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1.
Arch. argent. pediatr ; 118(2): e204-e207, abr. 2020. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1100484

ABSTRACT

La gangrena de Fournier es una fascitis necrotizante que afecta las regiones genital, perineal y perianal, de inicio súbito y diseminación rápidamente progresiva. Su diagnóstico obliga a una urgente intervención interdisciplinaria. La asociación con enfermedades nefrológicas es rara.Se presenta un caso de gangrena de Fournier en un niño con síndrome nefrótico corticorresistente y anasarca con edema escrotal grave. Recibió un esquema antibiótico de amplio espectro y se realizó un desbridamiento quirúrgico extenso e inmediato de la lesión necrótica. Posteriormente, requirió reparación por parte de Cirugía Plástica. Presentó una respuesta clínica favorable a la terapéutica instaurada.


Fournier gangrene is a necrotizing fasciitis that affects the genital, perineal and perianal regions, of sudden onset and rapidly progressive dissemination. Its diagnosis requires an urgent and interdisciplinary intervention. The association with nephrologic diseases is rare.We present a case of Fournier gangrene in a child with steroid-resistant nephrotic syndrome and anasarca with severe scrotal edema. He received a broad-spectrum antibiotic scheme and extensive an immediate surgical debridement of the necrotic lesion was carried out. Subsequently, it was repaired by Plastic Surgery. He presented a favourable clinical response


Subject(s)
Humans , Male , Child, Preschool , Fournier Gangrene/surgery , Fournier Gangrene/diagnosis , Fasciitis, Necrotizing , Edema , Genital Diseases, Male , Anti-Bacterial Agents/therapeutic use , Nephrotic Syndrome
2.
An. bras. dermatol ; 95(2): 144-149, Mar.-Apr. 2020. tab, graf
Article in English | ColecionaSUS, LILACS, ColecionaSUS | ID: biblio-1130851

ABSTRACT

Abstract Background: Anogenital warts are the leading sexually transmitted infection in patients seeking care at specialized clinics. They may display a vast array of forms, according to the interaction of the virus with the host's immunity. Cellular immunity is the epithelium's main form of defense against the virus, involving an active participation of the Langerhans cells and pro-inflammatory cytokines such as TNF-α. Objective: To assess the epithelial immune response of anogenital warts in males, according to the number of lesions presented. Methods: This is a prospective, cross-sectional study carried out at the dermatology outpatient clinic in a tertiary hospital. We included male patients over 18 years of age without comorbidities who had anogenital condylomata and no previous treatments.In order to evaluate the local epithelial immunity, the lesions were quantified, then removed and employed in CD1a immunohistochemistry assays for assessing the morphometry and morphology of Langerhans cells; TNF-α; reaction was used for determining cytokine positivity in the epithelium. Results: 48 patients were included in the study. There was no statistically significant difference as to the number of Langerhans cells, in their morphology, or the presence of TNF-α. However, patients presenting with more Langerhans cells in the lesions had cells with a star-like and dendritic morphology, whereas in those with a lower cell count had cells with a rounded morphology and no dendrites (p < 0.001). Study limitations: Small number of patients analyzed. Conclusion: There was no difference in epithelial immunity between patients having few or many anogenital condyloma lesions as measured by the morphology and morphometry of Langerhans cells and TNF-α; positivity. Such an assessment employing immunity markers differing from the usual ones is expected to yield useful results.


Subject(s)
Humans , Male , Anus Diseases/immunology , Condylomata Acuminata/immunology , Langerhans Cells/pathology , Tumor Necrosis Factor-alpha/analysis , Genital Diseases, Male/immunology , Anus Diseases/pathology , Reference Values , Dendritic Cells/immunology , Dendritic Cells/pathology , Immunohistochemistry , Condylomata Acuminata/pathology , Langerhans Cells/immunology , Cross-Sectional Studies , Prospective Studies , Tumor Necrosis Factor-alpha/immunology , Genital Diseases, Male/pathology
3.
Article in English | WPRIM | ID: wpr-876111

ABSTRACT

@#Primary partial empty sella occurs when less than 50% of an enlarged or deformed sella turcica is filled with cerebrospinal fluid in the setting of unidentified etiologic pathological conditions. Prepubertal hypogonadotropic hypogonadism presenting as its main manifestation is rare since its peak incidence commonly occurs late at 30 to 40 years of age and has a sexual predilection for female. We described a case of 20-year-old male who presented with micropenis and absent secondary sex characteristics. Work up showed cranial MRI finding of partial empty sella, low testosterone, LH, FSH, Estradiol and Beta HCG levels. Sex hormone replacement may not improve fertility for this case but may help produce and maintain virilization and prevent future complications of hypogonadotropic hypogonadism.


Subject(s)
Genital Diseases, Male , Penis , Hypogonadism
4.
Rev Assoc Med Bras (1992) ; 66(5): 692-695, 2020. graf
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1136260

ABSTRACT

SUMMARY INTRODUCTION Zinner's Syndrome is a triad of mesonephric duct anomalies comprising unilateral renal agenesis, seminal vesicle cyst, and ejaculatory duct obstruction. In this study, we present a kidney recipient with ectopic ureter associated with Zinner's syndrome and a literature review. CASE PRESENTATION A 59-year-old male with a history of chronic kidney disease and left renal agenesis underwent deceased donor kidney transplantation. After securing optimal renal functions, the patient underwent abdominal computed tomography (CT) scan for the seroma that occurred under the incision. The final diagnosis was an ectopic distal ureter ending in the seminal vesicle cyst's wall and ipsilateral renal agenesis. The patient was discharged without any complications and the clinical follow up was uneventful. DISCUSSION AND CONCLUSION Congenital seminal vesicle disorders are usually associated with ipsilateral urinary duct anomalies stemming from the same embryonic structure. To our knowledge, this is the first case report that describes kidney transplantation in a patient with ipsilateral renal agenesis and ectopic ureter ending in the seminal vesicle cyst. In patients with renal agenesis, during the ipsilateral urinary tract anastomosis, the possibility of ectopic ureter should be kept in mind otherwise graft loss can occur with a high morbidity rate.


