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Objective To understand the current situation and trend on the relations between erectile dysfunction (ED) and cardiovascular disease (CVD) through analyzing the epidemiologic research data.Methods We conducted a literature search on the Scopus for potentially relevant epidemiologic studies on ED and CVD published from 1957 to October,28,2016.Age of the article,types,regions,citation,and co-authorship of the documents were recorded.Results A total number of 412 pieces of literature were published in the past six decades,with original articles the most common types of ED and CVD.ED and CVD associated epidemiologic topics had an annual increase in number,and remained stable in the past decade,with occident countries as the United States and Italy taking the lead in this area.Clinical and epidemiological studies were the hottest areas,with most authors sharing a co-authorship.Conclusion Our results suggested that inter-disciplinary cooperation with emphasize on clinical application were the effective starting points for ED and CVD associated epidemiologic studies.
ABSTRACT
Objective To understand the current situation and trend on the relations between erectile dysfunction (ED) and cardiovascular disease (CVD) through analyzing the epidemiologic research data.Methods We conducted a literature search on the Scopus for potentially relevant epidemiologic studies on ED and CVD published from 1957 to October,28,2016.Age of the article,types,regions,citation,and co-authorship of the documents were recorded.Results A total number of 412 pieces of literature were published in the past six decades,with original articles the most common types of ED and CVD.ED and CVD associated epidemiologic topics had an annual increase in number,and remained stable in the past decade,with occident countries as the United States and Italy taking the lead in this area.Clinical and epidemiological studies were the hottest areas,with most authors sharing a co-authorship.Conclusion Our results suggested that inter-disciplinary cooperation with emphasize on clinical application were the effective starting points for ED and CVD associated epidemiologic studies.
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<p><b>BACKGROUND</b>Shang Ring male circumcision (MC) is a safe surgery with good short-term effects. This retrospective study was performed to investigate the long-term result of patients who had undergone Shang Ring MC.</p><p><b>METHODS</b>A total of 103 patients who underwent the surgery were recruited in the study. Before and after the surgery, a questionnaire inquiring sexual function and sexual satisfaction was filled up. Face-to-face interview was executed. Physical examination of the external genitals was performed and complications were evaluated.</p><p><b>RESULTS</b>The median follow-up duration was 19.1 months (range from 9 to 28 months). The mean width of penile mucosa was (9.3 ± 2.5) mm. The mean width of scar was (3.7 ± 1.6) mm. No tender pain was found in participants when palpating the penis. No significant or functional complication was observed except of mucosa asymmetry in one case and scar hyperplasia in two cases. The postoperative sexual function did not differ from the preoperative one, although partners showed better satisfaction toward sexual life.</p><p><b>CONCLUSION</b>Shang Ring MC represents a good long-term cosmetic result with no significant complication or adverse effects on sexual function.</p>
Subject(s)
Adult , Humans , Male , Young Adult , Cicatrix , Diagnosis , Circumcision, Male , Follow-Up Studies , Retrospective Studies , Sexual Behavior , Physiology , Surveys and QuestionnairesABSTRACT
Objective To compare the efficacy and complications of Chinese Shang Ring circumcision with conventional circumcisiom Methods Clinical data of 479 cases of Chinese Shang Ring circumcision and 354 cases of conventional circumcision with complete follow-up were analyzed.Comparisons were made between the two groups on operation time,pain score,blood loss,postoperative complications,postoperative satisfaction with penile appearance,wound healing time and treatment costs. Results There was no statistical difference in age and foreskin status between the two groups (P＞0.05).For the Shang Ring group,the operation time was(5±1)rain,blood loss was (0.98±1.14)ml,pain score during operation was 0.25±0.54,24-hour pain score after operation was 1.63±0.87,the postoperative complication rate was 6.89% (33/479),wound healing time was (20±5)d,the satisfaction rate of appearance was 99.79% (478/479),and treatment cost was (871±52) yuan.For the conventional group,the operation time was (27±5) min,blood loss was (8.30±3.60)ml,pain score during operation was 3.29±1.57,24-hour pain score after operation was 5.56±1.42,the postoperative complication rate was 13.28%(47/354),wound healing time was (13±2)d,satisfaction rate of appearance was 92.37% (327/354),and treatment cost was (554±46) yuan.Compared with the conventional group,the Shang Ring group had a shorter operation time,less blood loss,less pain score,higher appearance satisfaction rate and a lower complication rate (P＜0.05).But wound healing time was longer and treatment cost was higher in the Shang Ring group (P＜0.05). Conclusions Chinese Shang Ring circumcision is simpler and an improved approach over conventional circumeision with shorter operative time,less blood loss,less pain,relatively lower complication rate and higher satisfaction and acceptability.
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Objective To investigate the feasibility of repairing surgically ablated cavernous nerves with silastic nerve tube conduit filled with nerve growth enhancing media. Methods 54 male adult Sprague-Dawley rats were randomized into 3 groups,the sham operated controls,the bilateral cavernous nerve ablation and entubulization nerve reconstruction with insulin like growth factor(IGF).1,3 and 6 months after surgery,rats models were evaluated with apomorphine test,followed by nicotinamide adenine dinucleotide phosphate (NADPH) diaphorase staining to identify NOS in penile nerve fibers of the proxiamal portion of penile shaft and penile crus. Results There was no statistically significant difference between the ablated and the entubulization nerve reconstruction groups at 1 month,however,at 3 and 6 months,Apomorphine test studies resulted in tumescence from 42% and 50% of the entubulization nerve reconstruction groups versus 0% and 0% of the ablated group,respectively (P
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ObjectiveTo investigate the feasibility of repairing surgically ablated cavernous nerves by using an interposition genitofemoral nerve graft and with nerve growth enhancing media (insulin-like growth factor-I,IGF-I) injection.MethodsA total of 54 male adult Sprague-Dawley rats were randomly divided into 3 groups (each of 18 rats),including sham operation controls, bilateral cavernous nerve ablation and nerve graft with IGF-I injection groups.At 1,3 and 6 months after surgery, the rat models were evaluated with Apomorphine Test.Then nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) staining was used to identify nNOS in penile nerve fibers of the proximal portion of penile shaft.ResultsAt 1,3 and 6 months after surgery, the rats of sham operation group had normal erectile function (erection rate,100%),while the rats of nerve ablation group lost erectile function at all (erection rate,0%).There was no statistically significant difference of ED between the nerve ablation and nerve graft groups at 1 month;however,at 3 and 6 months,Apomorphine Test resulted in tumescence of 50% and 66.7% of the nerve graft groups vs 0% and 0% of the nerve ablation groups, respectively ( P