Abstract:
:Bilateral vasovasostomies were performed in 7 previously vasectomized patients. The method employed was a modification of a one-layer anastomotic technique. There was no correlation between the presence of absence of sperm in the vas fluid, presence or absence of sperm granuloma, and site of vasectomy. No correlation was revealed between the presence or absence of sperm in the vas fluid and the duration of obstructive period. After vasovasostomy, sperm was observed in the ejaculate in 86% of the patients. Only one patient's partner became pregnant. However, the partner of one patient with short postoperative period and good seminal finding after vasovasostomy was expected to become pregnant. This modified method of one-layer microsurgical vasovasostomy can be performed more easily and quickly, but requires further clinical experience and evaluation of usefulness. :For various reasons, some men seek the reversal of prior vasectomy. Macroscopic methods to reverse vasectomy and restore fertility have achieved patency rates of 50% or higher, but reports have also indicated that final fertility is attained in only 5-25% of cases. Higher patency and pregnancy rates have been reported using a two-layer microscopic technique. This paper reports the findings obtained after performing a modification of a one-layer microsurgical vasovasostomy. Bilateral vasovasostomies were performed in seven patients vasectomized 2-12 years before; the median interval between vasectomy and vasectomy reversal was 9 years. The men were aged 33-45 years (median age, 39 years). No correlation was identified between the presence or absence of sperm in the vas fluid, presence or absence of sperm granuloma, and site of vasectomy. Furthermore, no correlation was revealed between the presence or absence of sperm in the vas fluid and the duration of obstructive period. After vasovasostomy, sperm was observed in 86% of the patients, although only one patient's partner became pregnant. The partner of one patient with short postoperative period and good seminal finding after vasovasostomy is, however, expected to become pregnant. The authors note that while the modified method of one-layer microsurgical vasovasostomy can be performed easier and quicker than the two-layer approach, it requires a higher level of clinical experience and additional evaluation of its usefulness.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Fuse H,Kimura H,Katayama Tdoi
10.1007/BF02550083subject
Has Abstractpub_date
1995-01-01 00:00:00pages
451-6issue
4eissn
0301-1623issn
1573-2584journal_volume
27pub_type
临床试验,杂志文章abstract::The vaginal influx during miction is a frequent phenomenon. In our clinical study it showed a rate of 54 per cent. The significance of pathomorphological substrates is diminishing with the advancing vesical descensus. The posture during miction has but little influence on the vaginal deviation of the urinary stream. T...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02086819
更新日期:1979-01-01 00:00:00
abstract::The authors present a series of 2,173 patients with renal tuberculosis seen between 1950 and 1979. This is group 1, serving only to show the incidence of renal tuberculosis during the antibiotic era. The fact is that the incidence of renal tuberculosis is going down slightly but constantly in the last years because th...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02082596
更新日期:1986-01-01 00:00:00
abstract::This paper presents a newly developed simple procedure using overlapping vascularized dorsal dartos subcutaneous flaps to cover the neourethra after hypospadias correction. A 3-year old boy with distal hypospadias underwent the tubularized incised plate urethroplasty using this method. Postoperative complications, whi...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1025610800998
更新日期:2002-01-01 00:00:00
abstract::In recent years, the role of trace elements in lithogenesis has received steadily increasing attention. It is well documented that some trace elements can influence the morphology and speed of the crystallization process. Zinc has been found in significant amounts in calcium stones relative or organic stones (uric aci...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-017-1784-7
更新日期:2018-05-01 00:00:00
abstract::Eighty-four patients with testicular seminoma were treated at the Northern Israel Oncology Center during the years 1968-1988. Using the staging classification of Hussey, 69 patients (82%) had Stage I, eight (10%) had Stage IIA, four (5%) had Stage IIB, one (1%) had Stage IIIA, and two (2%) had Stage IIIB disease. Sixt...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02768019
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To evaluate the role of microvessel density (MVD) in predicting lymph node (LN) metastasis in penile squamous cell carcinoma (PSCC). MATERIALS AND METHODS:Records of 266 patients with PSCC were analyzed. Parameters examined were tumor stage, grade, nodal status, intratumoral and peritumoral MVD. Univariate and...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1565-3