RESUMO INTRODUÇÃO A Síndrome de Zinner é uma tríade de anomalias do ducto mesonéfrico que compreende agenesia renal unilateral, cisto da vesícula seminal e obstrução do ducto ejaculatório. Neste estudo, apresentamos um receptor de rim com ureter ectópico associado à Síndrome de Zinner e revisão da literatura. APRESENTAÇÃO DO CASO Homem de 59 anos com história de doença renal crônica e agenesia renal esquerda foi submetido a transplante de rim de doador falecido. Após função renal ideal, foi realizada tomografia computadorizada do abdome (TC) devido ao seroma sob incisão. O diagnóstico final foi um ureter distal ectópico que termina na parede do cisto da vesícula seminal e agenesia renal ipsilateral. O paciente recebeu alta sem complicações e o acompanhamento clínico ocorreu sem intercorrências. DISCUSSÃO E CONCLUSÃO Os distúrbios congênitos da vesícula seminal geralmente estão associados às anomalias do ducto urinário ipsilateral devido a uma mesma estrutura embrionária. Até onde sabemos, é o primeiro relato de caso que descreve o transplante renal em um paciente com agenesia renal ipsilateral e ureter ectópico terminado no cisto da vesícula seminal. Em pacientes com agenesia renal, durante a anastomose do trato urinário ipsilateral, deve-se ter em mente a possibilidade do ureter ectópico, caso contrário, poderá ocorrer perda do enxerto com alta taxa de morbidade.


Subject(s)
Humans , Male , Ureter , Cysts , Genital Diseases, Male , Seminal Vesicles , Kidney Transplantation , Kidney , Middle Aged
5.
Article in English | LILACS | ID: biblio-1148228

ABSTRACT

Introduction: Genital warts are benign lesions caused by sexual transmission of human papillomavirus types 6 and 11, with significant impact on healthcare resource use and patients' quality of life. Objective: To describe the epidemiology of genital warts in adults visiting a physician office for any reason, physician practice patterns, and healthcare resource use and costs in Colombia. Methods: Participants were a convenience sample of 53 physicians in 5 specialties: primary care (15), gynecology (24), urology (12), proctology (1), and dermatology (1). Physicians completed a survey and daily log of all patients 18-60 years old seen over 10 days in their practices in 2016-2017. The physician survey recorded genital warts consultation and management patterns. The daily log recorded patient demographic information and genital warts diagnosis. Results: Among 6,393 patients logged by physicians, the genital warts prevalence was 2.03% (95%CI 1.69­2.38) and incidence 1.30% (95%CI 1.02­1.58). Primary care physicians referred most of their genital warts cases for treatment (female: mean 63.3%, SD=44.8; male: mean 58.3%, SD=43.8). Treatment of non-resistant episodes (<6-month duration) lasted an average of 37.4 days (SD=29.4) and required an average of 4.0 (SD=1.9) office visits for females and 3.0 (SD=1.7) for males. The overall mean cost of an episode of care was USD558.13 (SD=507.30). Conclusion: Genital warts cases reported by most participant physicians were mainly direct-consult, but patients were typically treated by specialists. Much of the genital warts health care utilization and costs reported could be prevented by immunization with the quadrivalent or nonavalent HPV vaccine.


Introdução: As verrugas genitais são lesões benignas, de transmissão sexual, causadas pelo papilomavírus humano tipos 6 e 11 e que causam impacto significativo no uso de recursos de saúde e na qualidade de vida dos pacientes. Objetivo: Descrever a epidemiologia das verrugas genitais em adultos que buscaram atendimento médico ambulatorial por qualquer motivo, incluindo padrões de prática médica, uso de recursos de saúde e custos na Colômbia. Métodos: foi utilizada uma amostra de conveniência composta por 53 médicos em 5 especialidades: clínico geral (15), ginecologia (24), urologia (12), proctologia (1) e dermatologia (1). Os médicos completaram um questionário e registros diários de todos os pacientes com idade entre 18 e 60 anos atendidos durante 10 dias em seus consultórios em 2016-2017. O questionário registrou os padrões de prática médica e de tratamento de verrugas genitais. Os registros diários continham informações demográficas do paciente e o diagnóstico de verrugas genitais. Resultados: Entre 6.393 atendimentos médicos, a prevalência das verrugas genitais foi de 2,03% (IC95% 1,69­2,38) e a incidência de 1,30% (IC95% 1,02­1,58). Os clínicos gerais encaminharam a maioria dos pacientes com verrugas genitais para tratamento (mulheres: média de 63,3%, DP=44,8; homens: média de 58,3%, DP=43,8). O tratamento dos casos não-persistentes (<6 meses de duração) durou em média 37,4 dias (DP=29,4) e requereu uma média de 4,0 (DP=1,9) consultas para mulheres e 3,0 (DP=1,7) para homens. O custo médio geral do tratamento foi de US$ 558,13 (SD=507,30). Conclusão: Os casos de verrugas genitais relatados pela maioria dos médicos participantes derivaram-se principalmente de atendimentos primários e os pacientes foram tratados geralmente por especialistas. Grande parte da utilização de recursos e custos relacionados a verrugas genitais poderia ser evitada pela imunização com a vacina papilomavírus humano 4-valente ou 9-valente.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Warts/epidemiology , Genital Diseases, Female/epidemiology , Genital Diseases, Male/epidemiology , Warts/economics , Warts/virology , Patient Acceptance of Health Care , Incidence , Prevalence , Health Care Costs , Colombia/epidemiology , Genital Diseases, Female/economics , Genital Diseases, Female/virology , Genital Diseases, Male/economics , Genital Diseases, Male/virology
6.
Salud pública Méx ; 60(6): 633-644, Nov.-Dec. 2018. tab, graf
Article in English | LILACS | ID: biblio-1020927

