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Complications of Robotic Prostatectomy
Published in Kevin R. Loughlin, Complications of Urologic Surgery and Practice, 2007
Among patients with a minimum follow-up of three months, 10 developed (0.5%) anastomotic or meatal strictures requiring dilation (two) or internal urethrotomies (eight). One patient whose Foley catheter was accidentally pulled into the prostatic fossa, has unresolved urethral strictures after multiple internal urethrotomies and requires intermittent self dilation. Six (0.3%) patients have developed incisional hernias at the umbilicus and three have developed inguinal hernias. Three patients have developed Peyronies disease, and have lost erectile function that they had regained after surgery. One additional patient has complained of a decrease in penile length.
Evaluation of the role of thiol / disulfide homeostasis in the etiology of idiopathic male infertility with a novel and automated assay
Published in Systems Biology in Reproductive Medicine, 2022
Uygar Micoogullari, Mehmet Caglar Cakici, Furkan Umut Kilic, Erdem Kisa, Burak Ozcift, Alper Caglayan, Salim Neselioglu, Omer Faruk Karatas, Ozcan Erel
Blood samples from these patients were collected between 8–10 am. The semen samples were analyzed in the andrology laboratory in accordance with the World Health Organization (WHO) criteria and total motile sperm count were calculated based on the following formula: TMSC = ejaculate volume x concentration × motile fraction. Patients with azoospermia, sperm concentration <1 million per mL, and leukocytospermia were excluded from the study. The study’s additional exclusion criteria were history of urological congenital abnormalities, urogenital disease, chronic or acute infectious diseases of the urinary system, hypogonadism (plasma testosterone <250 ng/mL), chronic hepatic disease or renal failure, hypo-or hyperthyroidism, malignancy, psychiatric diagnosis, neurological diseases, varicosele, penile or pelvic surgery, penile curvature/peyronie disease, and antioxidant drugs treatments.
Lower urinary tract symptoms/benign prostatic hyperplasia and erectile dysfunction: from physiology to clinical aspects
Published in The Aging Male, 2018
Aldo E. Calogero, Giovanni Burgio, Rosita A. Condorelli, Rossella Cannarella, Sandro La Vignera
Physical examination must search for signs related to causes of ED, including chest evaluation (presence of gynecomastia – enlargement of the chest and/or mammalian button >2 cm; search for signs of chronic cardio-pulmonary diseases), distribution of body hair and androgenization grade. Evaluation of penis prostate and testes is mandatory to establish-related volumes: according to patient’s age, small testes and/or small prostate volume might imply hypogonadism. It is important to ask for eventual muscular force decrement, as well as a decrease in beard and body hair growth. Assessment of the peripheral vascular system is also important to determine the characteristics of the pulse, to ascertain the presence of an arterial bruit (a vascular sound that is associated with turbulent blood flow). Increased pulse rate (tachycardia) might suggest hyperthyroidism, whereas reduced pulse rate (bradycardia) might be evident in men with heart block (arrhythmia), hypothyroidism or in those who use certain drugs (e.g. β-blockers). Diminished or absent pulses in the various arteries examined could be indicative of impaired blood flow caused by atherosclerosis. The evaluation of the penis in the flaccid state might show the presence of Peyronie disease (involving palpable fibrous plaques), phimosis (congenital narrowing of the opening of the foreskin) or frenulum breve (whereby the tissue under the glans penis that connects to the foreskin is too short and restricts the movement of the foreskin), which can all contribute to ED. Measurement of blood pressure, waist circumference and body mass index should also be performed [44].
Editorial 'Men's Health'
Published in Arab Journal of Urology, 2021
Ashok Agarwal, Ahmad Majzoub, Mohamed Arafa, Haitham ElBardisi
The aim of this special issue is to shed light on key aspects of men’s health and to explore the latest advancements in this field of medicine. Section one discusses male reproduction focusing mainly on azoospermia with a series of articles that cover evaluation, medical treatment, surgical sperm retrieval and tissue and sperm handling following surgery. Section two focuses on sexual health and covers topics such as premature ejaculation, peyronies’ disease and erectile dysfunction. Section three focuses on chronic pelvic pain syndrome and explores new methods for patient evaluation and treatment. Finally, section four handles sexually transmitted diseases as well as emerging conditions and their implication on male sexual and reproductive health.