Abacterial Cystititis, 276 Abacterial Prostatitis, 236 Abdominal
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The Male Reproductive System
Management of Men’s Reproductive 3 Health Problems Men’s Reproductive Health Curriculum Management of Men’s Reproductive 3 Health Problems © 2003 EngenderHealth. All rights reserved. 440 Ninth Avenue New York, NY 10001 U.S.A. Telephone: 212-561-8000 Fax: 212-561-8067 e-mail: [email protected] www.engenderhealth.org This publication was made possible, in part, through support provided by the Office of Population, U.S. Agency for International Development (USAID), under the terms of cooperative agreement HRN-A-00-98-00042-00. The opinions expressed herein are those of the publisher and do not necessarily reflect the views of USAID. Cover design: Virginia Taddoni ISBN 1-885063-45-8 Printed in the United States of America. Printed on recycled paper. Library of Congress Cataloging-in-Publication Data Men’s reproductive health curriculum : management of men’s reproductive health problems. p. ; cm. Companion v. to: Introduction to men’s reproductive health services, and: Counseling and communicating with men. Includes bibliographical references. ISBN 1-885063-45-8 1. Andrology. 2. Human reproduction. 3. Generative organs, Male--Diseases--Treatment. I. EngenderHealth (Firm) II. Counseling and communicating with men. III. Title: Introduction to men’s reproductive health services. [DNLM: 1. Genital Diseases, Male. 2. Physical Examination--methods. 3. Reproductive Health Services. WJ 700 M5483 2003] QP253.M465 2003 616.6’5--dc22 2003063056 Contents Acknowledgments v Introduction vii 1 Disorders of the Male Reproductive System 1.1 The Male -
Departmentof UROLOGY
DEPARTMENT of UROLOGY UPDATE New Treatments for Benign Prostatic Hyperplasia Expanded Choices Provide Relief for a Common Condition FALL 2008 Vol.19 | No.2 The symptoms of an enlarged prostate include a weak stream, trouble starting and gland, called benign prostatic hyper- stopping, the frequent feeling of needing to Clinical Update p. 4 plasia (BPH), are familiar to a substantial urinate, and the sense that the bladder isn’t Kidney Cancer Vaccine p. 5 proportion of men older than 50. empty after urination. About half of men in their 50s and 80-90 percent Erectile Dysfunction Research p. 5 “To some degree, BPH affects all men as they of those older than 80 have enlarged prostates, age,” says Allan Pantuck, MD, MS, associate Clinical Trials p. 6 caused by changes in hormone balance and cell professor and physician in the UCLA Integrative growth. As their prostate begins to squeeze or Profile: Oscar Rivera, LVN p. 8 Urology Program, which combines the best partially block the surrounding urethra — the of preventative approaches, medical counseling, Kudos p. 9 tube that carries the urine from the bladder out nutritional science, and complementary medical of the body — many of these men experience Donor Notes p. 9 approaches for patients interested in the bothersome urinary symptoms, which can prevention and treatment of urologic conditions. Profile: Arthur Schapiro p. 9 “The prostate forms a channel that the urine passes through as it comes out of the bladder. As the prostate enlarges, there is increased resistance to the bladder’s ability to empty. This tends to also lead to changes in the bladder, including a decreased ability to hold urine.” BPH can wreak havoc with quality of life — in addition to the discomfort, some men are forced to get up several times during the night. -
GERONTOLOGICAL NURSE PRACTITIONER Review and Resource M Anual
