当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Spermatogenesis after parathyroidectomy in patients with symptomatic secondary hyperparathyroidism.

Spermatogenesis after parathyroidectomy in patients with symptomatic secondary hyperparathyroidism.

Abstract：

BACKGROUND:The changes in spermatogenesis after parathyroidectomy in patients with symptomatic secondary hyperparathyroidism have not been reported before. STUDY DESIGN:Nineteen men with symptomatic secondary hyperparathyrodism were enrolled in our study. Their ages ranged from 29 to 50 years and duration of dialysis from 72 to 168 months. Before operation, serum levels of calcium, phosphorus, alkaline phosphatase, intact parathyroid hormone, prolactin, luteinizing hormone, follicle-stimulating hormone, and testosterone were checked routinely in association with semen analysis. Those data were checked again 3 months after successful operation. Finally, 15 patients had total parathyroidectomy with subcutaneous autotransplantation of 60 or 90 mg of tissue and complete postoperative data was available for 13 patients. The semen analysis included sperm density, volume of semen, motility index, percentage of active motility, and percentage of normal morphology. RESULTS:Ten patients had normal sperm density (> or =20 x 10(6)/mL), and nine patients had oligospermia (<20 x 10(6)/mL) (n = 4) or azoospermia (n = 5). The ages of patients, duration of dialysis, and weight of removed parathyroid glands were quite similar between the two groups. The serum levels of calcium, phosphorus, alkaline phosphatase, intact parathyroid hormone, prolactin, luteinizing hormone, follicle-stimulating hormone, and testosterone were not significantly different between the group with normospermia and the group with oligospermia or azoospermia. Three months after total parathyroidectomy with autotransplantation, the serum levels of calcium, phosphorus, alkaline phosphatase, and intact parathyroid hormone were markedly decreased; the percentage of active motility and motility index were markedly improved; the serum levels of prolactin, luteinizing hormone, follicle-stimulating hormone, and testosterone had no significant changes; and the volume of semen, sperm density, and percentage of normal morphology had no significant improvements. One patient, who had oligospermia with primary infertility, had paternity 6 months after parathyroidectomy, though his oligospermia remained unchanged at that time. CONCLUSION:After parathyroidectomy, the sperm motility index and percentage of active motility can be improved. We speculate that increases in fertilization and paternity in uremic male patients can be expected after surgery.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Chou FF,Lee CH,Lee CT,Huang FJ,Hsu KL

doi

10.1016/S1072-7515(03)00129-7

keywords:

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

854-8

issue

6

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(03)00129-7

journal_volume

196

pub_type

杂志文章

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • Preoperative simulation of vascular anatomy by three-dimensional computed tomography imaging in laparoscopic gastric cancer surgery.

    abstract：BACKGROUND:Treatment of early gastric cancer may be an ideal application for laparoscopic surgery. But laparoscopic surgery has various limitations derived from the lack of tactile feedback and a two-dimensional display of the operative field. So, laparoscopic surgery is technically challenging and requires a more deta...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2003.07.021

    authors： Lee SW,Shinohara H,Matsuki M,Okuda J,Nomura E,Mabuchi H,Nishiguchi K,Takaori K,Narabayashi I,Tanigawa N

    更新日期：2003-12-01 00:00:00

  • Intraoperative localization of parathyroid glands with gamma counter probe in primary hyperparathyroidism: a prospective study.

    abstract：BACKGROUND:Technetium 99m-sestamibi imaging might be the best method to localize abnormal parathyroid glands. No studies to date have compared preoperative imaging and intraoperative gamma probe localization in patients with primary hyperparathyroidism. STUDY DESIGN:This prospective study included 20 arbitrarily selec...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(02)01178-x

    authors： Saaristo RA,Salmi JJ,Kööbi T,Turjanmaa V,Sand JA,Nordback IH

    更新日期：2002-07-01 00:00:00

  • Comparison of mortality risk adjustment using a clinical data algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an administrative data algorithm (Solucient) at the case level within a single institution.