ABSTRACT

Abstract: Objective: To determine external genital lesion (EGL) incidence -condyloma and penile intraepithelial neoplasia (PeIN)- and genital HPV-genotype progression to these EGLs. Materials and methods: Participants (healthy males 18-74y from Cuernavaca, Mexico, recruited 2005-2009, n=954) underwent a questionnaire, anogenital examination, and sample collection every six months; including excision biopsy on suspicious EGL with histological confirmation. Linear array assay PCR characterized 37 high/low-risk HPV-DNA types. EGL incidence and cumulative incidence were calculated, the latter with Kaplan-Meier. Results: EGL incidence was 1.84 (95%CI=1.42-2.39) per 100-person-years (py); 2.9% (95%CI=1.9-4.2) 12-month cumulative EGL. Highest EGL incidence was found in men 18-30 years: 1.99 (95%CI=1.22-3.25) per 100py. Seven subjects had PeIN I-III (four with HPV16). HPV11 most commonly progresses to condyloma (6-month cumulative incidence=44.4%, 95%CI=14.3-137.8). Subjects with high-risk sexual behavior had higher EGL incidence. Conclusion: In Mexico, anogenital HPV infection in men is high and can cause condyloma. Estimation of EGL magnitude and associated healthcare costs is necessary to assess the need for male anti-HPV vaccination.


Resumen: Objetivo: Determinar incidencia de lesiones genitales externas (LGE) -condiloma y neoplasia intraepitelial del pene (NIP)- y progresión de genotipos de VPH a LGE. Material y métodos: Se aplicaron cuestionarios, examen anogenital y recolección de muestras cada seis meses a hombres sanos (18-74 años, de Cuernavaca, México, reclutados 2005-2009, n=954) con biopsia y confirmación histológica. Se caracterizaron 37 tipos de ADN-VPH; se calculó incidencia de LGE (cumulativa con Kaplan-Meier). Resultados: Incidencia de LGE=1.84 (IC95%=1.42-2.39) por 100-persona-años (pa); 2.9% (IC95%=1.9-4.2) LGE acumulativa a 12 meses. Mayor incidencia de LGE entre hombres 18-30 años; 1.99 (IC95%=1.22-3.25) por 100pa. Siete sujetos tuvieron NIP I-III. VPH-11 más comúnmente progresa a condiloma (incidencia acumulativa a seis meses=44.4%, IC95%=14.3-137.8). Los sujetos con comportamiento sexual de alto riesgo tuvieron mayor incidencia de LGE. Conclusiones: En México la infección anogenital con VPH es alta y puede causar condiloma. La estimación de magnitud de LGE y los costos sanitarios asociados se necesita para evaluar la necesidad de vacunación contra VPH en hombres.


Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Young Adult , Papillomavirus Infections/epidemiology , Genital Diseases, Male/epidemiology , Biopsy , Alcohol Drinking/epidemiology , Carcinoma in Situ/epidemiology , Smoking/epidemiology , Condylomata Acuminata/epidemiology , Incidence , Prospective Studies , Surveys and Questionnaires , Circumcision, Male/statistics & numerical data , Age Distribution , Disease Progression , Unsafe Sex , Human papillomavirus 11/isolation & purification , Human papillomavirus 16/isolation & purification , Mexico/epidemiology
7.
Salud pública Méx ; 60(6): 624-632, Nov.-Dec. 2018. tab, graf
Article in English | LILACS | ID: biblio-1020926

ABSTRACT

Abstract: Objective: To estimate the burden of genital warts (GW) in Mexico. Materials and methods: We estimated the annual incidence of GW based on data reported by specialist physicians. We also assessed GW treatment practices, the average cost of treatment, and the psychosocial burden of GW among patients. Results: The annual incidence of GW in Mexico was estimated to be 547 200 cases. Treatment procedures vary by specialist and patient gender. The estimated annual cost was $195 million USD. The psychosocial impact of GW was slightly greater in males than females. Conclusions: This is the first evaluation of the burden of GW in Mexico. Our data suggest that GW are common, with significant health-related costs and psychosocial impact.