13 Male Reproductive System Disorders Vaunette Fay, PhD, RN, FNP-BC, GNP-BC GERIATRIC APPRoACH Normal Changes of Aging Male Reproductive System • Decreased testosterone level leads to increased estrogen-to-androgen ratio • Testicular atrophy • Decreased sperm motility; fertility reduced but extant • Increased incidence of gynecomastia Sexual function • Slowed arousal—increased time to achieve erection • Erection less firm, shorter lasting • Delayed ejaculation and decreased forcefulness at ejaculation • Longer interval to achieving subsequent erection Prostate • By fourth decade of life, stromal fibrous elements and glandular tissue hypertrophy, stimulated by dihydrotestosterone (DHT, the active androgen within the prostate); hyperplastic nodules enlarge in size, ultimately leading to urethral obstruction 398 GERONTOLOGICAL NURSE PRACTITIONER Review and Resource M anual Clinical Implications History • Many men are overly sensitive about complaints of the male genitourinary system; men are often not inclined to initiate discussion, seek help; important to take active role in screening with an approach that is open, trustworthy, and nonjudgmental • Sexual function remains important to many men, even at ages over 80 • Lack of an available partner, poor health, erectile dysfunction, medication adverse effects, and lack of desire are the main reasons men do not continue to have sex • Acute and chronic alcohol use can lead to impotence in men • Nocturia is reported in 66% of patients over 65 – Due to impaired ability to concentrate urine, reduced -
Assessment of Lower Urinary Tract Symptoms in Younger Men
MEN’S HEALTH ASSESSMENT OF LOWER URINARY TRACT SYMPTOMS IN YOUNGER MEN Lower urinary tract symptoms (LUTS) are common in the ageing male and represent a significant burden on both the patient and the healthcare system worldwide. 1,2 Accordingly, the majority of clinical trials and guidelines focus on the older patient, despite the fact that men below these ages will also present with many of the same symptoms. In this review, the authors explore the challenges of assessing and managing men below 50 years with LUTS. Dr Odunayo The aetiology of LUTS is multifactorial with causes How common are LUTS Kalejaiye attributed to dysfunction of the bladder and its in younger men? Urology SpR outlet – including the prostate, urethra and sphincter; The EPIC study, 3 a population-based survey which the neurological innervation of the lower urinary recruited men aged over 18 years, found that the Professor tract, and medical co-morbidities.1,2 It is important prevalence of LUTS increased with age, from 51.3% Raj Persad to consider all these aspects when assessing patients. in men aged 18-39 years to 62% in those aged 40-59 While in older men, benign prostatic enlargement years. This is compared with a prevalence of 80.7% Consultant is the commonest cause of male LUTS, in younger in men aged 60 years or older. Storage symptoms Urologist; men this is unusual, and other diagnoses should be were commonest in men 39 years or younger, with a Honorary considered more likely. prevalence of 37.5%, compared with a prevalence of Professor of 19.9% for voiding symptoms in this age group. -
Prostatitis Explained Prostatitis
Prostate information Prostatitis Explained Prostatitis Prostatitis (prost-a-ty-tus) is the most common prostate problem for men under 50, but it can affect men of all ages. In fact, almost 1 out of 2 men between 18 and 50 may have at least one bout of prostatitis in their lifetime. Prostatitis is often described as an infection of the prostate but it can also mean that the prostate is inflammed or irritated. If you have prostatitis, you may have a burning feeling when passing urine, pass urine more often, be in a lot of pain, have a fever and chills and feel very tired. Once your doctor has diagnosed your symptoms as prostatitis, then the outlook tends to be good. There are many treatments available and your doctor will work with you to find the treatment(s) most suitable for you depending on the type of prostatitis you have. So, it may take slightly longer for some men to see an improvement in their symptoms. However, even when you feel your symptoms are starting to improve you should still continue with your treatment or medication. It may be reassuring to know that prostatitis is neither connected with cancer nor does it mean there is an increased risk of developing prostate cancer in the future, but it can cause worrying symptoms. Table of contents Page Types of prostatitis 3 Acute bacterial prostatitis 5 Chronic bacterial prostatitis 8 Chronic pelvic pain syndrome 9 Treatment for CBP and CPPS 13 Coping with pain 14 Tips to relieve prostatitis 16 Prostatitis There are different types of prostatitis. -
