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Impact of Infection on the Secretory Capacity of the Male Accessory Glands
Clinical�������������� Urolo�y Infection and Secretory Capacity of Male Accessory Glands International Braz J Urol Vol. 35 (3): 299-309, May - June, 2009 Impact of Infection on the Secretory Capacity of the Male Accessory Glands M. Marconi, A. Pilatz, F. Wagenlehner, T. Diemer, W. Weidner Department of Urology and Pediatric Urology, University of Giessen, Giessen, Germany ABSTRACT Introduction: Studies that compare the impact of different infectious entities of the male reproductive tract (MRT) on the male accessory gland function are controversial. Materials and Methods: Semen analyses of 71 patients with proven infections of the MRT were compared with the results of 40 healthy non-infected volunteers. Patients were divided into 3 groups according to their diagnosis: chronic prostatitis NIH type II (n = 38), chronic epididymitis (n = 12), and chronic urethritis (n = 21). Results: The bacteriological analysis revealed 9 different types of microorganisms, considered to be the etiological agents, isolated in different secretions, including: urine, expressed prostatic secretions, semen and urethral smears: E. Coli (n = 20), Klebsiella (n = 2), Proteus spp. (n = 1), Enterococcus (n = 20), Staphylococcus spp. (n = 1), M. tuberculosis (n = 2), N. gonorrhea (n = 8), Chlamydia tr. (n = 16) and, Ureaplasma urealyticum (n = 1). The infection group had significantly (p < 0.05) lower: semen volume, alpha-glucosidase, fructose, and zinc in seminal plasma and, higher pH than the control group. None of these parameters was sufficiently accurate in the ROC analysis to discriminate between infected and non- infected men. Conclusion: Proven bacterial infections of the MRT impact negatively on all the accessory gland function parameters evaluated in semen, suggesting impairment of the secretory capacity of the epididymis, seminal vesicles and prostate. -
Webbed Penis
Kathmandu University Medical Journal (2010), Vol. 8, No. 1, Issue 29, 95-96 Case Note Webbed penis: A rare case Agrawal R1, Chaurasia D2, Jain M3 1Resident in Surgery, 2Associate Professor, Department of Urology, 3Assistant Professor, Department of Plastic and Reconstructive Surgery, MLN Medical College, Allahabad (India) Abstract Webbed penis belongs to a rare and little-known defect of the external genitalia. The term denotes the penis of normal size for age hidden in the adjacent scrotal and pubic tissues. Though rare, it can be treated easily by surgery. A case of webbed penis is presented with brief review of literature. Key words: penis, webbed ebbed penis is a rare anomaly of structure of Wpenis. Though a congenital anomaly, usually the patient presents in late childhood or adolescence. Skin of penis forms the shape of a web, covering whole or part of penis circumferentially; with or without glans, burying the penile tissue inside. The length of shaft is normal with normal stretched length. Phimosis may be present. The penis appears small without any diffi culty in voiding function. Fig 1: Penis showing web Fig 2: Markings for double of skin on anterior Z-plasty on penis Case report aspect Our patient, a 17 year old male, presented to us with congenital webbed penis. On examination, skin webs Discussion were present on both lateral sides from prepuce to lateral Webbed penis is a developmental malformation with aspect of penis.[Fig. 1] On ventral aspect, the skin web less than 60 cases reported in literature. The term was present from prepuce to inferior margin of median denotes the penis of normal size for age hidden in the raphe of scrotum. -
Guidelines on Paediatric Urology S
