The Prevalence and Management of Urinary Incontinence in Elderly Patients at Sanatorium in Busan Area

PURPOSE: Prevalence estimates and management methods for urinary incontinence among elderly patients aged 65 and over at sanatoriums in Busan area were investigated. MATERIALS AND METHODS: A sample of 834 institutionalized patients was randomly selected from 13 sanatoriums with 100 and more beds in Busan. The study was designed as a cross-sectional study. Data were collected via face-to-face interviews using Appendix about general status, obstetric history, incontinence, and management method for incontinence. The survey was conducted from February to September 2008. RESULTS: Overall prevalence of urinary incontinence in all of 834 respondents was found to be 48.1%: prevalences of stress incontinence, urge incontinence, mixed incontinence, and functional incontinence were 25.7%, 6.5%, 8.0% and 59.9%, respectively. Among the patients with urinary incontinence symptoms, 28.6% had associated-dermatologic problems. CONCLUSIONS: The estimated prevalence of incontinence for elderly patients aged 65 and more cared at Sanatoriums in Busan area was 48.1%. However, systemic approaches in the management of urinary incontinence in such patients were lacking. Further efforts should be made for proper management of urinary incontinence among elderly patients cared at Sanatorium.

Changes in Semen Parameters After Varicocelectomy: a Comparative Study of the Laparoscopic and Microsurgical Inguinal Approach / 대한남성과학회지

PURPOSE: The purpose of this study was to compare the surgical outcomes of two different surgical methods for varicocelectomy, and to assess the effects of varicocelectomy on semen parameters in subinfertile men. MATERIALS AND METHODS: This study included 63 patients with clinically palpable varicocele and abnormal semen parameters who underwent varicocelectomy. Thirty-three patients underwent laparoscopic varicocelectomy, and 30 received microsurgical inguinal varicocelectomy. Semen analyses were performed 5.3 months later, and compared with the pre-operative data. RESULTS: The mean age of patients was 32.1+/-1.3 years old. Comparison of the semen parameters between pre and post-varicocelectomy revealed significant improvement in the sperm count (p<0.05). In laparoscopic and microsurgical inguinal varicocelectomy, the sperm counts were increased from 16.2+/-4.3 to 30.6+/-7.5 and from 15.4+/-3.8 to 37.5+/-7.7, respectively. Sperm motility also tended to improve. CONCLUSIONS: Varicocelectomy enhanced semen parameters after both laparoscopic and microsurgical methods. In subfertile men, early varicocelectomy is recommended.

Changes in Semen Parameters After Varicocelectomy: a Comparative Study of the Laparoscopic and Microsurgical Inguinal Approach / 대한남성과학회지

PURPOSE: The purpose of this study was to compare the surgical outcomes of two different surgical methods for varicocelectomy, and to assess the effects of varicocelectomy on semen parameters in subinfertile men. MATERIALS AND METHODS: This study included 63 patients with clinically palpable varicocele and abnormal semen parameters who underwent varicocelectomy. Thirty-three patients underwent laparoscopic varicocelectomy, and 30 received microsurgical inguinal varicocelectomy. Semen analyses were performed 5.3 months later, and compared with the pre-operative data. RESULTS: The mean age of patients was 32.1+/-1.3 years old. Comparison of the semen parameters between pre and post-varicocelectomy revealed significant improvement in the sperm count (p<0.05). In laparoscopic and microsurgical inguinal varicocelectomy, the sperm counts were increased from 16.2+/-4.3 to 30.6+/-7.5 and from 15.4+/-3.8 to 37.5+/-7.7, respectively. Sperm motility also tended to improve. CONCLUSIONS: Varicocelectomy enhanced semen parameters after both laparoscopic and microsurgical methods. In subfertile men, early varicocelectomy is recommended.

Fibrous Pseudotumor in the Testicular Tunica / 대한비뇨기과학회지

Fibrous pseudotumor of the testicular tunics is uncommon lesion. They typically arise as painless scrotal masses that may be associated with a hydrocele or history of trauma or infection. Two-thirds involve the tunica vaginalis testis, with infrequent involvement of other scrotal structures. Once excised, these lesions behave in a benign fashion. Typically, these masses are multinodular, but in rare cases they are diffuse, band-like myofibroblastic proliferations that encase the testis. We report here on a case of fibrous pseudotumor of the tunica vaginalis in 76 year-old patient. (Korean J Urol 2006;47:1130-1132)