Chronic Bacterial Prostatitis Treated with Phage Therapy After Multiple Failed Antibiotic Treatments
CASE REPORT published: 10 June 2021 doi: 10.3389/fphar.2021.692614 Case Report: Chronic Bacterial Prostatitis Treated With Phage Therapy After Multiple Failed Antibiotic Treatments Apurva Virmani Johri 1*, Pranav Johri 1, Naomi Hoyle 2, Levan Pipia 2, Lia Nadareishvili 2 and Dea Nizharadze 2 1Vitalis Phage Therapy, New Delhi, India, 2Eliava Phage Therapy Center, Tbilisi, Georgia Background: Chronic Bacterial Prostatitis (CBP) is an inflammatory condition caused by a persistent bacterial infection of the prostate gland and its surrounding areas in the male pelvic region. It is most common in men under 50 years of age. It is a long-lasting and Edited by: ’ Mayank Gangwar, debilitating condition that severely deteriorates the patient s quality of life. Anatomical Banaras Hindu University, India limitations and antimicrobial resistance limit the effectiveness of antibiotic treatment of Reviewed by: CBP. Bacteriophage therapy is proposed as a promising alternative treatment of CBP and Gianpaolo Perletti, related infections. Bacteriophage therapy is the use of lytic bacterial viruses to treat University of Insubria, Italy Sandeep Kaur, bacterial infections. Many cases of CBP are complicated by infections caused by both Mehr Chand Mahajan DAV College for nosocomial and community acquired multidrug resistant bacteria. Frequently encountered Women Chandigarh, India Tamta Tkhilaishvili, strains include Vancomycin resistant Enterococci, Extended Spectrum Beta Lactam German Heart Center Berlin, Germany resistant Escherichia coli, other gram-positive organisms such as Staphylococcus and Pooria Gill, Streptococcus, Enterobacteriaceae such as Klebsiella and Proteus, and Pseudomonas Mazandaran University of Medical Sciences, Iran aeruginosa, among others. *Correspondence: Case Presentation: We present a patient with the typical manifestations of CBP. -
Sexually Transmitted Infections Treatment Guidelines, 2021
Morbidity and Mortality Weekly Report Recommendations and Reports / Vol. 70 / No. 4 July 23, 2021 Sexually Transmitted Infections Treatment Guidelines, 2021 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Recommendations and Reports CONTENTS Introduction ............................................................................................................1 Methods ....................................................................................................................1 Clinical Prevention Guidance ............................................................................2 STI Detection Among Special Populations ............................................... 11 HIV Infection ......................................................................................................... 24 Diseases Characterized by Genital, Anal, or Perianal Ulcers ............... 27 Syphilis ................................................................................................................... 39 Management of Persons Who Have a History of Penicillin Allergy .. 56 Diseases Characterized by Urethritis and Cervicitis ............................... 60 Chlamydial Infections ....................................................................................... 65 Gonococcal Infections ...................................................................................... 71 Mycoplasma genitalium .................................................................................... 80 Diseases Characterized -
Reference ID: 4555351 See 17 for PATIENT COUNSELING INFORMATION and Medication Guide
