ABSTRACT
PURPOSE: The aim of this study was to investigate the effect of tape-tension on outcome of tension-free vaginal tape(TVT) procedure and voiding function. MATERIALS AND METHODS: We included 62 women patients with stress urinary incontinence. The patients were randomized into two groups and underwent the TVT procedure according to the standard method with some modifications. In group I(n=28), the position of the tape was adjusted with no tension by placing Mayo scissors between the tape and urethra and in group II(n=34), the tape was placed in the same fashion except that create 5mm-long tape loop under urethra for more loosening the tape-tension than that of group I. The success rate of TVT, the rate of postoperative voiding dysfunction and pre- and postoperative quality of life(QOL), peak urinary flow rate(Qmax), post-void residual(PVR) were compared between the two groups. RESULTS: There were no significant differences in success rate and improvement of QOL between the groups. In group I, Qmax was significantly decreased and the PVR was significantly increased after TVT compared with group II. The voiding dysfunction after TVT occurred in 3(10.7%) and 1(2.9%) in group I, II respectively, and there was no significant difference. CONCLUSIONS: These data suggest that some loosening of the tape-tension in TVT procedure has no effect on the success of TVT and improvement of QOL. By some loosening of the tape-tension, postoperative voiding function could be improved and this finding would be helpful especially in patients with preoperative risk factor for voiding dysfunction after TVT.
Subject(s)
Female , Humans , Risk Factors , Suburethral Slings , Surgical Mesh , Urethra , Urinary Incontinence , Urinary Incontinence, StressABSTRACT
PURPOSE: This study aims to estimate the prevalence of erectile dysfunction (ED) in a population-based sample of Korean men aged 45 or over, and to study its correlation with the socio-demographic, medical and lifestyle factors. MATERIALS AND METHODS: 385 men in Chunchon City were evaluated by clinical measures and questionnaires. All the participants were evaluated for erectile dysfunction. In conjunction with this evaluation, all the men were asked to complete the International Prostate Symptom Score(IPSS), and they underwent health examinations that included blood pressure, body mass index and waist-to-hip ratio, and the laboratory studies included the fasting blood glucose and total cholesterol levels. The subjects' medical history and health behaviors were investigated. RESULTS: Out of the 385 men who visited our hospital, 285 completed the questionnaires. The prevalence of moderate or severe ED increased from 5.3% in men aged 45 to 54 years to 87.3% in men aged 75 or over. The standardized prevalence of ED was 41.5%. The IPSS were strongly correlated with ED(age adjusted partial R=??0.246, p0.05). CONCLUSIONS: The results of this community-based survey confirmed the strong correlation between advancing age and the prevalence of ED. Lower urinary tract symptoms are the major factors affecting erectile function. High blood pressure, high cholesterol levels and ex-smokers are significant risk factors for ED.
Subject(s)
Humans , Male , Aging , Blood Glucose , Blood Pressure , Body Mass Index , Cholesterol , Education , Epidemiology , Erectile Dysfunction , Fasting , Health Behavior , Hypertension , Life Style , Lower Urinary Tract Symptoms , Prevalence , Prostate , Surveys and Questionnaires , Risk Factors , Waist-Hip RatioABSTRACT
We report on a patient with 477 bladder calculi secondary to benign prostatic hyperplasia. To our knowledge this patient had one of the highest numbers of the bladder calculi reported.
Subject(s)
Humans , Prostatic Hyperplasia , Urinary Bladder Calculi , Urinary BladderABSTRACT
Torsion of the testicular appendix is a common cause of acute scrotum, and occurs during the prepubertal years. However, despite its high incidence, appendix torsion in undescended testis has rarely been reported. Herein, a rare case of torsion of the testicular appendix in an undescended testis is reported in a 9-year-old boy
Subject(s)
Child , Humans , Male , Appendix , Cryptorchidism , Incidence , Scrotum , TestisABSTRACT
A rare case of an epididymal leiomyoma in a 62-year-old man is reported. A physical examination revealed a hard, non-tender, 2cm sized round mass located in the tail of the right epididymis. Scrotal ultrasonography showed a 2.1x2cm sized, well defined round inhomogeneous mass within the tail of the right epididymis. A right epididymectomy was performed. The diagnosis was confirmed by surgical excision and subsequent histological analysis.
Subject(s)
Humans , Male , Middle Aged , Diagnosis , Epididymis , Leiomyoma , Physical Examination , UltrasonographyABSTRACT
Cystic dysplasia of the testis is a rare benign congenital lesion of the rete testis that is often associated with renal and ureteral abnormalities. Herein, a case of cystic dysplasia of the testis, associated with an ipsilateral hypoplastic type of renal dysplasia and an ureterovesical junction obstruction, is reported in a 7-year-old boy.