更新日期:2017-06-01 00:00:00
abstract::We present the case of a 31-year-old spina bifida patient presenting with a poorly differentiated T3N1M0 bladder carcinoma with sarcomatoid differentiation in an auto-augmented bladder. She underwent a radical cystectomy and a bilateral lymph node dissection. However, only 10 months after the onset of her symptoms, sh...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-011-0046-3
更新日期:2012-08-01 00:00:00
abstract::Hemophagocytic lymphohistiocytosis (HLH) is a hyperinflammatory syndrome caused by defective lytic capability of cytotoxic T lymphocytes and NK cells, which results in proliferation of benign hemophagocytic histiocytes. A cytokine storm ensues, and a severe systemic inflammatory response syndrome, multiorgan dysfuncti...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-016-1294-z
更新日期:2016-08-01 00:00:00
abstract::Infertility in a large proportion of infertile couples is due, in part, to the male factor. Spermatozoa must survive the unique environment of the female reproductive tract in their path to fertilize the ovum. This fact is even more problematic for men with oligospermia. Of the many environmental factors that effect s...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-008-9493-x
更新日期:2009-01-01 00:00:00
abstract::There has been no documentation on the epidemiology of end stage renal disease (ESRD) in the Cayman Islands. We retrospectively surveyed all facilities providing renal replacement therapy in the Cayman Islands in order to define the epidemiology of kidney failure in this setting. The prevalence of ESRD in this populat...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-009-9543-z
更新日期:2010-06-01 00:00:00
abstract:PURPOSE:Pulmonary hypertension (PH) in maintenance hemodialysis (MHD) patients has attracted increasing attention. This cross-sectional survey aimed to explore PH prevalence and identify potential risk factors in MHD patients. METHODS:A total of 136 MHD patients were assessed at the Fifth Affiliated Hospital of Sun Ya...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-015-1119-5
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:Progression of the cell cycle is regulated by the interactions of cyclins, cyclin dependent kinases (CDKs) and CDK inhibitors (CDKIs). p27 is a member of the universal cyclin-dependent kinase inhibitor family. The level of p27 protein expression decreases during tumor development and progression in some epit...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/b:urol.0000020301.39181.03
更新日期:2003-01-01 00:00:00
abstract::The objective of this study was to evaluate the prognostic factors and role of nephrectomy in metastatic renal cell carcinoma. We reviewed 62 cases of metastatic renal cell carcinoma (RCC) at presentation to document the factors influencing the survival and to evaluate the role of nephrectomy. Sex and age of the patie...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02564853
更新日期:1998-01-01 00:00:00
abstract::A total of 42 neurologically normal children with different voiding problems have been studied urodynamically during the last 4 years. Seventeen patients had unstable bladder, with significantly decreased capacity. The degree of volume decrease depended on the severity of instability and on the type of micturition pro...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The aim of this study was to investigate the hormonal and hemodynamic changes during percutaneous nephrolithotomy (PCNL) procedure. Twenty-one patients between 15-65 years of age were included in the study. Invasive blood pressure and heart rate were monitored during PCNL. Serum sodium, potassium, BUN and creatinine l...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1017527126481
更新日期:2001-01-01 00:00:00
abstract::The factors of infective calculus formation and the conditions favoring their prevention were studied by examining in vitro the role of the most common representative of urease-producing bacteria, Proteus mirabilis. The stream of Proteus-containing urine was found to form deposits of magnesium ammonium phosphate, carb...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02082070
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVE:To determine predictors for surgical complications and assess patient satisfaction after surgical treatment of Adult-Acquired Buried Penis (AABP). METHODS:A retrospective review was performed on all patients diagnosed with AABP who underwent surgical treatment at a single institution from January 2013-Decemb...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-019-02347-3
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Smooth muscle fibres are found within the superficial lamina propria of urinary bladder (Muscularis Mucosa). These muscle fibres of muscularis mucosa should be distinguished from the muscularis propria in cases with urothelial carcinoma, because the depth of infiltration affects prognosis and therapy modaliti...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1024493518202
更新日期:2002-01-01 00:00:00