Resumen: Objetivo: Estimar la carga por verrugas genitales (VG) en México. Material y métodos: Estimamos la incidencia anual de VG, con base en información proporcionada por médicos especialistas y el manejo de las VG, así como el costo promedio del tratamiento y la carga psicosocial de las VG. Resultados: La incidencia anual de VG en México fue de 547 200 casos. Los tratamientos variaron según la especialidad y el sexo del paciente. El costo anual por VG fue de $195 millones de dólares estadounidenses. El impacto psicosocial de las VG es ligeramente mayor en hombres que en mujeres. Conclusiones: Esta es la primera evaluación de la carga de VG en México. Los datos sugieren que las VG son frecuentes, tienen costos relacionados con salud e impactos psicosociales significativos.


Subject(s)
Humans , Male , Female , Adult , Anus Diseases/epidemiology , Condylomata Acuminata/epidemiology , Genital Diseases, Female/epidemiology , Genital Diseases, Male/epidemiology , Anus Diseases/economics , Papillomaviridae/isolation & purification , Quality of Life , Incidence , Prevalence , Health Surveys , Health Care Costs , Cost of Illness , Combined Modality Therapy , Papillomavirus Vaccines , Genital Diseases, Female/economics , Medicine/statistics & numerical data , Mexico/epidemiology
8.
An. bras. dermatol ; 93(5): 716-718, Sept.-Oct. 2018. graf
Article in English | LILACS | ID: biblio-949944

ABSTRACT

Abstract: The oncogenic role of high-risk HPV in anogenital, head and neck, and cervical cancer is well recognized, but not in skin cancer in the general population. Some authors have demonstrated their appearance mainly on the hands and feet, particularly in the area of the nail bed, which could be due to contamination with HPV types from anogenital regions. Here, we describe a case of genital HPV associated with SCC on the nose tip in an immunocompetent young man, which was confirmed by histopathological findings and in situ hybridization. The importance of this report is to highlight the potential role of HPV in the etiology of skin cancer in an immunocompetent individual.


Subject(s)
Humans , Male , Middle Aged , Skin Neoplasms/virology , Carcinoma, Squamous Cell/virology , Nose Neoplasms/virology , Papillomavirus Infections/complications , Immunocompetence , Skin Neoplasms/immunology , Skin Neoplasms/pathology , Carcinoma, Squamous Cell/immunology , Carcinoma, Squamous Cell/pathology , Nose Neoplasms/immunology , Nose Neoplasms/pathology , Papillomavirus Infections/pathology , Genital Diseases, Male/pathology , Genital Diseases, Male/virology
9.
National Journal of Andrology ; (12): 122-127, 2018.
Article in Chinese | WPRIM | ID: wpr-775209

ABSTRACT

Objective@#To investigate the success rate and safety of percutaneous vasoseminal vesiculography with the disposable vasographic interventional therapy kit (VITK).@*METHODS@#This study included ninety-six 19-65 (mean 43) years old male patients with infertility, hematospermia, seminal vesicle cyst, ejaculatory duct cyst, ejaculatory dysfunction, or vas deferens injury, with disease courses varying from 1 month to 7 years. With an open, multi-centered, single-group, self-controlled design and using the disposable VITK, we treated the patients by percutaneous vasoseminal vesiculography via injection of contrast medium into the vas deferens cavity under local anesthesia.@*RESULTS@#Percutaneous vasoseminal vesiculography was successfully performed in 92 (97.87%) of the patients, which revealed abnormal seminal ducts in 51 cases (54.3%). Among the 28 infertile patients, 3 were found with bilateral and 5 with unilateral vas deferens obstruction. Vesiculitis was detected in 36 (81.8%) of the 44 hematospermia patients and bilateral vas deferens abnormality in 5 (38.5%) of the 13 patients with ejaculatory dysfunction. Transectional damage was observed in 2 patients with vas deferens injury induced by bilateral inguinal hernia repair. Three cases of seminal vesicle cyst and 4 cases of ejaculatory cyst were definitely diagnosed by vasoseminal vesiculography.@*CONCLUSIONS@#The disposable vasographic interventional therapy kit, with the advantages of simple operation and high safety, deserves a wide clinical application in vasoseminal vesiculography.


Subject(s)
Adult , Aged , Contrast Media , Cysts , Diagnostic Imaging , Ejaculatory Ducts , Diagnostic Imaging , Genital Diseases, Male , Diagnostic Imaging , Hemospermia , Diagnostic Imaging , Hernia, Inguinal , General Surgery , Humans , Infertility, Male , Diagnostic Imaging , Injections , Male , Middle Aged , Postoperative Complications , Diagnostic Imaging , Radiography , Methods , Seminal Vesicles , Diagnostic Imaging , Vas Deferens , Diagnostic Imaging , Wounds and Injuries , Young Adult
10.
National Journal of Andrology ; (12): 128-132, 2018.
Article in Chinese | WPRIM | ID: wpr-775208

ABSTRACT

Objective@#To explore the etiological factors for calculus-associated seminal vesiculitis by analyzing the composition of seminal vesicle calculus samples.@*METHODS@#This retrospective study included 6 cases of recurrent hematospermia diagnosed with seminal vesicle calculus by non-contrast pelvic CT. The patients were aged 28 to 69 years, with persistent or recurrent hematospermia for 3 months to 6 years, and 5 of them with a history of acute urethritis. All the patients underwent seminal vesiculoscopy, which confirmed calculus-associated seminal vesiculitis. The calculus samples were obtained with a spiral dislodge and their composition was determined with a second-generation infrared calculus composition analyzer. The patients were followed up for 2 to 12 weeks postoperatively, during which non-contrast pelvic CT was employed for observation of recurrent calculus in the reproductive tract.@*RESULTS@#Pelvic CT scanning indicated recurrence of seminal vesicle calculus in 3 cases at 12 weeks postoperatively, of which, 2 were accompanied with recurrent hematospermia, both observed at 4 weeks after operation. As for the composition of the calculus, the infrared calculus composition analyzer revealed struvite (magnesium ammonium phosphate hexahydrate) in 5 cases and a mixture of calcium oxalate dihydrate, calcium oxalate monohydrate, and carbonate apatite in the other one.@*CONCLUSIONS@#Seminal vesicle calculi are most commonly composed of struvite, and infection is the main etiological factor for calculus-associated seminal vesiculitis.