    abstract：BACKGROUND:There is great interest in efficiently evaluating health care quality, but there is controversy over the use of administrative versus clinical data methods. We sought to compare actual mortality with risk-adjusted expected mortality in a sample population calculated by two different methods; one based on pre...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2007.08.013

    authors： Hall BL,Hirbe M,Waterman B,Boslaugh S,Dunagan WC

    更新日期：2007-12-01 00:00:00

  • Autologous protein reinfusion in severe ovary hyperstimulation syndrome.

    abstract：BACKGROUND:Ovarian hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural flu...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Splendiani G,Mazzarella V,Tozzo C,Elli M,Casciani CU

    更新日期：1994-07-01 00:00:00

  • Thyroglossal duct: a review of 55 cases.

    abstract：BACKGROUND:Thyroglossal duct remnants are the most common midline neck masses in childhood but can be found in adults and the elderly. Sistrunk's procedure, with dissection of the tract and removal of the hyoid bone, is accepted as the main operation of choice. STUDY DESIGN:Fifty-five patients were treated from Januar...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(01)01171-1

    authors： Dedivitis RA,Camargo DL,Peixoto GL,Weissman L,Guimarães AV

    更新日期：2002-03-01 00:00:00

  • Clinical outcomes and apomucin expression of intrahepatic cholangiocarcinoma according to gross morphology.

    abstract：BACKGROUND:The clinicopathologic characteristics and the expression of apomucin (MUC) in intrahepatic cholangiocarcinoma (ICC) with respect to gross morphology have not been comprehensively examined. STUDY DESIGN:We reviewed the clinical data of 98 patients with ICC who underwent resection at Seoul National University...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(02)01343-1

    authors： Suh KS,Chang SH,Lee HJ,Roh HR,Kim SH,Lee KU

    更新日期：2002-12-01 00:00:00

  • Impact of New Vascular Fellowship Programs on Vascular Surgery Operative Volume of Residents in Associated General Surgery Programs.

    abstract：BACKGROUND:General surgery (GS) resident vascular surgery (VS) operations have declined significantly in the last 15 years. We hypothesized that initiation of VS fellowship programs (VSFPs) contributes to that decline. This study examined the effect of establishing new VSFPs on VS case volumes of residents in associate...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2018.12.010

    authors： Shannon AH,Robinson WP 3rd,Hanks JB,Potts JR 3rd

    更新日期：2019-04-01 00:00:00

  • A technique for distal splenoadrenal shunting in pediatric portal hypertension.

    abstract：:Technical modification of the DSRS by using the end-to-end splenoadrenal anastomosis allows for effective selective decompression of portal hypertension in children, can be accomplished with no perioperative mortality, and has demonstrated longterm patency and minimal morbidity. Clinical encephalopathy was seen in onl...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00244-0

    authors： Mazariegos GV,Reyes J

    更新日期：1998-12-01 00:00:00

  • Management of Uncomplicated Acute Appendicitis as Day Case Surgery: Feasibility and a Critical Analysis of Exclusion Criteria and Treatment Failure.

    abstract：BACKGROUND:Day case surgery (DCS) for uncomplicated acute appendicitis (NCAA) is evaluated. The objective of this prospective, single-center, descriptive, nonrandomized, intention-to-treat cohort study was to assess the feasibility of DCS for NCAA with a critical analysis of the reasons for exclusion and treatment fail...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2016.08.004

    authors： Grelpois G,Sabbagh C,Cosse C,Robert B,Chapuis-Roux E,Ntouba A,Lion T,Regimbeau JM

    更新日期：2016-11-01 00:00:00

  • Getting a head start: high-fidelity, simulation-based operating room team training of interprofessional students.