abstract::Measuring calcium (Ca) absorption, Ca balance and Ca level in serum,feces and urine during HK (hypokinesia) with and without Ca loading, the aim of this study was to disclose if prolonged HK could reduce Ca deposition more with or without Ca load contributing to greater Ca imbalance. Studies were conducted during 30-d...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-004-0929-7
更新日期:2004-01-01 00:00:00
abstract::A series of 28 patients with urethral strictures less than 2 cm length underwent 32 visual optical internal urethrotomy under local urethral anesthesia with lidocaine. The procedure was completed successfully in 26 of 28 (92.9%) patients. Among these 25 of 26 (96%) patients reported mild pain. Visual analogue scale (V...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-006-9046-0
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:To evaluate in an experimental model, the mobility of a novel peritoneal dialysis catheter with a metallic tip (Mag-Cath) using an extra-corporeal magnet. MATERIALS AND METHODS:The Mag-Cath was installed in a porcine model under general anesthesia using laparoscopic access. A senior urologist, a urology reside...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02594-9
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:The current study was carried out to assess the effects of omega-3 fatty acid and alpha-tocopherol co-supplementation on malnutrition-inflammation score (MIS), biomarkers of inflammation and oxidative stress in chronic hemodialysis (HD) patients. METHODS:In a randomized double-blind placebo-controlled clinic...
journal_title:International urology and nephrology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11255-016-1399-4
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:To evaluate the surgical feasibility and postoperative cosmesis of a novel transumbilical laparoendoscopic single-site (LESS) surgical approach involving Y-shaped incisions and three-flap umbilicoplasty in urachal remnant patients. METHODS:Patients with symptomatic urachal remnants who underwent either convent...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02746-x
更新日期:2021-01-02 00:00:00
abstract::Indications for operation, immediate postoperative morbidity and complications were recorded in 43 patients circumcised with the Plastibell device. Questionnaires were used in recording late postoperative morbidity and complications during the mean observation period of 29 months, and were followed by a clinical and c...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02550667
更新日期:1988-01-01 00:00:00
abstract::Endometriosis of the urinary tract is a relatively rare condition. Since clinical signs are not specific the diagnosis is difficult and the therapy is not well defined. Two cases and a review of the literature are presented. ...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/BF02551109
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:Primary bladder neck obstruction (PBNO) is a nonneurogenic voiding disorder and frequently overlooked in young men. Prior studies have reported the efficacy of α-blockers only in the short-term for male patients with PBNO. We hereby report our long-term results using α1-blocker therapy in young men with PBNO....
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-011-0096-6
更新日期:2012-06-01 00:00:00
abstract::Evaluation of potential candidates for testosterone replacement therapy (TRT) includes a complete medical history, physical examination, and hormonal screening. The choice of testosterone assay is important in clinical decision making. TRT should, in theory, approximate natural endogenous production of the hormone. Th...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-010-9879-4
更新日期:2012-02-01 00:00:00
abstract::A 67-year-old Saudi man with poorly controlled diabetes-mellitus underwent orchiectomy for a painful left testicular swelling that did not respond to antibiotics. Clinical diagnosis was testicular malignancy. Histologic workup demonstrated extensive involvement of the testis and epididymis by diffuse infiltrate of lar...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-009-9674-2
更新日期:2010-09-01 00:00:00
abstract:PURPOSE:The current study was conducted to determine the effects of coenzyme Q10 (CoQ10) supplementation on glycemic control and markers of lipid profiles risk in diabetic hemodialysis (HD) patients. METHODS:This randomized, double blind, placebo-controlled clinical trial was performed among 60 diabetic HD patients. S...
journal_title:International urology and nephrology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11255-018-1973-z
更新日期:2018-11-01 00:00:00
abstract::Fournier's gangrene (FG) is a rapidly progressive, fulminant infection of the scrotum, perineum and the abdominal wall. FG is caused by synergic aerobic and anaerobic organisms. Modern surgical series report mortality of up to 67%. This originally rare disease has become more frequent. Aggressive treatment including a...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1019554327341
更新日期:2001-01-01 00:00:00