Guidelines on Paediatric Urology S. Tekgül (Chair), H.S. Dogan, E. Erdem (Guidelines Associate), P. Hoebeke, R. Ko˘cvara, J.M. Nijman (Vice-chair), C. Radmayr, M.S. Silay (Guidelines Associate), R. Stein, S. Undre (Guidelines Associate) European Society for Paediatric Urology © European Association of Urology 2015 TABLE OF CONTENTS PAGE 1. INTRODUCTION 7 1.1 Aim 7 1.2 Publication history 7 2. METHODS 8 3. THE GUIDELINE 8 3A PHIMOSIS 8 3A.1 Epidemiology, aetiology and pathophysiology 8 3A.2 Classification systems 8 3A.3 Diagnostic evaluation 8 3A.4 Disease management 8 3A.5 Follow-up 9 3A.6 Conclusions and recommendations on phimosis 9 3B CRYPTORCHIDISM 9 3B.1 Epidemiology, aetiology and pathophysiology 9 3B.2 Classification systems 9 3B.3 Diagnostic evaluation 10 3B.4 Disease management 10 3B.4.1 Medical therapy 10 3B.4.2 Surgery 10 3B.5 Follow-up 11 3B.6 Recommendations for cryptorchidism 11 3C HYDROCELE 12 3C.1 Epidemiology, aetiology and pathophysiology 12 3C.2 Diagnostic evaluation 12 3C.3 Disease management 12 3C.4 Recommendations for the management of hydrocele 12 3D ACUTE SCROTUM IN CHILDREN 13 3D.1 Epidemiology, aetiology and pathophysiology 13 3D.2 Diagnostic evaluation 13 3D.3 Disease management 14 3D.3.1 Epididymitis 14 3D.3.2 Testicular torsion 14 3D.3.3 Surgical treatment 14 3D.4 Follow-up 14 3D.4.1 Fertility 14 3D.4.2 Subfertility 14 3D.4.3 Androgen levels 15 3D.4.4 Testicular cancer 15 3D.5 Recommendations for the treatment of acute scrotum in children 15 3E HYPOSPADIAS 15 3E.1 Epidemiology, aetiology and pathophysiology -
Guidelines on Paediatric Urology S
Guidelines on Paediatric Urology S. Tekgül, H. Riedmiller, E. Gerharz, P. Hoebeke, R. Kocvara, R. Nijman, Chr. Radmayr, R. Stein European Society for Paediatric Urology © European Association of Urology 2011 TABLE OF CONTENTS PAGE 1. INTRODUCTION 6 1.1 Reference 6 2. PHIMOSIS 6 2.1 Background 6 2.2 Diagnosis 6 2.3 Treatment 7 2.4 References 7 3. CRYPTORCHIDISM 8 3.1 Background 8 3.2 Diagnosis 8 3.3 Treatment 9 3.3.1 Medical therapy 9 3.3.2 Surgery 9 3.4 Prognosis 9 3.5 Recommendations for crytorchidism 10 3.6 References 10 4. HYDROCELE 11 4.1 Background 11 4.2 Diagnosis 11 4.3 Treatment 11 4.4 References 11 5. ACUTE SCROTUM IN CHILDREN 12 5.1 Background 12 5.2 Diagnosis 12 5.3 Treatment 13 5.3.1 Epididymitis 13 5.3.2 Testicular torsion 13 5.3.3 Surgical treatment 13 5.4 Prognosis 13 5.4.1 Fertility 13 5.4.2 Subfertility 13 5.4.3 Androgen levels 14 5.4.4 Testicular cancer 14 5.4.5 Nitric oxide 14 5.5 Perinatal torsion 14 5.6 References 14 6. Hypospadias 17 6.1 Background 17 6.1.1 Risk factors 17 6.2 Diagnosis 18 6.3 Treatment 18 6.3.1 Age at surgery 18 6.3.2 Penile curvature 18 6.3.3 Preservation of the well-vascularised urethral plate 19 6.3.4 Re-do hypospadias repairs 19 6.3.5 Urethral reconstruction 20 6.3.6 Urine drainage and wound dressing 20 6.3.7 Outcome 20 6.4 References 21 7. -
Morphology of the Male Reproductive Tract in the Water Scavenger Beetle Tropisternus Collaris Fabricius, 1775 (Coleoptera: Hydrophilidae)
Revista Brasileira de Entomologia 65(2):e20210012, 2021 Morphology of the male reproductive tract in the water scavenger beetle Tropisternus collaris Fabricius, 1775 (Coleoptera: Hydrophilidae) Vinícius Albano Araújo1* , Igor Luiz Araújo Munhoz2, José Eduardo Serrão3 1Universidade Federal do Rio de Janeiro, Instituto de Biodiversidade e Sustentabilidade (NUPEM), Macaé, RJ, Brasil. 2Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. 3Universidade Federal de Viçosa, Departamento de Biologia Geral, Viçosa, MG, Brasil. ARTICLE INFO ABSTRACT Article history: Members of the Hydrophilidae, one of the largest families of aquatic insects, are potential models for the Received 07 February 2021 biomonitoring of freshwater habitats and global climate change. In this study, we describe the morphology of Accepted 19 April 2021 the male reproductive tract in the water scavenger beetle Tropisternus collaris. The reproductive tract in sexually Available online 12 May 2021 mature males comprised a pair of testes, each with at least 30 follicles, vasa efferentia, vasa deferentia, seminal Associate Editor: Marcela Monné vesicles, two pairs of accessory glands (a bean-shaped pair and a tubular pair with a forked end), and an ejaculatory duct. Characters such as the number of testicular follicles and accessory glands, as well as their shape, origin, and type of secretion, differ between Coleoptera taxa and have potential to help elucidate reproductive strategies and Keywords: the evolutionary history of the group. Accessory glands Hydrophilid Polyphaga Reproductive system Introduction Coleoptera is the most diverse group of insects in the current fauna, The evolutionary history of Coleoptera diversity (Lawrence et al., with about 400,000 described species and still thousands of new species 1995; Lawrence, 2016) has been grounded in phylogenies with waiting to be discovered (Slipinski et al., 2011; Kundrata et al., 2019). -
