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Comment on: “Use of thermographic imaging for the evaluation of erectile dysfunction and Peyronie’s disease” 评论文章 IJIR-08-2023-242R - 使用热成像技术评估勃起功能障碍和佩罗尼氏病。
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-18 DOI: 10.1038/s41443-024-00952-0
Raevti Bole
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引用次数: 0
An initial investigation into changes in post-transplant serum testosterone levels in men undergoing lung transplantation: what are the take aways? 对接受肺移植的男性移植后血清睾酮水平变化的初步调查:有哪些启示?
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-18 DOI: 10.1038/s41443-024-00956-w
Kevin Campbell
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引用次数: 0
Use of thermographic imaging for the evaluation of erectile dysfunction and Peyronie’s disease 使用热成像技术评估勃起功能障碍和佩罗尼氏病
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-14 DOI: 10.1038/s41443-024-00950-2
Theodore Crisostomo-Wynne, Alexandria Hertz, Trevor Maloney, Jack Walter, Ronald J. Caras
Thermographic imaging is a technique to measure infrared radiation to report temperature and has been used in prior research to assess sexual arousal by measuring genital temperature. We hypothesized this can be used quantitatively to assess erectile function. We conducted an observational clinical trial of this technique by performing thermographic imaging in the flaccid and erect state and compared these values with hemodynamic measurements performed by penile Doppler/duplex ultrasound (PDDU). We also hypothesized that in men with Peyronie’s disease (PD), the plaque would be visible on thermographic imaging and took thermographic measurements in this area for patients with PD. Any man scheduled to undergo PDDU in our urology clinic was approached for recruitment. PDDU was performed by one of two experienced urologists. We recruited 30 men for this study. Seven of these men had PD. The change in measured temperature between flaccid and erect states correlated significantly with the peak systolic velocity r = 0.46 (p = 0.025). In the seven men with PD the mean change in temperature of the plaque was +0.9 °C versus +2.1 °C in the normal penis (p = 0.28). Thermographic imaging shows a significant correlation with objective hemodynamic measurements on PDDU.
热成像是一种通过测量红外辐射来报告温度的技术,在之前的研究中已被用于通过测量生殖器温度来评估性兴奋。我们假设这种方法可用于定量评估勃起功能。我们对这项技术进行了观察性临床试验,在松弛和勃起状态下进行热成像,并将这些值与阴茎多普勒/双工超声(PDDU)进行的血液动力学测量值进行比较。我们还假设,患有佩罗尼氏病(PD)的男性在热成像中可以看到斑块,并对佩罗尼氏病患者的这一区域进行了热成像测量。我们在泌尿科诊所招募了所有计划接受 PDDU 的男性患者。PDDU 由两位经验丰富的泌尿科医生中的一位实施。我们为这项研究招募了 30 名男性。其中 7 名男性患有前列腺增生症。在松弛和勃起状态之间测量到的体温变化与收缩速度峰值有显著相关性,r = 0.46 (p = 0.025)。在七名患有阴茎短小症的男性中,斑块的平均温度变化为+0.9 °C,而正常阴茎的温度变化为+2.1 °C(p = 0.28)。热成像与 PDDU 的客观血液动力学测量结果有明显的相关性。
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引用次数: 0
Comment on: “Untreated hypogonadism and testosterone replacement therapy in hypogonadal men are associated with a decreased risk of subsequent prostate cancer: a population-based study” 评论一项基于人群的研究:"性腺功能减退男性未经治疗和睾酮替代疗法与罹患前列腺癌的风险降低有关"
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-14 DOI: 10.1038/s41443-024-00954-y
Ari P. Bernstein, Jason Codrington, Ranjith Ramasamy
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引用次数: 0
Response to the Commentary on: Does time of intraoperative exposure to the aerobiome increase microbial growth on inflatable penile prostheses? 对以下评论的回应术中暴露于空气生物群的时间是否会增加充气阴茎假体上微生物的生长?
IF 2.6 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-14 DOI: 10.1038/s41443-024-00941-3
Aymara Evans, Vinayak Madhusoodanan, Ranjith Ramasamy

As the authors of “Does time of intraoperative exposure to the aerobiome increase microbial growth on inflatable penile prosthesis,” we appreciate the thoughtful critiques provided by Mulcahy et al. and Atwater et al. [1,2,3]. Some of the key points are salient, and we would like to take an opportunity to acknowledge the feedback and advocate for the significance of this study.