    abstract：BACKGROUND:Effective teamwork in the operating room (OR) is often undermined by the "silo mentality" of the differing professions. Such thinking is formed early in one's professional experience and is fostered by undergraduate medical and nursing curricula lacking interprofessional education. We investigated the immedi...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2013.09.006

    authors： Paige JT,Garbee DD,Kozmenko V,Yu Q,Kozmenko L,Yang T,Bonanno L,Swartz W

    更新日期：2014-01-01 00:00:00

  • Nationwide prospective study of outcomes after elective incisional hernia repair.

    abstract：BACKGROUND:Incisional hernia repair is a frequent surgical procedure, but perioperative risk factors and outcomes have not been prospectively assessed in large-scale studies. The aim of this nationwide study was to analyze surgical risk factors for early and late outcomes after incisional hernia repair. STUDY DESIGN:W...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.10.013

    authors： Helgstrand F,Rosenberg J,Kehlet H,Jorgensen LN,Bisgaard T

    更新日期：2013-02-01 00:00:00

  • Minimally Invasive Repairs of Pectus Excavatum: Surgical Outcomes, Quality of Life, and Predictors of Reoperation.

    abstract：BACKGROUND:We sought to examine our institutional experience (1998 to 2014) with minimally invasive repairs of pectus excavatum (MIRPE). STUDY DESIGN:We conducted a retrospective review and a mailed survey (quality of life assessment). Associations with reoperation due to bar migration and recurrence after bar removal...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.11.020

    authors： Gibreel W,Zendejas B,Joyce D,Moir CR,Zarroug AE

    更新日期：2016-03-01 00:00:00

  • Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway.

    abstract：BACKGROUND:The link between inflammation and cancer is well-established, but the link between Hashimoto thyroiditis (HT) and thyroid cancer remains controversial. The purpose of our study was to determine the incidence of patients with thyroid cancer and associated HT at our institution, to correlate our patient popula...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.12.037

    authors： Larson SD,Jackson LN,Riall TS,Uchida T,Thomas RP,Qiu S,Evers BM

    更新日期：2007-05-01 00:00:00

  • Laparoscopic kidney donation from patients older than 60 years.

    abstract：BACKGROUND:The current study seeks to determine if the efficacy and safety of laparoscopic donor nephrectomy holds true when performed in patients older than 60 years of age. STUDY DESIGN:Medical records of 42 renal donors older than 60 years were reviewed compared with younger controls carefully matched for gender, r...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.02.018

    authors： Jacobs SC,Ramey JR,Sklar GN,Bartlett ST

    更新日期：2004-06-01 00:00:00

  • My Continuing Evolution as a Surgeon-Scientist: A Decade after the Jacobson Promising Investigator Award.

    abstract：:THE SECOND JOAN L AND JULIUS H JACOBSON PROMISING INVESTIGATOR AWARDEE, EDITH TZENG MD, FACS: In 2005, the Surgical Research Committee of the American College of Surgeons was tasked with selecting the recipient of a newly established award, "The Joan L and Julius H Jacobson Promising Investigator Award." According to ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 历史文章,杂志文章

    doi：10.1016/j.jamcollsurg.2016.09.012

    authors： Tzeng E

    更新日期：2017-01-01 00:00:00

  • Primary hyperparathyroidism in patients who have received radiation therapy and in patients who have not received radiation therapy.

    abstract：BACKGROUND:Primary hyperparathyroidism (HPT) occurs more frequently in persons who have been exposed to low-dose therapeutic radiation. Little information is available concerning whether or not the clinical, metabolic, and pathologic manifestations, as well as outcome, differ in these patients when compared with patien...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Tezelman S,Rodriguez JM,Shen W,Siperstein AE,Duh QY,Clark OH

    更新日期：1995-01-01 00:00:00

  • Competing Risk of Death in Elderly Patients with Newly Diagnosed Stage I Breast Cancer.

    abstract：BACKGROUND:The majority of newly diagnosed breast cancers in the US are in women aged older than 65 years who can have additional comorbidities. Balancing the risks and benefits of treatment should take into account these competing risks of death. STUDY DESIGN:The Surveillance, Epidemiology, and End Results Program-Me...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2019.03.013

    authors： Wasif N,Neville M,Gray R,Cronin P,Pockaj BA

    更新日期：2019-07-01 00:00:00

  • The longitudinal study of surgical residents, 1993 to 1994.