Subject(s)
Adult , Aged , Apatites , Calcium Oxalate , Calculi , Chemistry , Diagnostic Imaging , Genital Diseases, Male , Diagnostic Imaging , Hemospermia , Humans , Male , Middle Aged , Postoperative Period , Recurrence , Retrospective Studies , Seminal Vesicles , Diagnostic Imaging , Struvite , Tomography, X-Ray Computed , Urethritis
11.
National Journal of Andrology ; (12): 236-240, 2018.
Article in Chinese | WPRIM | ID: wpr-689770

ABSTRACT

<p><b>Objective</b>To investigate the diagnosis and treatment of ejaculatory duct cyst.</p><p><b>METHODS</b>This study included 2 male patients present at the hospital for hemospermia and abnormal sensation in the perineal region in July and August 2014. Both underwent transrectal ultrasonography, routine semen examination, CT, MRI, cystoscopy, and vesiculography before transurethral fenestration of the cysts and pathological examination of the cyst wall specimens. Analyses were made on the clinical presentations, imaging features, pathological characteristics, differential diagnosis and treatment of ejaculatory duct cyst and relevant literature was reviewed.</p><p><b>RESULTS</b>The cyst wall was mainly composed of smooth muscle, the inner wall lined with pseudostratified ciliated columnar epithelia, and with positive expressions of CD10 and Muc6 proteins on immunohistochemical staining, which indicated renal iatrogenic ejaculatory duct cyst. The patients were followed up for 18 and 20 months, respectively. All symptoms disappeared and no recurrence occurred after surgery. Routine semen examination for the two patients showed the semen volumes to be 3.5 and 3.1 ml, sperm concentrations 35 and 32 ×10⁶/ml, grade a sperm 32.0 and 26.0%, grade b sperm 18.0 and 31.0%, and semen liquidation time 30 and 34 minutes, respectively.</p><p><b>CONCLUSIONS</b>Pelvic cystic masses can be detected by transrectal ultrasonography, CT and MRI, but definite diagnosis relies on vesiculography, pathological examination and immunohistochemical staining. Transurethral fenestration is safe and effective for the treatment of ejaculation duct cyst.</p>


Subject(s)
Cysts , Diagnostic Imaging , Pathology , General Surgery , Ejaculation , Ejaculatory Ducts , Diagnostic Imaging , Pathology , General Surgery , Genital Diseases, Male , Diagnostic Imaging , Pathology , General Surgery , Hemospermia , Humans , Magnetic Resonance Imaging , Male , Neoplasm Recurrence, Local , Semen , Semen Analysis , Sperm Count , Spermatozoa , Tomography, X-Ray Computed , Ultrasonography
12.
National Journal of Andrology ; (12): 516-519, 2018.
Article in Chinese | WPRIM | ID: wpr-689699

ABSTRACT

<p><b>Objective</b>Human papilloma virus (HPV) is a necessary cause of cervical cancer and is also closely related to penile cancer, oropharyngeal cancer, and anal cancer in males. However, few studies are reported on male HPV. This study aimed to investigate HPV infection of the external genitalia in men whose female partners have cervical HPV infection.</p><p><b>METHODS</b>We collected the relevant data on the male outpatients whose partners had cervical HPV infection in our Department of Urology and Andrology from August to December 2016. We obtained samples with nylon swabs from the glans penis, corona, inner layer of the prepuce and penile body and detected different types of HPV infection using the Hybribio HPV typing kit, PCR and membrane hybridization.</p><p><b>RESULTS</b>Valid data were collected from 140 males, which showed 83.5% of HPV infection of the external genitalia, including 60 cases of HPV6 (43.2%), 27 cases of HPV16 (19.4%), 14 cases of HPV39 (10.1%), 13 cases of HPV18 (9.4%), 13 cases of HPV58 (9.4%), and 13 cases of HPV52 (9.4%). Redundant prepuce was found in 75.5% of the males, but there was no statistically significant difference in the incidence rate of HPV infection between the normal and redundant prepuce groups (P > 0.05).</p><p><b>CONCLUSIONS</b>Men who have the female partners with positive cervical HPV are at high risk of HPV infection and therefore need to be screened and treated so as to reduce HPV infection in both sexes.</p>


Subject(s)
Female , Foreskin , Virology , Genital Diseases, Female , Virology , Genital Diseases, Male , Virology , Human papillomavirus 16 , Humans , Male , Papillomaviridae , Papillomavirus Infections , Diagnosis , Penile Neoplasms , Virology , Penis , Congenital Abnormalities , Virology , Phimosis , Virology , Polymerase Chain Reaction , Sexual Partners , Specimen Handling , Uterine Cervical Neoplasms , Virology
13.
Rev. med. Rosario ; 83(3): 104-110, sep.-dic. 2017. graf, ilus
Article in Spanish | LILACS | ID: biblio-973313