World Journal of Pharmaceutical and Life Sciences
wjpls, 2017, Vol. 3, Issue 8, 66-68 Review Article ISSN 2454-2229 Farman . World Journal of Pharmaceutical World Journal and Lifeof Pharmaceutical Sciences and Life Sciences WJPLS www.wjpls.org SJIF Impact Factor: 4.223 ONE TOO MANY- POLYORCHIDISM A RARE CASE REPORT AND REVIEW OF LITERATURE Dr. Farman Ali* India. *Corresponding Author: Dr. Farman Ali India. Email ID: [email protected], Article Received on 12/08/2017 Article Revised on 03/09/2017 Article Accepted on 24/09/2017 ABSTRACT Polyorchidism is the incidence of more than two testicles in a male. It is a rare congenital anomaly involving the abnormal division of the genital ridge longitudinally or transversely, mainly occurring in the scrotum. Triorchidism(presence of 3 testes) is the most common occurrence of this condition. They mostly occur on the left side. There have been only 140-200 pathological cases that are published in world journal literature, out of which only a few cases have been reported in India. A rare case was reported of a 20 year old man with polyorchidism presenting with an inguinal hernia, describing the clinical features, it's surgical findings and a review of the literature. The most common sites are: Scrotal(66%), inguinal(25%), and abdominal(9%). This condition is mostly asymptomatic but may commonly present with features like maldescent(40%), hernia(30%), torsion(15%), hydrocoele(9%) and malignancy(6%). Spermatogenesis may be normal only in 50% of cases. If symptoms present, they may be scrotal pain, swelling and infertility. High accuracy of pre-operative ultrasound evaluation of scrotal mass differentiates this benign entity from ominous abnormalities and prevents unnecessary surgical exploration of sonographically normal, uncomplicated and orthotopic supernumerary testes. -
Level Estimates of Maternal Smoking and Nicotine Replacement Therapy During Pregnancy
Using primary care data to assess population- level estimates of maternal smoking and nicotine replacement therapy during pregnancy Nafeesa Nooruddin Dhalwani BSc MSc Thesis submitted to the University of Nottingham for the degree of Doctor of Philosophy November 2014 ABSTRACT Background: Smoking in pregnancy is the most significant preventable cause of poor health outcomes for women and their babies and, therefore, is a major public health concern. In the UK there is a wide range of interventions and support for pregnant women who want to quit. One of these is nicotine replacement therapy (NRT) which has been widely available for retail purchase and prescribing to pregnant women since 2005. However, measures of NRT prescribing in pregnant women are scarce. These measures are vital to assess its usefulness in smoking cessation during pregnancy at a population level. Furthermore, evidence of NRT safety in pregnancy for the mother and child’s health so far is nebulous, with existing studies being small or using retrospectively reported exposures. Aims and Objectives: The main aim of this work was to assess population- level estimates of maternal smoking and NRT prescribing in pregnancy and the safety of NRT for both the mother and the child in the UK. Currently, the only population-level data on UK maternal smoking are from repeated cross-sectional surveys or routinely collected maternity data during pregnancy or at delivery. These obtain information at one point in time, and there are no population-level data on NRT use available. As a novel approach, therefore, this thesis used the routinely collected primary care data that are currently available for approximately 6% of the UK population and provide longitudinal/prospectively recorded information throughout pregnancy. -
MANAGEMENT of CONCEALED PENIS in CHILDREN Mohamed A
