Glans-preserving surgery for superficial penile squamous cell carcinoma ≥2 cm in diameter / 中华男科学杂志

Objective@#To explore the feasibility of glans-preserving surgery (GPS) in the treatment of superficial penile squamous cell carcinoma (PSCC) with the lesion diameter of ≥2 cm.@*METHODS@#We retrospectively analyzed the clinical data on 69 cases of superficial PSCC (≤T1aN0) treated by GPS (n = 36) or radical surgery (total or partial penectomy, n = 33) from July 2007 to July 2017.@*RESULTS@#The mean tumor diameter and depth of invasion were 3.16 (2.0－6.0) cm and 0.89 (0.5－2.0) cm in the GPS group and 3.56 (2.0－6.0) cm and 1.89 (0.6－4.0) cm respectively in the radical surgery group. The patients were followed up for 10－102 (mean 42) months, during which, 5 patients in the GPS group developed local recurrence at 40 days and 2, 4, 7 and 9 months postoperatively, again underwent gansectomy, partial penectomy or GPS, and experienced no more recurrence during the follow-up of 54, 34, 39, 66 and 70 months. No local recurrence was observed in the radical surgery group, and none of the 69 patients experienced lymph node metastasis or died during the follow-up.@*CONCLUSIONS@#GPS is safe and efficient for the treatment of superficial PSCC with the lesion diameter of ≥2 cm.

Water-soluble vitamin E protects post-thawing sperm against oxidative stress injury / 中华男科学杂志

<p><b>OBJECTIVE</b>To investigate the potential protective effect of water-soluble vitamin E (Trolox) against oxidative stress injury in post-thawing human sperm and its mechanism.</p><p><b>METHODS</b>Semen samples from 16 fertile men were mixed with modified cryoprotectant and each sample was equally divided into groups 0 (G0), 1 (G1), 2 (G2) and 3 (G3) according to the concentration of Trolox measured by computer-assisted semen analysis (CASA). G0, with no Trolox in the mixed cryoprotectant, served as the control, while G1, G2 and G3 contained 50, 100 and 200 micromol/L of Trolox, respectively. Before and after thawing, the semen samples were subjected to CASA for sperm kinematics, flow cytometry for reactive oxygen species (ROS), and thiobarbituric acid assay for the concentration of malondialdehyde (MDA).</p><p><b>RESULTS</b>After cryopreservation, sperm motility was markedly decreased in all the groups (P < (0.01), but less in G2 than in the control ([53.33 +/- 5.63]% vs [47.85 +/- 5.09]%, P < 0.05). Curvilinear velocity and average path velocity were remarkably higher in G2 (P < 0.05), and ROS and MDA significantly lower in G2 and G3 than in the control (P < 0.05).</p><p><b>CONCLUSION</b>Addition of vitamin E (Trolox) to freezing extender at a moderate concentration may decrease surplus ROS in the freezing-thawing process, ease ROS-induced oxidative stress injury to the plasma membrane, and improve sperm motility and kinematic parameters after cryopreservation.</p>

Human sperm cryopreservation and protection: an update / 中华男科学杂志

Human sperm cryopreservation has been widely applied in human assisted reproduction technologies, but ultra-low temperature may damage the structure and function of sperm, which in turn may affect the success rate of human reproductive technology. However, this view is not yet universally accepted. Researchers around the world are endeavoring for the mechanisms of cyrodamage and discoveries of cryo-protection. This article gives an overview on the types of human sperm cryodamage, mechanisms of sperm functional changes, and latest discoveries of cryo-protection.

Analysis of the pregnancy outcomes of 13 723 tubes of sperm specimens from the sperm bank / 中华男科学杂志

<p><b>OBJECTIVE</b>To investigate the safety of assisted reproductive technology (ART) with donated sperm from the sperm bank and the differences in the pregnancy outcomes of different means of promoting pregnancy.</p><p><b>METHODS</b>We analyzed and compared the feedback data on promoting pregnancy with donated sperm from the sperm bank by artificial insemination by donor (AID), in vitro fertilization (IVF), and intracytoplasm sperm injection (ICSI).</p><p><b>RESULTS</b>Totally, 13 723 tubes of sperm specimens were used for ART. The number of specimens used differed in different clinical reproductive centers, some using 1 tube and others using 2 tubes per cycle. The 13 723 tubes were used for a total of 7 743 cycles. Among the 7 123 cycles of AID, there were 1 415 clinical pregnancies (19.87%), 1 221 normal births (86.29%), 169 abortions (11.94%), 6 cases of birth defects (0.43%), 19 ectopic pregnancies (1.34%), and 0 sexually transmitted infection. Among the 571 cycles of IVF, there were 367 clinical pregnancies (64.27%), 330 normal births (89.92%), 35 abortions (9.54%), 0 birth defect, 2 ectopic pregnancies (0.54%), and 0 sexually transmitted infection. Among the 49 cycles of ICSI, there were 28 clinical pregnancies (57.14%), 25 normal births (89.29%), 3 abortions (10.71%), 0 birth defect, 0 ectopic pregnancy, and 0 sexually transmitted infection. There were statistically significant differences in the rate of clinical pregnancy among AID, IVF and ICSI (P < 0.05), but not between IVF and ICSI (P > 0.05), nor were there any significant differences in the rates of abortion, birth defects and ectopic pregnancy among AID, IVF and ICSI (P > 0.05).</p><p><b>CONCLUSION</b>None of the recipients of the donated sperm from the sperm bank was infected with sexually transmitted diseases. AID, IVF and ICSI showed no significant differences from natural conception in the rates of abortion, birth defects and ectopic pregnancy. ART with donated sperm from the sperm bank is safe. IVF and ICSI are associated with a higher rate of pregnancy than AID, though the latter costs less than the former two.</p>

Modified prepuce-degloving repair for urethrocutaneous fistula following hypospadias surgery / 中华男科学杂志

<p><b>OBJECTIVE</b>To investigate the clinical effect and application value of the modified method of prepuce-degloving repair (PDR) in the treatment of urethrocutaneous fistula (UCF) following hypospadias surgery.</p><p><b>METHODS</b>We retrospectively analyzed 87 cases of UCF caused by hypospadias repair from May 2001 to December 2011, of which 61 were treated by simple closure or Y-V plasty of the fistula (group A), and the other 26 by modified PDR (group B). We compared the success rate of surgery and long-term recurrence between the two groups.</p><p><b>RESULTS</b>The total success rates of repair were 78.7 and 96.2% in groups A and B, respectively. Thirteen cases in group A did not respond to surgery, of which 6 failed to be cured by the second operation but later were treated successfully by modified PDR. In comparison, there was only 1 case of failure in group B, which was cured by a second PDR.</p><p><b>CONCLUSION</b>Modified PDR can significantly improve the success rate and reduce the recurrence rate of UCF after hypospadias surgery, which deserves wide clinical application.</p>