be provided through hospice care team including physician, social worker, volunteer, and priest. Hospice and palliative care still take a care for only a small group for dying patients. There have been few data for hospice and palliative care in urology. This review is to summary the concept of hospice for end-of life care and to help understanding hospice and the laws related to hospice to urologists who take care of patient with urogenital tract cancer.
Clergy ; Diagnosis ; Hospice Care* ; Hospices* ; Humans ; Jurisprudence ; Korea ; Life Expectancy ; Mortality ; Palliative Care ; Quality of Life ; Social Problems ; Social Work ; Social Workers ; Urogenital System ; Urology ; Volunteers

The genitofemoral nerve (GFN) has its unique anatomic characteristics of location, run and function in the male urinary system and its relationship with the ureter, deferens and inguinal region is apt to be ignored in clinical anatomic application. Clinical studies show that GFN is closely correlated with postoperative ureteral complications and pain in the inguinal region after spermatic cord or hernia repair. GFN transplantation can be used in the management of erectile dysfunction caused by cavernous nerve injury. Therefore, GFN played an important role in the clinical application of uroandrology. This review summarizes the advances in the studies of GFN in relation to different diseases in uroandrology.
Erectile Dysfunction ; etiology ; surgery ; Hernia, Inguinal ; surgery ; Humans ; Inguinal Canal ; innervation ; Lumbosacral Plexus ; injuries ; Male ; Pain, Postoperative ; etiology ; Peripheral Nerves ; transplantation ; Postoperative Complications ; etiology ; surgery ; Ureter ; innervation ; surgery ; Urogenital System ; innervation ; Vas Deferens ; innervation

Ultrasound (US) is often used to guide various interventional procedures in the genitourinary (GU) tract because it can provide real-time imaging without any radiation hazard. Moreover, US can clearly visualize the pathway of an aspiration or biopsy needle to ensure the safety of the intervention. US guidance also helps clinicians to access lesions via the transabdominal, transhepatic, transvaginal, transrectal, and transperineal routes. Hence, US-guided procedures are useful for radiologists who wish to perform GU interventions. However, US-guided procedures and interventions are difficult for beginners because they involve a steep initial learning curve. The purpose of this review is to describe the basic principles and techniques of US-guided GU interventions.
Biopsy ; Learning Curve ; Needles ; Radiology, Interventional ; Ultrasonography ; Ultrasonography, Interventional ; Urogenital System

Leonardo da Vinci is remembered as the greatest genius of the Renaissance. He left outstanding achievements as an artist, scientist and inventor, and contributes up to today's science. He ranks the best in a variety of fields, such as botany, mathematics, geology, astronomy, geometry and optics. It has well known that Leonardo is an artist, scientist, inventor and philosopher. And he was a great anatomist that dissected dead bodies and animals directly and left many anatomical drawings. He took an interest in anatomy from the point of view of the artist, which is why the human body structure and function to know the sakes were "ignorant of the anatomy should not be upset." Over time, he became interested in the structure and function of the body, even get the human body in a difficult environment; he dissected many the human bodies directly. His scientific inquiry and infatuation made him as an advanced pioneer for more than 100 years, and got enough level to surpass the artistry. Leonardo left about 1,800 anatomical figures of the muscular, skeletal, vascular, nervous and urogenital system, and they are also very scientific and high artistic achievements. The aim of this article is to take a look at Leonardo da Vinci's anatomical achievements and thoughts. In addition, the goal is to knowledge today's anatomists about Leonardo da Vinci's astonishing achievements as a great pioneer in anatomy.
Anatomists ; Animals ; Astronomy ; Botany ; Geology ; Human Body ; Humans ; Inventors ; Mathematics ; Urogenital System

Extrapulmonary tuberculosis usually involves the pleura, central nervous system, lymphatic system, genitourinary system and bone with joint. There are few reports about pulmonary tuberculosis involving the endometrium and muscle. A 32-year-old woman who had intact immunity visited hospital due to menorrhagia, and was diagnosed with endometrial tuberculosis. The patient also had a painless abdominal mass about for 1 year before she came to the hospital. She was diagnosed with rectus abdominis muscle tuberculosis, endometrial tuberculosis, and pulmonary tuberculosis at the same time. We report a case of endometrial tuberculosis accompanied with rectus abdominis muscle and pulmonary tuberculosis in a non-immunosuppressed person.
Adult ; Central Nervous System ; Endometrium* ; Female ; Humans ; Joints ; Lung* ; Lymphatic System ; Menorrhagia ; Pleura ; Rectus Abdominis* ; Tuberculosis* ; Tuberculosis, Pulmonary ; Urogenital System

PURPOSE: Penile fracture is rare, but it is a urological emergency that always requires immediate attention. Moreover, penile fracture has been reported more frequently in recent years. It may have devastating physical, functional, and psychological consequences if not properly managed in time. MATERIALS AND METHODS: The objective of this study was to highlight the causes, clinical presentation, and outcomes of cases of penile fracture. This was a prospective observational study extending from November 2012 to November 2014. Each patient underwent a thorough clinical evaluation and received proper treatment. RESULTS: Twenty patients with penile fracture, aged 19 to 56 years (mean, 28 years) were evaluated in this study. Vaginal intercourse was the most common mechanism of injury. Most of the patients (95%) were diagnosed clinically with a proper history and clinical examination. Nineteen patients were treated surgically. The patients underwent six months of follow-up, and were evaluated with local examinations, questionnaires, and colour Doppler ultrasonography as necessary. CONCLUSIONS: Although penile fracture is an under-reported urological emergency, its incidence is increasing. It is usually diagnosed based on a clinical examination, but ultrasonography can be very helpful in diagnosis. Especially in cases where treatment is delayed, surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications.
Diagnosis ; Emergencies ; Follow-Up Studies ; Humans ; Incidence ; Male ; Observational Study ; Penile Diseases ; Penile Prosthesis ; Prospective Studies ; Tertiary Healthcare* ; Ultrasonography ; Ultrasonography, Doppler ; Urogenital System

Endometriosis is a disease characterized by the presence of endometrial tissue outside of the uterine cavity. It is common in women of childbearing age, and is most frequently located in the pelvic cavity. Approximately 10% of endometriosis cases occur outside of the pelvic cavity in locations such as the intestines, genitourinary system, kidneys, lungs, and skin. However, there have been few reports of endometriosis in the stomach. Here, we report a rare case of endometriosis that presented as a subepithelial stomach tumor.
Endometriosis* ; Female ; Humans ; Intestines ; Kidney ; Lung ; Skin ; Stomach ; Urogenital System