1,721,067 research outputs found
Re: Increased incidence of testicular cancer in men presenting with infertility and abnormal semen analysis. J. D. Raman, C. F. Nobert and M. Goldstein
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PDD<sup>1/2</sup> Control of Purely Inertial Systems: Nondimensional Analysis of the Ramp Response
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Wunderlich's syndrome and hemorrhagic shock
No full textWe report a case of Wunderlich's syndrome in an obese woman associated with massive retroperitoneal hemorrhage. Stable hemodynamic patient condition was obtained by selective arterial embolization. Since the first embolization of a renal angiomyolipoma in 1976 by Moorhead et al., highly selective renal arterial embolization of angiomyolipoma with rupture has become a procedure that offers greater efficacy, particularly in life-threatening cases
Epididymis microlithiasis and semen abnormalities in young adult kidney transplant recipients
No full textMicrolithiasis of the epididymis is a rare ultrasound finding in the general population, but the incidence of calcifications in various organs of patients with end-stage renal disease (ESRD) is extremely high. The aim of this study was to describe epididymal microlithiasis in 22 previously dialysed patients who received kidney transplantations at a median age of 19years (range 9-30). The patients underwent scrotum ultrasonography, semen analysis and laboratory tests (renal function, sexual hormones, Ca, P and PTH) and were administered the International Index of Erectile Function questionnaire. Seventeen presented calcifications of the epididymis, two of whom had concomitant testicular calcifications; a further three patients had isolated testicular calcifications without epididymis involvement. It was not possible to investigate the fertility of all of the patients but 12 of the 13 whose semen was analysed showed abnormalities: five were azoospermic and seven oligospermic with various degrees of morphological anomalies. To the best of our knowledge, these are the first published data concerning the prevalence of epididymal calcifications in young dialysed patients undergoing renal transplantation. Epididymal microlithiasis and infertility were common findings and so performing a spermiogram and preserving semen before ESRD for future paternity may be good advice in this selected population
Long-term follow up with sparing surgery for testicular diseases : a safe choice in benign testicular lesions
No full textObjective: We performed a long-term evaluation of testicular conservative surgical treatment of benign conditions. Material and methods: Between January 2001 and January 2005, a single center perspective clinical study was performed at our Academic Department of Urology. Case files of all patients diagnosed with small testicular mass (less than 1.5. cm) and treated with conservative surgery were examined. Patients underwent physical examination, hormone and tumor marker assays, scrotal and abdominal ultrasound, chest X-ray and endocrinological examination. Should a benign disease or a selected malignant condition (Leydig cell tumor) be diagnosed during the frozen section analysis, testicular sparing surgery was performed. Each patient presenting a malignant condition underwent a strict oncological follow up according to the EAU Guidelines. Results: From January 2001 to January 2005, 80 patients with small testicular mass underwent conservative surgery. Patient mean age was 40.9 years. Mean follow up was 95.78 months. Patients presented either with a palpable testicular nodule (77.5%) or a nodule diagnosed by ultrasound (22.5%). Diagnosis after frozen section examination was Leydig cell tumor in 20 of 80 cases. Mean histological size of the nodule was 0.93. cm. Tumor markers were normal before and after surgery. Follow up was conducted for all malignant patients following EAU Guidelines. No local recurrence or metastasis were observed. 100% of patients are still alive. Conclusions: Testicular Sparing Surgery is feasible in all benign cases. Leydig cell tumors present a favorable long-term follow up when diagnosed early. Conservative surgery proved to be the safer choice
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