AAMJ, Vol. 6, N. 2, April, 2008 ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ MANAGEMENT OF CONCEALED PENIS IN CHILDREN Mohamed A. Abdel Aziz, Samir H.Gouda, Sayed H.Abdalla, Sabri M. Khaled, and Ahmed T. Sayed Paediatric Surgery, Urology, And Plastic Departments, Faculty of Medicine, Al-Azhar University, Cairo. ------------------------------------------------------------------------------------------------- SUMMARY Objectives: A concealed penis or inconspicuous penis is defined as a phallus of normal size buried in prepubic tissue (buried penis), enclosed in scrotal tissue (webbed penis), or trapped by scar tissue after penile surgery (trapped penis). We report our results using a standardized surgical approach that was highly effective in both functional and cosmetic terms. Materials and Methods: From April 2003 to October 2007, Surgery for hidden penis from multiple causes was performed in 80 children. Their age ranged from 10 months to 8 years (mean 4.2 years). Tacking sutures were taken from the subdermis of the ventral penoscrotal junction to the tunica albuginea in some cases. A combination procedure with tacking of the penopubic subdermis to the rectus fascia, penoscrotal Z plasty, circumcision revision or lateral penile shaft Z plasty also was performed in some patients. Results: Cosmetic improvement was noted in all cases except one patient that needed re- fixation of the Buck’s fascia to the dermis without significant complications. Conclusions: Surgery for hidden penis achieves marked aesthetic and often functional improvement. Degloving the penis to release any abnormal attachment then fixing the Buck’s fascia to the dermis of the skin has an essential role in preventing penile retraction in most cases. INTRODUCTION Concealed or inconspicuous penis is an uncommon condition that may present from infancy to adolescence. -
Massachusetts Birth Defects 2002-2003
Massachusetts Birth Defects 2002-2003 Massachusetts Birth Defects Monitoring Program Bureau of Family Health and Nutrition Massachusetts Department of Public Health January 2008 Massachusetts Birth Defects 2002-2003 Deval L. Patrick, Governor Timothy P. Murray, Lieutenant Governor JudyAnn Bigby, MD, Secretary, Executive Office of Health and Human Services John Auerbach, Commissioner, Massachusetts Department of Public Health Sally Fogerty, Director, Bureau of Family Health and Nutrition Marlene Anderka, Director, Massachusetts Center for Birth Defects Research and Prevention Linda Casey, Administrative Director, Massachusetts Center for Birth Defects Research and Prevention Cathleen Higgins, Birth Defects Surveillance Coordinator Massachusetts Department of Public Health 617-624-5510 January 2008 Acknowledgements This report was prepared by the staff of the Massachusetts Center for Birth Defects Research and Prevention (MCBDRP) including: Marlene Anderka, Linda Baptiste, Elizabeth Bingay, Joe Burgio, Linda Casey, Xiangmei Gu, Cathleen Higgins, Angela Lin, Rebecca Lovering, and Na Wang. Data in this report have been collected through the efforts of the field staff of the MCBDRP including: Roberta Aucoin, Dorothy Cichonski, Daniel Sexton, Marie-Noel Westgate and Susan Winship. We would like to acknowledge the following individuals for their time and commitment to supporting our efforts in improving the MCBDRP. Lewis Holmes, MD, Massachusetts General Hospital Carol Louik, ScD, Slone Epidemiology Center, Boston University Allen Mitchell, -
Ultrasound of the Scrotum
Ultrasound of scrotum 21.06.2011 12:42 1 EFSUMB – European Course Book Editor: Christoph F. Dietrich Ultrasound of the scrotum Paul S. Sidhu, Boris Brkljacic2, Lorenzo E. Derchi3 2Medical School, University of Zagreb, 3Department of Radiology, University of Genoa Corresponding author: Paul S. Sidhu BSc MBBS MRCP FRCR DTM&H Consultant Radiologist and Senior Lecturer King‟s College London Department of Radiology King‟s College Hospital Denmark Hill London SE5 9RS United Kingdom Tel: ++44 (0) 20 3299 3063 Fax: ++44 (0) 20 3299 3157 E-mail: [email protected] Ultrasound of scrotum 21.06.2011 12:42 2 Content Content ................................................................................................................................................. 2 Introduction .......................................................................................................................................... 3 Sonographic examination technique .................................................................................................... 3 Gross Anatomy..................................................................................................................................... 4 Embryology ...................................................................................................................................... 4 Scrotal sac and testicular anatomy ................................................................................................... 4 Vascular anatomy ............................................................................................................................ -