HIGHLIGHTS OF PRESCRIBING INFORMATION 5 mg dapagliflozin/1000 mg metformin HCl extended-release (3) These highlights do not include all the information needed to use 10 mg dapagliflozin/500 mg metformin HCl extended-release (3) XIGDUO XR safely and effectively. See full prescribing information for 10 mg dapagliflozin/1000 mg metformin HCl extended-release (3) XIGDUO XR. ------------------------------ CONTRAINDICATIONS ----------------------------- ® XIGDUO XR (dapagliflozin and metformin HCl extended-release) Severe renal impairment: (eGFR below 30 mL/min/1.73 m2), end-stage tablets, for oral use renal disease or dialysis. (4, 5.1) Initial U.S. Approval: 2014 History of serious hypersensitivity to dapagliflozin or hypersensitivity to metformin HCl. (4, 6.1) WARNING: LACTIC ACIDOSIS Metabolic acidosis, including diabetic ketoacidosis. (4, 5.1) See full prescribing information for complete boxed warning. ----------------------- WARNINGS AND PRECAUTIONS ---------------------- Postmarketing cases of metformin-associated lactic acidosis have Lactic Acidosis: See boxed warning (2.3, 4, 5.1) resulted in death, hypothermia, hypotension, and resistant Hypotension: Before initiating XIGDUO XR, assess and correct volume bradyarrhythmias. Symptoms included malaise, myalgias, status in the elderly, patients with renal impairment or low systolic blood respiratory distress, somnolence, and abdominal pain. Laboratory pressure, and in patients on diuretics. Monitor for signs and symptoms abnormalities included elevated blood lactate levels, anion gap during therapy. (5.2, 6.1) acidosis, increased lactate/pyruvate ratio; and metformin plasma Ketoacidosis: Assess patients who present with signs and symptoms of levels generally >5 mcg/mL. (5.1) metabolic acidosis for ketoacidosis regardless of blood glucose level. If Risk factors include renal impairment, concomitant use of certain suspected, discontinue XIGDUO XR, evaluate and treat promptly. -
A Systematic Review and Meta-Analysis Lei Zhang1*, Yi Wang1*, Zhiqiang Qin2*, Xian Gao3, Qianwei Xing4, Ran Li1, Wei Wang1, Ninghong Song1, Wei Zhang1
Journal of Cancer 2020, Vol. 11 177 Ivyspring International Publisher Journal of Cancer 2020; 11(1): 177-189. doi: 10.7150/jca.37235 Research Paper Correlation between Prostatitis, Benign Prostatic Hyperplasia and Prostate Cancer: A systematic review and Meta-analysis Lei Zhang1*, Yi Wang1*, Zhiqiang Qin2*, Xian Gao3, Qianwei Xing4, Ran Li1, Wei Wang1, Ninghong Song1, Wei Zhang1 1. Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210009, China. 2. Department of Urology, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China. 3. Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210009, China. 4. Department of Urology, The Affiliated Hospital of Nantong University, Nantong, 226001, China. *These authors contributed equally to this work. Corresponding authors: Wei Zhang, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing, 210029, China. E-mail: [email protected], TEL: +08613901595401; Qianwei Xing, Department of Urology, The Affiliated Hospital of Nantong University, Nantong, 226001, China. E-mail: [email protected], TEL: +08615240552009. © The author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). See http://ivyspring.com/terms for full terms and conditions. Received: 2019.06.02; Accepted: 2019.09.27; Published: 2020.01.01 Abstract Background: No consensus has been reached on the definite associations among prostatitis, benign prostatic hyperplasia (BPH) and prostate cancer (PCa). Hence, this meta-analysis was conducted to explore their triadic relation by summarizing epidemiological evidence. Methods: Systematical and comprehensive retrieval of online databases PubMed, PMC, EMBASE and Web of Science was performed to acquire eligible studies, up to April 1st, 2019. -
Sexual Function Considerations in Penile Reconstructive Surgery
ARTICOLO ORIGINALE / ORIGINAL ARTICLE GIMSeR 2008;15:1-13 Sexual function considerations in penile reconstructive surgery Funzione sessuale: considerazioni in chirurgia ricostruttiva del pene G. GARAFFA, N. CHRISTOPHER, D.J. RALPH St. Peter’s Department of Andrology, The Institute of Urology, University College London Hospitals, Ground floor, Rosenheim Wing, London, England Key words: Peyronie’s disease, Penile cancer, Balanitis xerotica obliterans, Penile trauma, Penile amputation, Penile fracture Parole chiave: Malattia di La Peyronie, Cancro peniena, Balanite obliterante erotica, Trauma penieno, Amputazione peniena, Frattura peniena Summary The aim of this paper is to give a concise overview of surgical techniques used to