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Penile Strangulation: A Novel Surgical Procedure without Cutting Equipment
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Young Gon Kim, Yu Seob Shin, Jae Hyung You
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Urogenit Tract Infect 2020;15(1):10-12. Published online April 30, 2020
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DOI: https://doi.org/10.14777/uti.2020.15.1.10
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Abstract
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- Strangulation of the penis is a rare condition that usually results from the placement of various constricting devices to enhance sexual stimulation. Such a condition requires emergency treatment to prevent penile ischemia, necrosis, urethral injury, and erectile dysfunction. This paper reports the case of a 51-year-old man who was referred for penile pain and swelling following the self-placement of an industrial metallic ring at the base of the penis. The metallic ring was removed safely without using specialized equipment.
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Multicenter Clinical Outcome of Gatifloxacin for Chronic Prostatitis (NIH Category II or IIIa) in Korea
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Sang Don Lee, Seung Ju Lee, Tae Kon Hwang, Duck Ki Yoon, Kyu Sung Lee, Luck Hee Sung, Myung Soo Choo, Bong Suk Shim, In Rae Cho, Min Eui Kim, Soo Bang Ryu, Chul Sung Kim, Young Gon Kim, Chun Il Kim, Hyun Yul Rhew, Yong-Hyun Cho
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Korean J Urogenit Tract Infect Inflamm 2007;2(1):53-60. Published online May 31, 2007
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Abstract
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- "Purpose: The objective of this study was to investigate the efficacy and safety of gatifloxacin for patients with chronic prostatitis (NIH category II or IIIa) in Korean urologic practice. Materials and Methods: A total of 16 outpatient urology clinics at tertiary care medical centers in Korea participated. Gatifloxacin (400 mg/day) treatment (S.D.) of 149 patients (20 patients with category II and 129 patients with category IIIa) with prostatitis (mean age 45.8±13.3 years) was carried out for 41.7 (33.1) days. A 4-glass test according to Meares and Stamey or two glass test was carried out at study entry and one month after the end of treatment. Clinical response, safety and bacteriological response were assessed before treatment (within 48 hours of initiation of the study medication) and at one month after treatment completion. Results: In a otal of 149 patients, the total NIH-CPSI score was significantly reduced from 20.5 to 10.0 (response rate 86.7%; 95% CI 80.2-93.2%) (p<0.05). Sub-scores of pain, urinary symptoms and impact on the quality of life were also significantly reduced from 8.9 to 3.8 (response rate 83.8%; 95% CI 76.8-90.9%), from 4.2 to 2.0 (response rate 73.3%; 95% CI 64.9-81.8%) and from 7.4 to 4.2 (response rate 79.0%; 95% CI 71.3-86.8%), respectively (p<0.05). In terms of the overall clinical efficacy assessment by investigators, out of 149 patients with prostatitis, 71.2% were assessed to be responders. Bacteriological studies in expressed prostatic secretion (EPS) or post prostate massage urine (VB3) at 1 month after treatment completion demonstrated that the overall eradication rates of pathogens was 85% and the pyuria (≥10 WBC/HPF) rates in the NIH category II and IIIa were 35% and 18.6%, respectively (overall rate 20.8%). There were 16.1% of patients that presented with some adverse events considered by investigators to be related to the drug. The majority of adverse events were considered to be of mild (87.5%) or moderate (8.3%) intensity. Conclusions: These results suggest that gatifloxacin in Korean urologic practice is well tolerated and improves the clinical outcomes in the patientswith chronic prostatitis (NIH category II or IIIa)."
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Testicular Abscess Secondary to Acute Epididymo-orchitis
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Jeong Seon Park, Young Beom Jeong, Jong Kwan Park, Hyung Jin Kim, Young Gon Kim, Young Kyung Park
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Korean J Urogenit Tract Infect Inflamm 2007;2(1):88-91. Published online May 31, 2007
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Abstract
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- Testicular abscess is very rare and usually resulted from severe epididymo-orchitis. The most common pathogens are Chlamydia trachomatis, Neisseria gonorrhoeae, and Escherichia coli. The inflammation usually starts in male genitourinary tract and spreads to testis. The testis is enlarged, yellow-white and may show abscess formation. The microscopic findings of testicular abscess demonstrated predominent inflammatory cells (neutrophils) in the interstitium and seminiferous tubules. The patient with testicular abscess usually present with fever, dysuria, and a painful scrotal enlargement. Physical examination may not be possible due to pain and swelling, making it difficult to evaluate the real extent of the lesion. In these patients, doppler US findings are useful. We report a case of testicular abscess secondary to acute epididymo-orchitis.
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Penile Abscess due to Condom Catheterization
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Kyung Soo Choi, Young Beom Jeong, Jong Kwan Park, Hyung Jin Kim, Young Gon Kim, Young Kyung Park
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Korean J Urogenit Tract Infect Inflamm 2007;2(1):100-102. Published online May 31, 2007
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Abstract
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- Penile abscess is very rare. The pathogens are Neisseria gonorrhoeae, Tuberculosis, Staphylococcus aureus, etc. The penis is enlarged, yellow-white and may show abscess formation. The microscopic findings of penile abscess is that neutrophils are the predominant inflammatory cells and are present in the interstitium. The patient with penile abscess may present with fever, dysuria, and a painful penile enlargement. Physical examination may be possible even though there is pain and swelling, not making it difficult to evaluate the real extent of the lesion. To diagnose, doppler US findings are useful. We report a case of penile abscess due to the use of condom catheter.
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