ABSTRACT

Introducción: Durante años, el varicocele se ha propugnado como la causa más común de infertilidad, siendo esta patología la de mayor incidencia en los varones como factor causal (19 - 41%). Material y Métodos: Se evaluaron 228 pacientes, sexo masculino (18 y 39 años) con subfertilidad primaria con o sin varicocele. Se realizó historia clínica, examen físico, laboratorio y espermograma por duplicado. Se dividieron un grupo de 120 pacientes con subfertilidad primaria, varicocele izquierdo y por lo menos un parámetro seminal alterado en dos muestras sometidos a varicocelectomía y control seminal 6 y 9 meses post-operatorio y otro grupo 108 pacientes de iguales características pero sin varicocele. Se utilizaron criterios OMS en concentración, motilidad y morfología espermática. Estudio de casos y controles. Resultados: La mejoría en la concentración de espermatozoides tras el tratamiento quirúrgico fue de 20,06% (p‹ 0,0001) a los 6 meses y 26,31% (p‹ 0,0001) a los 9 meses. La motilidad aumentó 21,32% (p‹ 0,001) a los 6 meses y 28,28% (p‹ 0,0001) a los 9 meses y la morfología mejoró un 26,8% (p‹ 0,0001) a los 6 meses y 57,38% (p‹ 0,0001) a los 9 meses. Todas las variables resultaron estadísticamente significativas tras el tratamiento quirúrgico. No hubo diferencia estadísticamente significativa en ninguna de las variables entre el grupo pre-quirúrgico y el grupo control, y si las hubo en todas las variables estudiadas entre el grupo control comparado con el post- quirúrgico, a favor de este último. Los porcentajes de mejoras entre el grupo post-quirúrgico a los 6 meses y 9 meses de la cirugía, a favor de este último fueron 7,5% (p‹ 0,0001) en la concentración, 5,28 % (p‹ 0.0001) en la motilidad y 25,32% (p‹ 0.0001) en la morfología... Conclusiones: Los parámetros seminales evidenciaron cambios positivos luego de la varicocelectomia y más aún con el transcurrir del tiempo.


Introduction: Varicocele has been proposed for years as the most common cause of infertility, and this condition is the prevalent incidence as causal factor. (19-41%) Material and methods: 228 male patients (between 18 and 39 years old) were evaluated with primary sub fertility with or without varicocele. The records included history, physical examination and two spermogram for patient. The population was divided in two groups. The first one of 120 patients with primary subfertility, left varicocele and at least one abnormal seminal parameter in two samples, with surgical resection of varicocele and final seminal post-surgical evaluation at 6 and 9 months. The other group included 108 patients with similar characteristics but without varicocele. The WHO criteria for spermatic concentration, motility and morphology were applied. Evaluation of cases and controls. Results: The improvement in spermatozoa concentration after treatment was of 20.06% (p<0,0001). The motility improved 21,32% at 6 months (p<0,0001) and 28,28% at 9 months (p<0,0001).The morphology improved 26,8% at 6 months (p<0,0001) and 57,38% at 9 months (p<0,0001)All the parameters were statistically significant after surgery. While there were no significant differences in any parameter between the pre-surgical group and the control group, there were differences in all the parameters evaluated between the control group and the post-surgical group, with best results in the latter.The percentages of improvement in the post-surgical group were 7,5%(p < 0,0001) in concentration, 5,28% in motility and 25,32% in morphology...Conclusions: The seminal parameters showed positive changes after varicocelectomy, especially over time.


Subject(s)
Humans , Male , Genital Diseases, Male , Infertility, Male , Infertility, Male/surgery , Male Urogenital Diseases/surgery , Varicocele , Andrology , Reference Parameters/analysis
14.
Salud pública Méx ; 59(1): 84-94, Jan.-Feb. 2017. tab, graf
Article in English | LILACS | ID: biblio-846045

ABSTRACT

Abstract: Objective: To review evidence on the efficacy of HPV vaccines in the prevention of non-cancer lesions (anogenital warts [AGW], recurrent laryngeal papillomatosis and oral papillomatosis). Materials and methods: We conducted a systematic review of randomized trials. We performed random effect models and effects were reported as relative risks (RR) and their confidence intervals (95%CI) following both intention to treat (ITT) and per protocol (PP) analyses. Results: We included six studies (n=27 078). One study was rated as high risk of bias. One study could not be included in the meta-analysis because it provided combined results. We found that quadrivalent vaccine reduced the risk of AGW by 62% (RR: 0.38, 95%CI:0.32-0.45, I2:0%) in the ITT analysis and by 95% (RR: 0.05, 95%CI:0.01-0.25, I2:66%) in the PP analysis. Subgroup analyses of studies in women or with low-risk of bias provided similar results. Conclusion: HPV quadrivalent vaccine is efficacious in preventing AGW in men and women.


Resumen: Objetivo: Revisar la evidencia sobre la eficacia de las vacunas contra el virus del papiloma humano en la prevención de lesiones no oncológicas (verrugas anogenitales [VAG], papilomatosis recurrente respiratoria y papilomatosis oral). Material y métodos: Realizamos una revisión sistemática de ensayos clínicos aleatorizados. Empleamos modelos de efectos aleatorios, calculando riesgos relativos (RR) y sus intervalos de confianza al 95% (IC95%), utilizando el análisis por intención a tratar (ITT) y por protocolo (PP). Resultados: Seleccionamos seis estudios (n=27 078). Un estudio tuvo alto riesgo de sesgo y otro no fue incluido en el metanálisis. La vacuna cuadrivalente reduce el riesgo de VAG en 62% (RR: 0,38; IC95%:0,32-0,45; I2:0%) en el análisis ITT y en 95% (RR: 0,05; IC95%:0,01-0,25; I2:66%) en el análisis PP. Los análisis de subgrupos (mujeres y estudios con bajo riesgo de sesgo) proporcionaron resultados similares. Conclusión. La vacuna cuadrivalente es eficaz en la prevención de VAG en hombres y mujeres.