manage Peyronie’s disease, penile squamous cell carcinoma, penile trauma, fracture and amputation of the penis, and balanitis xerotica obliterans. Our methodology involved a PubMed-based review of the last 20 years literature regarding the management of the above conditions. From the literature analysis we extrapolated the surgical strategies providing the best outcomes in terms if sexual function. Riassunto Scopo di questa minireview è fornire una panoramica delle tecniche chirurgiche utilizzate nel trattamento di: malattia di La Peyro- nie, carcinoma squamoso del pene, trauma e frattura peniene, amputazione del pene e balanitis xerotica obliterans. A questo scopo abbiamo valutato la letteratura degli ultimi 20 anni presente in PubMed relativa alla chirurgia delle patologie so- pramenzionate. Nell’ambito della nostra -
Post Colonoscopic Acute Bacterial Prostatitis: a Case Report
International Journal of Research in Medical Sciences Rashid RA et al. Int J Res Med Sci. 2021 May;9(5):1482-1484 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20211889 Case Report Post colonoscopic acute bacterial prostatitis: a case report Rahim A. Rashid*, Ramalakshmi Karthikeyan Primary Healthcare Corporation, Doha, Qatar Received: 02 April 2021 Revised: 19 April 2021 Accepted: 20 April 2021 *Correspondence: Dr. Rahim A. Rashid, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Colonoscopy is a common procedure for diagnosing a wide range of conditions and symptoms affecting the large bowel. Research has shown that the examination itself may induce transient bacterial infections. Specifically acute bacterial prostatitis (ABP) has little mention in medical literature as a recognized complication of this procedure. Here we discuss a 37 year old male presenting with symptoms suggesting lower urinary tract infection after having undergone colonoscopy followed by recurrent episodic haematuria and lower urinary tract symptoms (LUTS). Physicians and endoscopists should be aware of the risk of acute bacterial prostatitis as a potential complication of colonoscopy in order to minimize misdiagnosis as well as the complications associated with the delayed treatment of it. In addition male patients and the immunocompromised should be fully counselled regarding this risk prior to undertaking this procedure. -
Chronic Prostatitis: a Possible Cause of Hematospermia
pISSN: 2287-4208 / eISSN: 2287-4690 World J Mens Health 2015 August 33(2): 103-108 http://dx.doi.org/10.5534/wjmh.2015.33.2.103 Original Article Chronic Prostatitis: A Possible Cause of Hematospermia Gilho Lee Department of Urology, Dankook University Medical College, Cheonan, Korea Purpose: While hematospermia is mainly caused by genitourinary inflammatory disorders, very few studies have been published on prostatitis-associated hematospermia (PAH) diagnosed using robust prostatitis evaluation methods. Therefore, we have evaluated the incidence of PAH by using systematic methods for evaluating prostatitis. Materials and Methods: We evaluated 37 hematospermia patients from a single hospital over the last five years. We classified the patients into PAH versus hematospermia without any evidence of prostatitis (HWP) by using a NIH-Chronic Prostatitis Symptom Index questionnaire and expressed prostatic secretion studies. Results: The mean age was 55.89±14.87 years, and the patients were grouped into two groups: one group had 12 HWP patients and the other 25 PAH patients. PAH patients were further sub-classified: chronic bacterial prostatitis (3 patients), chronic nonbacterial prostatitis (10 patients), prostadynia (7 patients), and asymptomatic prostatitis (5 patients). We found Enterococcus faecalis in the three chronic bacterial prostatitis patients. We could not find any statistically significant difference between the PAH and the HWP groups in terms of the age interval, serum prostate-specific antigen level, and prostate volume. Even though there was no statistically significant difference in the items about urination between the two groups, we found a statistically significant difference in the quality of life (QoL) impact for the patients in this study.