Comparison between laparoscopic and open surgical high ligation of the internal spermatic vein / 中华男科学杂志

<p><b>OBJECTIVE</b>To compare the effects of laparoscope-guided high ligation of the internal spermatic vein and open surgery in the treatment of varicocele.</p><p><b>METHODS</b>We collected the clinical data of 85 cases of varicocele treated by laparoscope-guided high ligation of the internal spermatic vein (the laparoscopic group) and another 47 that underwent open surgery (the open group) , and compared the results of treatment between the 2 groups.</p><p><b>RESULTS</b>The operations were successful in all the cases. In the laparoscopic group, the mean operation time was (32.0 +/- 5.9) minutes, with little bleeding, and the mean postoperative hospital stay was (3.0 +/- 1.6) days, with 3 cases (3.5%) of recurrence during the 3-12 months follow-up. In the open group, the mean operation time was (46.0 +/-7.2) minutes and the mean postoperative hospital stay was (7.0 +/- 3.7) days, with 5 cases (10.6%) of recurrence during the same length of follow-up.</p><p><b>CONCLUSION</b>Laparoscopic method for the treatment of varicocele is obviously superior to open surgery for its advantages of minimal invasiveness, fast recovery, sure effectiveness, few complications and low recurrence, particularly for those with bilateral varicocele who experienced recurrence after open surgery.</p>

Advances in etiology of diabetes mellitus and erectile dysfunction / 中华男科学杂志

Diabetes mellitus is a well documented risk factor for erectile dysfunction. Significant pathological changes observed in the cavernous tissues of ED patient with diabetes include generation of endothelial and smooth muscle cell, increase in thickness of collangen bundles, changes in vascular and neurotransmitters.

The nNOS-containing nerve fibers changes in corpus cavernosum of diabetic rat / 中华男科学杂志

<p><b>OBJECTIVES</b>To investigate the effect of diabetes mellitus on nNOS-containing nerve fibers in rats corpus cavernosum.</p><p><b>METHODS</b>Healthy male Sprague-Deuley rats (n = 34) were divided into two groups randomly, the sixth (n = 17) and eighth groups (n = 17). Eleven of severteen rats wree intraperitoneal injection with streptozotocin (STZ) to induce experimented model of diabetes medilus in each group. The other were injected with citrate buffer as control. Injected with apmorphine at sixth and eight week, penile erection in diabetic and control groups were observed and noted. The expression of nNOS-positive containing nerver-fibers in corpous cavernosum were examined with streptavidin-peroxidase immunohistochemistry (SP method).</p><p><b>RESULTS</b>The erection rate of penile diabetic mellitus decreased compared to that in controls (P < 0.01). The erection rate of two diabetic groups were 37.5% and 14.3%, respectively, with significant difference (P < 0.05). The controls were all 100%. The significant changes of nNOS-containing never fibers were observed in the two diabetic groups. The numbers of nNOS-containing nerver fibers in the corpus cavernosum in the two diabetic groups were (37.00 +/- 6.76) and (28.00 +/- 5.29), respectively, with significant difference compared to each other (P < 0.05). In the two controls, the fibers were (83.00 +/- 3.22) and (81.00 +/- 3.61), respectively. The fibers in diabetic groups were less than those in controls (P < 0.01).</p><p><b>CONCLUSIONS</b>The erectile function of rats and the number of nNOS-positive containing nerve fibers is affected seriously by diabetes mellitus and it is positively correlated to the duration of diabetes mellitus. The decreasing of nNOS-positive containing nerve fibers may be one of the mechanisms of diabetic erectile dysfunction.</p>