    abstract：BACKGROUND:The American College of Surgeons (ACS) has collected comprehensive data about surgical residents for the past 12 years and has published an annual report, the Longitudinal Study of Surgical Residents. In 1994, the ACS and the American Medical Association (AMA) agreed to collaborate in collecting data about s...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Kwakwa F,Jonasson O

    更新日期：1996-11-01 00:00:00

  • Atypical variants of classic achalasia are common and currently under-recognized: a study of prevalence and clinical features.

    abstract：BACKGROUND:Advances in esophageal manometry have facilitated identification of variants of achalasia, suggesting they are more common than previously thought. This study assesses the frequency and clinical characteristics of patients with motility abnormalities similar to, but not meeting criteria for, classic achalasi...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2011.02.008

    authors： Galey KM,Wilshire CL,Niebisch S,Jones CE,Raymond DP,Litle VR,Watson TJ,Peters JH

    更新日期：2011-07-01 00:00:00

  • Impact of cirrhosis on outcomes in trauma.

    abstract：BACKGROUND:Cirrhosis as an independent predictor of poor outcomes in trauma patients was identified in 1990. We hypothesized that the degree of preinjury hepatic dysfunction is, by itself, an independent predictor of mortality. STUDY DESIGN:The trauma registry at our Level I trauma center was queried for all ICD-9 cod...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.08.001

    authors： Dangleben DA,Jazaeri O,Wasser T,Cipolle M,Pasquale M

    更新日期：2006-12-01 00:00:00

  • Learning Curve for Surgeons Adopting Transcarotid Artery Revascularization Based on the Vascular Quality Initiative-Transcarotid Artery Revascularization Surveillance Project.

    abstract：BACKGROUND:Transcarotid artery revascularization (TCAR) with flow reversal was recently introduced as a novel technique for carotid artery stenting (CAS). We examined the learning curve of surgeons adopting TCAR based on data from the Vascular Quality Initiative (VQI-TCAR Surveillance Project; TSP). STUDY DESIGN:We id...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2019.09.020

    authors： Kashyap VS,King AH,Liang P,Eldrup-Jorgensen J,Wang GJ,Malas MB,Nolan BW,Cronenwett JL,Schermerhorn ML

    更新日期：2020-01-01 00:00:00

  • Clinical Risk Score to Predict Pancreatic Fistula after Pancreatoduodenectomy: Independent External Validation for Open and Laparoscopic Approaches.

    abstract：BACKGROUND:A clinical risk score for pancreatic fistula (CRS-PF) was recently reported to predict postoperative pancreatic fistula (POPF) after pancreatoduodenectomy (PD). An independent external validation has not been performed. Our hypothesis was that CRS-PF predicts POPF after both laparoscopic and open PD. STUDY ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.05.011

    authors： Shubert CR,Wagie AE,Farnell MB,Nagorney DM,Que FG,Reid Lombardo KM,Truty MJ,Smoot RL,Kendrick ML

    更新日期：2015-09-01 00:00:00

  • Laparoscopic repair of lumbar hernias.

    abstract：BACKGROUND:Lumbar hernias are rare defects in the posterolateral abdominal wall that may be congenital or acquired. Repairing these defects is difficult by virtue of their location and the inherent weakness of the surrounding tissues. We report a series of seven patients who had their lumbar hernias repaired laparoscop...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00124-0

    authors： Arca MJ,Heniford BT,Pokorny R,Wilson MA,Mayes J,Gagner M

    更新日期：1998-08-01 00:00:00

  • The management of infectious and noninfectious anorectal complications in patients with leukemia.

