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Significance of Pyospermia in the Patients with Varicocele
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Moung Jin Lee, Seung Hoon Cho, Jong Wan Lim, Seung Tae Lee, Seung Ki Min
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Korean J Urogenit Tract Infect Inflamm 2009;4(2):196-201. Published online October 31, 2009
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 Abstract
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- "Purpose: Pain is one of the indications to treat varococele at any age. The purpose of this study is to find the significance of pyospermia in the patients surgically treated for scrotal pain associated with varicocele. Material and Methods: From January 2002 to December 2008, a total of 365 men underwent varicocelectomy. As the preoperative semen analysis, we classified patients of scrotal pain into two groups as pyospermia group I (N=136) and non-pyospermia group II (N=112). Preoperative and postoperative clinical symptoms were analyzed. The result was classified into completely resolved, partially resolved and unchanged based on the relief of pain. Results: Of 365 men, 248 (67.95%) patients were available for follow-up 3 months postoperatively. Among 119 patients with scrotal pain who have received the varicocelectomy, 42 (65.63%) and 5 (7.8%) patients in group I (64 patients) reported completely resolved and partially resolved respectively (mean response rate 73.44%). In group II (55 patients), 42 (76.36%) and 8 (14.55%) reported completely and partially resolved respectively (mean response rate 90.90%) (p<0.05). Seventeen and 5 patients in group I and II reported persistent pain, respectively. Conclusions: Patients with pyospermia surgically treated for scrotal pain associated with varicocele have tendency to have persistent pain after surgical treatment. This result may help the varicocele patients with persistent pain after receiving the surgery."
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Is the Prophylactic Intravenous Antibiotics before the Prostate Biopsy Effective?
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Jong Wan Lim, Moung Jin Lee, Seung Hoon Cho, Seung Ki Min
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Korean J Urogenit Tract Infect Inflamm 2009;4(1):56-61. Published online April 30, 2009
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Abstract
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- "Purpose: The blood serum prostate-specific antigen (PSA) and digital rectal examination (DRE) are being more commonly used for the early diagnosis of prostate cancer, such that more patients are going through prostate biopsies. The authors investigated the value of prophylactic intravenous antibiotics to prevent infective complication after the biopsy. Materials and Methods: The subjects were 356 patients aged 40-88 year who had a prostate biopsy from January 2004 to July 2008. Among them, 89 patients who had taken prophylactic intravenous antibiotics before the biopsy were designated as Group I, and the remaining 267 patients, as Group II who didn't had taken prophylactic intravenous antibiotics before the biopsy. The patients took then oral antibiotics (fluoroquinolone) for one week, from the morning after the biopsy, to prevent infection. The occurrence of complication was monitored based on such symptoms as gross hematuria, rectal bleeding, hemospermia, dysuria, voiding difficulty, fever. Results: 87 patients (24.4%) of the total 356 patients were diagnosed with prostate cancer. Infective complication occurred in 6 patients (1.7%), among whom 2 patients (2.2%) in Group I had taken prophylactic intravenous antibiotics, and 4 patients (1.6%) in Group II did not take intravenous antibiotics. Infective complication rates of the two groups did not have statistically differences (p>0.05). Conclusions: The intake of prophylactic intravenous antibiotics before the prostate biopsy did not have a special impact on the prevalence rate of infective complication after the biopsies."
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Condyloma Lata Mimicking as a Condyloma Accuminata with Syphilis
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Seung Hoon Cho, Myung Jin Lee, Jong Wan Lim, Yun Won Park, Seung Ki Min
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Korean J Urogenit Tract Infect Inflamm 2008;3(2):236-239. Published online October 31, 2008
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- Condyloma lata is white lesions associated with secondary syphilis. Considering the recent increased in the incidence of syphilis in the Republic of Korea, such lesions are likely to present frequently. Differential diagnosis between Condyloma lata and Condyloma accuminata is required because they have in common with veneral warts the fact that they are both raised lesions on the vulva (or penis) or anus. A 20-year-old man was referred for a chancre at penile glans and numerous perianal masses. Serologic test for syphilis (VDRL, TPHA) will be positive. We misconceived condyloma accuminata with primary syphilis, then circumcision and perianal masses excision were done with Benzathine Penicillin G 24-hundred thousand U IM injection. As a pathologic result, they were doubted strongly skin lesions of syphilis, and HPV detection test was negative.
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