Subject(s)
Humans , Male , Female , Anus Diseases/prevention & control , Anus Diseases/virology , Condylomata Acuminata/prevention & control , Genital Diseases, Female/prevention & control , Genital Diseases, Female/virology , Genital Diseases, Male/prevention & control , Randomized Controlled Trials as Topic , Papillomavirus Infections/prevention & control , Papillomavirus Vaccines , Genital Diseases, Male/virology
15.
National Journal of Andrology ; (12): 550-560, 2017.
Article in Chinese | WPRIM | ID: wpr-812916

ABSTRACT

Objective@#To investigate the factors influencing the postoperative resolution of varicocele-associated scrotal pain.@*METHODS@#Using the keywords "varicocele", "testicular pain", "scrotal pain", "painful varicocele", "ligation", and "varicocelectomy", we searched the PubMed, Embase, Cochrane Collaboration's Database, CNKI, Wanfang, and VIP Database up to October 2016 for the studies relating to surgical treatment of varicocele-associated scrotal pain. We assessed the quality of the cohort studies included using the Newcastle-Ottawa Scale and that of the randomized controlled trials included with the Cochrane Collaboration's tool. We conducted a meta-analysis using the RevMan software.@*RESULTS@#Finally 14 studies were included in this meta-analysis, of which, 2 involved the history of disease, 8 involved the nature of pain, 2 involved the intensity of pain, 9 involved the grade of varicocele, 3 involved the side of varicocele, 9 involved surgical approaches, 3 involved surgical techniques, and 4 involved postoperative recurrence. The pain resolution rate was significantly higher after subinguinal ligation than after high or inguinal ligation (RR = 0.82, 95% CI: 0.76-0.89, P <0.01; RR = 0.92, 95% CI: 0.86-0.99, P = 0.02), and so was it after microsurgery than after laparoscopic varicocelectomy (RR = 0.77, 95% CI: 0.60-0.99, P = 0.04).@*CONCLUSIONS@#Subinguinal varicocelectomy and microsurgery are more effective options than laparoscopic and high or trans-inguinal ligation of the spermatic vein for resolution of varicocele-associated scrotal pain, while the history of disease, the nature and intensity of pain, the grade and side of varicocele, or postoperative recurrence cannot be regarded as the influencing factors.


Subject(s)
Adult , Genital Diseases, Male , Humans , Laparoscopy , Ligation , Male , Microsurgery , Pain, Postoperative , Pain, Procedural , Recurrence , Scrotum , Testis , Treatment Outcome , Varicocele , General Surgery , Vascular Surgical Procedures , Veins
16.
National Journal of Andrology ; (12): 933-937, 2017.
Article in Chinese | WPRIM | ID: wpr-812853

ABSTRACT

Ningmitai Capsule is a classical patent medicine prepared from multiple effective ingredients of Chinese herbal medicine, with a wide range of biological activities and a significant efficacy in the treatment of urogenital diseases. Ningmitai Capsule has been widely applied in the management of urological and andrological diseases, with a particularly ideal effect on chronic prostatitis, since its first introduction nearly 20 years ago. With no obvious adverse effect on the male reproductive system, it has also been gaining a gradual application in the treatment of such diseases as urinary tract infections, diabetes, non-gonococcal urethritis, seminal vesiculitis, acute epididymitis, overactive bladder, hematuria, and semen non-liquefaction. However, the definite efficacy of Ningmitai Capsule needs to be further verified with more large-scale multi-centered randomized controlled trials, and its pharmacological mechanism remains to be further explored via more biomolecular experiments. The present article focuses on the recent advances in the application and studies of Ningmitai Capsule in the treatment of urological and andrological diseases.


Subject(s)
Acute Disease , Capsules , Chronic Disease , Drug Combinations , Drugs, Chinese Herbal , Therapeutic Uses , Epididymitis , Drug Therapy , Genital Diseases, Male , Drug Therapy , Humans , Male , Prostatitis , Drug Therapy , Seminal Vesicles , Urinary Tract Infections , Drug Therapy
17.
National Journal of Andrology ; (12): 1038-1042, 2017.
Article in Chinese | WPRIM | ID: wpr-812836

ABSTRACT

Seminal vesiculoscopy is a new technology in uro-andrology developed in recent 10 years, which is a set of clinical operational techniques for observing the ejaculatory duct, seminal vesicle, ampullar region of the vas deferens and their surrounding structure, determining the cause, location and degree of the disease, and accomplishing such treatment procedures as irrigation, resection, incision, fulguration, hemostasis, expansion, drainage, and removal of hematocele, stones or obstruction in the distal seminal duct region. Therefore, it is not only an etiologically diagnostic technique, but also a minimally invasive surgical approach to the management of common diseases of the distal seminal duct region. Seminal vesiculoscopy has irreplaceable advantages of safety, effectiveness, minimal invasiveness, rapid recovery, and few complications.