    abstract：BACKGROUND:Infectious and noninfectious anorectal complications may occur in patients undergoing therapy for leukemia. Controversy surrounds the treatment of this problem in immunocompromised patients. STUDY DESIGN:A retrospective review of the medical records of 83 patients with acute or chronic leukemia in whom anor...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： North JH Jr,Weber TK,Rodriguez-Bigas MA,Meropol NJ,Petrelli NJ

    更新日期：1996-10-01 00:00:00

  • Transanal Total Mesorectal Excision for Rectal Cancer: Outcomes after 140 Patients.

    abstract：BACKGROUND:The anatomic difficulties that we have to deal with in open surgery for rectal cancer have not been overcome with the laparoscopic approach. In the search for a solution, a change of concept arose: approaching the rectum from below. The main objectives of this study were to show the potential advantages of t...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2015.03.046

    authors： Lacy AM,Tasende MM,Delgado S,Fernandez-Hevia M,Jimenez M,De Lacy B,Castells A,Bravo R,Wexner SD,Heald RJ

    更新日期：2015-08-01 00:00:00

  • Management of adult blunt splenic injuries: comparison between level I and level II trauma centers.

    abstract：BACKGROUND:The factors important in determining outcome when managing adult blunt splenic injuries continue to be debated. Whether trauma center level designation (Level I versus Level II) affects patient management has not been evaluated. STUDY DESIGN:We conducted a retrospective analysis of prospectively gathered da...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2003.10.007

    authors： Harbrecht BG,Zenati MS,Ochoa JB,Townsend RN,Puyana JC,Wilson MA,Peitzman AB

    更新日期：2004-02-01 00:00:00

  • Role of the martius procedure in the management of urinary-vaginal fistulas.

    abstract：BACKGROUND:Urinary-vaginal fistula is one of the most common and dreaded complications of obstetric trauma in developing countries. Management of these fistulas is complicated by the presence of substantial urethral loss and the tendency of the repair to break down. STUDY DESIGN:We retrospectively studied 46 patients ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(00)00351-3

    authors： Rangnekar NP,Imdad Ali N,Kaul SA,Pathak HR

    更新日期：2000-09-01 00:00:00

  • Hepatic resection under the intermittent selective portal branch occlusion by balloon catheter.

    abstract：BACKGROUND:In hepatic resection, it is important to control intrahepatic blood flow to minimize blood loss. Intermittent and selective vascular occlusion, if possible, are advisable. STUDY DESIGN:For this purpose, we created the double balloon catheter, which when introduced into a lobar or a smaller branch of the int...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Goseki N,Kato S,Takamatsu S,Dobashi Y,Hara Y,Teramoto K,Nakamura H,Endo M,Shimojyu K

    更新日期：1994-12-01 00:00:00

  • Comparison of treatments for hepatolithiasis: hepatic resection versus cholangioscopic lithotomy.

    abstract：BACKGROUND:Hepatic resection and percutaneous transhepatic cholangioscopic lithotomy (PTCSL) are the two main approaches to the treatment of hepatolithiasis, but comparisons of longterm followup results have not been adequately reported. STUDY DESIGN:Of 86 patients with hepatolithiasis admitted to our institution betw...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(99)00109-x

    authors： Otani K,Shimizu S,Chijiiwa K,Ogawa T,Morisaki T,Sugitani A,Yamaguchi K,Tanaka M

    更新日期：1999-08-01 00:00:00

  • Beneficial effects of growth hormone and insulin-like growth factor I on intestinal bacterial translocation, endotoxemia, and apoptosis in experimentally jaundiced rats.

    abstract：BACKGROUND:This study was undertaken to investigate the effect of growth hormone (GH) and insulin-like growth factor I (IGF-I), two well-known growth factors, on bacterial translocation, endotoxemia, enterocyte apoptosis, and intestinal and liver histology in a model of experimental obstructive jaundice in rats. STUDY...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(99)00285-9

    authors： Scopa CD,Koureleas S,Tsamandas AC,Spiliopoulou I,Alexandrides T,Filos KS,Vagianos CE

    更新日期：2000-04-01 00:00:00