The Prevalence of Urologic Disease in Young Men Based on a Review of Korean Military Conscription Examination Results / 대한남성과학회지

PURPOSE: We aimed to elucidate the prevalence of urologic disease in young men by reviewing the results of military conscription examinations in the Republic of Korea. MATERIALS AND METHODS: The results of 615,382 conscription examinations undertaken by the military manpower administration offices in Seoul, Korea from January, 2006 to December, 2007 were reviewed. The physical examinations were conducted based on the Ministry of National Defense implementing ordinance No. 590. RESULTS: Twenty eight hundred fifty-three (0.46%) examinees were found to have urologic diseases, among which urinary tract infection was the most frequent (0.16%) single disease entity, followed by testicular absence (0.12%), single kidney (0.05%), varicocele (0.04%), urolithiais (0.03%), and cryptorchidism (0.01%). Among the 16 examinees with penile amputation, 15 had been surgically amputated due to gender identity problems. CONCLUSIONS: With modifications of the Korean conscription examination and long-term evaluation, its results could help elucidate the prevalence of urologic diseases in young males in Korea.

The Efficacy of the Intima-media Thickness (IMT) to Predict Cardiovascular Disease in Vasculogenic Erectile Dysfunction Patients / 대한비뇨기과학회지

PURPOSE: Erectile dysfunction (ED) is associated and might be one of the first signs of cardiovascular disease (CVD). We aimed to assess whether men with vasculogenic ED have an increased risk of CVD by evaluating the relationship between erectile function and the intima-media thickness (IMT) of the common carotid arteries. MATERIALS AND METHODS: A total of 40 men were divided into 4 groups according to their erectile function as evaluated by the International Index of Erectile Function (IIEF)-15 and the presence of vascular risk factors (VRF). The risk free (RF) group (n=10) included men with ED and no evidence of VRF, the low-risk (LR) group (n=10) included the vasculogenic ED subjects who were overweight or dyslipidemic, and high-risk (HR) group (n=10) consisted of ED subjects with hypertension or diabetes. An age-matched healthy group without ED served as the control (n=10). Blood pressure, height, weight, the lipid profile and the IMT of the carotid arteries were evaluated. RESULTS: The control group and the vasculogenic ED groups showed significant differences in the IIEF scores and IMT (p<0.05). Spearman's test of the entire subjects revealed a significant correlation between the severity of ED and IMT (p<0.01), which was not present in the control group (p=0.523). However, a significant correlation of the severity of ED and IMT was found in the groups with ED (p<0.05). In addition, the evaluated parameters of the control group and the RF group revealed no significant difference except for the IIEF scores. CONCLUSIONS: Our results suggest that ED might be a prodrome of cardiovascular diseases. Thus, screening on cardiovascular risk factors and taking preventive measures are considered in ED patients, especially if the ED is severe.

Correlation between the Penile Size and Prostatic Volume / 대한남성과학회지

PURPOSE: To evaluate the clinical correlation between penile size and prostatic volume. MATERIALS AND METHODS: A total of 196 men were included in this study, 96 patients diagnosed as benign prostataic hyperpalsia(BPH, mean age: 67.2+/-18.8) by transurethral ultrasonography(TRUS), and 100 healthy volunteers(mean age: 48+/-16.2). The stretched penile length and penile circumference were measured by one examiner. We compared penile size with prostatic volume. BPH patients were classified as group I(30~39 ml), group II(40~49 ml) and group III(above 50 ml) by prostatic volume. RESULTS: For penile length and penile circumference, the mean values were 12.3+/-2.0 cm and 9.1+/-1.1 cm in group I, 12.6+/-2.2 cm and 9.2+/-1.0 cm in group II, 13.9+/-2.7 cm and 9.8+/-1.2 cm in group III, and 12.3+/-1.3 cm and 9.0+/-1.2 cm in control group, respectively. Compared to the control group, penile size was significantly higher in group III(p <0.05). CONCLUSIONS: Larger prostatic volume, especially above 50 ml, is associated with a significant increase in penile size.

Penile Abscess Caused by Intracavernous Injection of Sildenafil Citrate Oral Pill / 대한남성과학회지

We report the successful treatment by percutaneous aspiration and antibiotics of a penile abscess in an elderly man attributed to misapplication of sildenafil citrate. The etiology, diagnosis, and management of penile abscess are discussed.

Clinical Outcome of Ureteropelvic Junction Obstruction in the Pediatric and Adult Population / 영남의대학술지

BACKGROUND: A ureteropelvic junction (UPJ) obstruction is a congenital anomaly commonly afflicting the pediatric population. However, it occurs more frequently in adults than is generally appreciated. To assess their characteristics, we have here compared and analyzed the clinical manifestations, causes, and outcomes of UPJ obstruction found in children and adults. MATERIALS AND METHODS: 102 patients (118 renal units) out of 182 patients (218 renal units), with diagnosed UPJ obstruction, were available for follow up. The follow-ups were retrospectively reviewed to determine the presenting symptoms, treatments, and clinical outcomes. Patients who were younger than 18 years of age were assigned to the pediatric group (44 patients), others the adult group (58 patents). RESULTS: The majority of the patients presented with flank pain (pediatric group: 68%, adult group: 76%). The majority of patients underwent a pyeloplasty (pediatric group: 50.9%, adult group: 62.3%). And the major cause of the UPJ obstruction was an intrinsic stenosis (pediatric group: 53%, adult group: 56%). CONCLUSION: The prevalence of bilateral UPJ obstruction in adults is evidently less prevalent than in pediatrics, and despite the late diagnosis, the surgical outcome is similar. A further investigation of UPJ obstruction will lead us to a more comprehensive understanding of the disease.