Comparative Gross Morphology of Male Accessory Glands Among Neotropical Muridae (Mammalia: Rodentia) with Comments on Systematic Implications
MISCELLANEOUS PUBLICATIONS MUSEUM OF ZOOLOGY, UNIVERSITY OF MICHIGAN NO. 159 Comparative Gross Morphology of Male Accessory Glands among Neotropical Muridae (Mammalia: Rodentia) with Comments on Systematic Implications by Robert S. Voss Div&.~n of Mammals Museum of Zoology University of Michigan Ann Arbor, Michigan 48109 and Alicia V. Linzey Department of Biology Virginia Polytechnic Institute and State University Blacksburg, Virginia 2406 1 Ann Arbor MUSEUM OF ZOOLOGY, UNlVERSI2'Y OF MICHIGAN May 20, 1981 MISCELLANEOUS PUBLICATIONS MUSEUM OF ZOOLOGY, UNIVERSITY OF MICHIGAN WILLIAM D. HAMILTON, EDITOR The publications of the Museum of Zoology, University of Michigan, consist of two series-the Occasional Papers and the Miscellaneous Publications. Both series were founded by Dr. Bryant Walker, Mrs. Bradshaw, H. Swales, and Dr. W. W. Newcomb. The Occasional Papers, publication of which was begun in 1913, serve as a medium for original studies based principally upon the collections in the Museum. They are issued separately. When a sufficient number of pages has been printed to make a volume, a title page, table of contents, and an index are supplied to libraries and individuals on the mailing list for the series. The Miscellaneous Publications, which include papers on field and museum techniques, monographic studies, and other contributions not within the scope of the Occasional Papers, are published separately. It is not intended that they be grouped into volumes. Each number has a title page and, when necessary, a table of contents. A complete list of publications on Birds, Fishes, Insects, Mammals, Mollusks, and Reptiles and Amphibians is available. Address inquiries to the Director, Museum of Zoology, Ann Arbor, Michigan 48109. -
Binucleation of Male Accessory Gland Cells in the Common Bed Bug Cimex Lectularius
UC Riverside UC Riverside Previously Published Works Title Binucleation of male accessory gland cells in the common bed bug Cimex lectularius. Permalink https://escholarship.org/uc/item/705958ck Journal Scientific reports, 9(1) ISSN 2045-2322 Authors Takeda, Koji Yamauchi, Jun Miki, Aoi et al. Publication Date 2019-04-24 DOI 10.1038/s41598-019-42844-0 Peer reviewed eScholarship.org Powered by the California Digital Library University of California www.nature.com/scientificreports OPEN Binucleation of male accessory gland cells in the common bed bug Cimex lectularius Received: 2 October 2018 Koji Takeda1, Jun Yamauchi1, Aoi Miki1, Daeyun Kim2,3, Xin-Yeng Leong 2,4, Accepted: 10 April 2019 Stephen L. Doggett5, Chow-Yang Lee2 & Takashi Adachi-Yamada1 Published: xx xx xxxx The insect male accessory gland (MAG) is an internal reproductive organ responsible for the synthesis and secretion of seminal fuid components, which play a pivotal role in the male reproductive strategy. In many species of insects, the efective ejaculation of the MAG products is essential for male reproduction. For this purpose, the fruit fy Drosophila has evolved binucleation in the MAG cells, which causes high plasticity of the glandular epithelium, leading to an increase in the volume of seminal fuid that is ejaculated. However, such a binucleation strategy has only been sporadically observed in Dipteran insects, including fruit fies. Here, we report the discovery of binucleation in the MAG of the common bed bug, Cimex lectularius, which belongs to hemimetabolous Hemiptera phylogenetically distant from holometabolous Diptera. In Cimex, the cell morphology and timing of synchrony during binucleation are quite diferent from those of Drosophila.