Subject(s)
Child , Humans , Male , Congenital, Hereditary, and Neonatal Diseases and Abnormalities , Rete Testis , Testis , Ureter , Urogenital AbnormalitiesABSTRACT
Necrotizing fasciitis is rare acute infection showing rapidly necrosis involve the subcutaneous tissue and fascia. If treatment is delayed, infection can spread to involve the subcutaneous tissue, skin, deep fascia, and even muscle in rapid sequence, resulting in widespread necrosis and moderate to severe systemic toxicity. Most commonly this disease presents in the extremities, trunk, and perineum; it is relatively rare in the head and neck regions. If not diagnosed and treated in its early stages, necrotizing fasciitis can be potentially fatal, with a motality rate approaching 40%. Historically, the clinical entity now referred to as necrotizing fasciitis was described in the literature under various name. : hospital gangrene, necrotizing erysipelas, streptococcal gangrene, suppurative fasciitis. Necrotizing fasciitis was first described by Wilson in 1952. We experienced 3 cases of necrotizing fasciitis and will report review of literature with diagnosis, treatment, complication and consideration.
Subject(s)
Diagnosis , Erysipelas , Extremities , Fascia , Fasciitis , Fasciitis, Necrotizing , Gangrene , Head , Neck , Necrosis , Perineum , Skin , Subcutaneous TissueABSTRACT
Subject(s)
Child , Child, Preschool , Female , Humans , Diagnosis , Diagnosis, Differential , Mouth , Neck , RanulaABSTRACT
Synovial chondromatosis is an uncommon disease of cartilage transformation of synovial membrane with formation of loose bodies within the joint space. The knee and elbow are the most commonly involved sites and involvement of temporomandibular joint is very rare. Symtoms include swelling, pain, stiffness of the jaw, and inability to close the jaw. A case involving the temporomandibular joint (TMJ) is presented. A 28-year-old women had experienced pain of the left TMJ area and limitation of mouth opening. Radiographs of the left TMJ revealed calcified mass surrounding over the mandibular condyle and under the glenoid fossa. Treatment consisted of removal of calcified mass, reshaping of affected condyle and reconstruction with a auricular cartilage. After surgery, the patient's range of motion improved although deviation to the affected side. Until present after surgery there have been no recurrence of symtoms. We think that findings of this patitent agree with those of synovial synchondrmatosis in many aspects.
Subject(s)
Adult , Female , Humans , Cartilage , Chondromatosis, Synovial , Ear Cartilage , Elbow , Jaw , Joints , Knee , Mandibular Condyle , Mouth , Range of Motion, Articular , Recurrence , Synovial Membrane , Temporomandibular JointABSTRACT
This study is comprised of data obtained from the files of 346 patients with temporomandibular disorders. All patients were diagnosed, treated and followed in the Department of Dentistry at the Inha university hospital, Incheon, Korea. The patients had treated with medications, physical therapy, occlusal splint and arthrocentesis. The study data were obtained from the medical records and telephone interviews that were conducted by research assistants. The results were as follows 1. The patient's main complaint was pain(77%), and mouth opening limitation was 17%. 2. An analysis of the medical records of the 346 patients disclosed that 82% were improved and 17% had no improvement when they were dismissed. 1% of the patients had become worse during therapy. 3. A success rate of 82% was achieved when medication assisted physical therapy was included. In the current status at the telephone interview, 270 patients(89%) reported that they were doing well with 56% describing themselves as asymtomatic and 32% experiencing only minor residual or recurrent symptoms. 11% regarded themselves as unimproved and worse. 4. In the current status of the unsuccessfully treated patients by medications and physical therapy, 64% of patients were doing well(3% as asymptomatic and 56% as only minor residual or recurrent symptom). But 36% of patients was reported as unimproved and worse. 5. TMJ has a remarkable adaptive potential and TMJ disorder has a natural history of spontaneous fluctuations and favorable prognosis during the subsequent natural course. 6. In the treatment of the temporomandibular disorders, there is a treatment ladder, starting with the simplest and least expensive treatment, that is ascended until resolution of the patient's symptoms occur. These findings suggest that conservative reversible therapies are both sufficient and appropriate for management of temporomandibular disorder in most patients. Major alterations of mandibular position or dentoalveolar relationships do not appear to be necessary for obtaining either short term or long term success and therefore they can be generally regards as inappropriate treatment for this disorder. The fact that physical therapy is non-invasive and does not appear to be fraught with irreversible changes, makes it a very applicable vehicle in the area of clinical TMJ disorder management.