Subject(s)
Calculi , Diagnostic Imaging , General Surgery , Drainage , Ejaculatory Ducts , Diagnostic Imaging , Endoscopy , Methods , Genital Diseases, Male , Diagnostic Imaging , General Surgery , Hematocele , Diagnostic Imaging , General Surgery , Humans , Male , Minimally Invasive Surgical Procedures , Seminal Vesicles , Diagnostic Imaging , Vas Deferens , Diagnostic Imaging
18.
National Journal of Andrology ; (12): 237-242, 2017.
Article in Chinese | WPRIM | ID: wpr-812779

ABSTRACT

Objective@#To search for an optimal strategy for the treatment of penile and scrotal gangrene by analyzing the clinical effect of vacuum sealing drainage (VSD) as an adjuvant treatment on this disease.@*METHODS@#We retrospectively analyzed the clinical data about 4 cases of penile and scrotal gangrene treated by VSD as an adjuvant treatment from January 2015 to June 2016. The 4 patients all underwent early extensive and radical debridement of gangrene of the scrotum and penis and received intravenous injection of two broad-spectrum antibiotics, followed by VSD for wound drainage and irrigation.@*RESULTS@#Adequate wound drainage was achieved in all the 4 cases, the gangrene range rapidly localized and testicular necrosis avoided. The wound surface healed satisfactorily after cleansing and suturing. The patients were followed up for 3 months after discharged from the hospital and none experienced recurrence.@*CONCLUSIONS@#VSD combined with early adequate debridement can effectively localize the gangrene range, significantly reduce the frequency of changing dressings and shorten the hospitalization time of the patient, and therefore is a very effective adjuvant treatment of penile and scrotal gangrene.


Subject(s)
Debridement , Gangrene , Therapeutics , Genital Diseases, Male , Pathology , Therapeutics , Humans , Male , Negative-Pressure Wound Therapy , Methods , Penis , Pathology , Retrospective Studies , Scrotum , Pathology , Testis , Pathology , Treatment Outcome , Vacuum
19.
National Journal of Andrology ; (12): 337-342, 2017.
Article in Chinese | WPRIM | ID: wpr-812763

ABSTRACT

Objective@#To compare three different pathways for transurethral seminal vesiculoscopy (SVS) and investigate the reliability and efficiency of transrectal ultrasonography (TRUS)-guided SVS (TRUS-SVS).@*METHODS@#We retrospectively analyzed 90 cases of seminal vesiculoscopy conducted directly through the ejaculatory duct or prostatic utricle or under the guide of TRUS. We compared the success rate and complications among the three approaches.@*RESULTS@#Operations were successfully performed in 87 (96.67%) of the 90 cases, 30 through the ejaculatory duct, 37 via the prostatic utricle, and 20 under the guide of TRUS, the operation time ranging from 25 to 75 minutes. Sperm was detected from the seminal vesicle fluid in (92.06%) of the azoospermia patients (58/63) during the surgery and in 77.78% of them (49/63) in semen analysis at 1 week postoperatively. Fifteen hematospermia and 12 spermatocystitis patients were cured. Postoperative follow-up found 20 cases of water-like semen and 3 cases of orchiepididymitis, but no such complications as retrograde ejaculation, incontinence, or rectourethral fistula.@*CONCLUSIONS@#Transejaculatory duct and transprostatic utricle pathways are two common approaches to SVS, while TRUS-SVS may achieve a higher success rate and avoid injury of both the prostate and the rectum.


Subject(s)
Azoospermia , Diagnostic Imaging , Ejaculatory Ducts , Diagnostic Imaging , Epididymitis , Diagnostic Imaging , Genital Diseases, Male , Hemospermia , Diagnostic Imaging , Humans , Male , Operative Time , Prostate , Diagnostic Imaging , Rectum , Reproducibility of Results , Retrospective Studies , Semen , Semen Analysis , Seminal Vesicles , Diagnostic Imaging , Spermatozoa , Ultrasonography , Methods
20.
National Journal of Andrology ; (12): 452-454, 2017.
Article in Chinese | WPRIM | ID: wpr-812743

ABSTRACT

Objective@#To explore the clinical diagnosis and treatment of seminal vesicle cyst (SVC) associated with ipsilateral renal agenesis (Zinner syndrome) in order to promote the understanding of the disease.@*METHODS@#We retrospectively analyzed the clinical data about 1 case ofZinner syndrome diagnosed and treated in our hospital and reviewed the literature related to this disease in domestic and foreign authoritative databases.@*RESULTS@#The patient was a 23-year-old male, diagnosed with Zinner syndrome, treated bytransrectal aspiration of SVC, and discharged from hospital 3 days postoperatively. Follow-upat 6 months after discharge found that the patient no longer felt perineal discomfort in the endstage of urination, but transrectal ultrasonography of the prostate revealedthe samevolume of fluid in the left seminal vesicles as before,which indicated recurrence.@*CONCLUSIONS@#SVC associated with ipsilateral renal agenesis can be considered asZinner syndrome. Transrectal aspiration of SVCcan relieve the local symptoms of the patient but relapse may easilyoccur. Therefore it is not recommended as the first-choice treatment of the disease.


Subject(s)
Cysts , Diagnostic Imaging , Therapeutics , Genital Diseases, Male , Diagnostic Imaging , Therapeutics , Humans , Male , Perineum , Recurrence , Retrospective Studies , Seminal Vesicles , Diagnostic Imaging , Solitary Kidney , Syndrome , Ultrasonography , Young Adult
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