Regarding the concern raised by Atwater et al. about whether our study adds anything substantial to the existing literature [1], we believe it is essential to emphasize the novelty of our investigation. There is no literature specifically addressing the role of ambient air exposure in inflatable penile prosthesis (IPP) surgery. Continually reassessing and expanding our understanding of all potential infection risks, including those that might seem minimal at first glance, is critical. While factors like operative time and surgeon experience are better established in influencing infection rates [4], we must not dismiss the evaluation of other potential sources of contamination, such as the aerobiome.

作为 "术中暴露于空气生物群的时间是否会增加充气阴茎假体上微生物的生长 "一文的作者,我们感谢 Mulcahy 等人和 Atwater 等人[1,2,3]提出的深思熟虑的批评意见。关于 Atwater 等人对我们的研究是否为现有文献[1]增添了实质性内容的担忧,我们认为有必要强调我们研究的新颖性。目前还没有文献专门论述环境空气暴露在充气阴茎假体(IPP)手术中的作用。不断重新评估和扩大我们对所有潜在感染风险的认识至关重要,包括那些乍看起来微不足道的风险。虽然手术时间和外科医生经验等因素在影响感染率方面的作用已得到进一步证实[4],但我们决不能忽视对其他潜在污染源的评估,例如空气生物群。
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引用次数: 0
Commentary: Bioengineered dermal matrix reduces donor site morbidity in total phallic construction with RAFFF. 评论:生物工程真皮基质可降低使用 RAFFF 进行全阴茎手术时供体部位的发病率。
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-12 DOI: 10.1038/s41443-024-00953-z
W G Lee, A N Christopher, D J Ralph
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引用次数: 0
Penile prosthesis for erectile dysfunction: early experience in Senegal, West Africa 阴茎假体治疗勃起功能障碍:西非塞内加尔的早期经验
IF 2.6 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-10 DOI: 10.1038/s41443-024-00920-8
Mohamed Jalloh, Lamine Niang, Yves Kyungu, Madina Ndoye, Bécaye Gassama, Mouhamadou Moustapha Mbodji, Abdourahmane Diallo, Issa Labou, Christina L. Fontaine, Maria Vogt, Nadar Gaballa, Omololu Ajayi, Serigne Magueye Gueye, Jean A. MacDonald, David J. Ralph, Brian M. Stephenson, Odunayo M. Kalejaiye

Erectile dysfunction (ED) is common with the estimated global prevalence set to rise from 152 million in 1995 to 322 million by the year 2025 [1]. The greatest increases have been postulated as most likely to occur in economically challenged countries. The commonest risk factors for ED in Western countries include diabetes, smoking, obesity and following pelvic surgery. However, in West African countries, this also includes ischaemic priapism (IP) especially in sickle cell disease (SCD).

SCD is a common autosomal recessive disorder affecting the β-globulin chain of haemoglobin in mainly people of African descent. It affects more than 3 million people worldwide predominantly in sub-Saharan Africa [2]. IP has been reported in up to 40% of men with SCD with a cumulative incidence of 60% by the age 40 [2]. The treatment of end-stage ED and late presenting IP is with a penile implant. The satisfaction rates have been reported as 70–80% [3]. In Senegal, this surgery is in its infancy and herein we present our initial experience at the Hopital General Idrissa Pouye (HOGIP). We present our results of 9 men who had a malleable penile prosthesis inserted between March 2022 and January 2023. All men were admitted on the day of their operation and surgery was carried out with visiting experienced andrologists. All patients received antibiotics (gentamycin) on induction and the prosthesis was soaked in a gentamycin solution prior to insertion. The malleable prosthesis inserted were Coloplast Genesis (Coloplast Corp, Minneapolis, MN, USA) or iMedicare Rigi10 (iMEDicare, Watford, UK). A standard 10-min social wash was performed after shaving. All procedures were performed under spinal anaesthesia and the incision was peno-scrotal.

勃起功能障碍(ED)很常见,据估计,全球发病率将从 1995 年的 1.52 亿上升到 2025 年的 3.22 亿[1]。据推测,经济困难国家的发病率增幅最大。在西方国家,ED 最常见的风险因素包括糖尿病、吸烟、肥胖和盆腔手术后。SCD 是一种常见的常染色体隐性遗传疾病,主要影响非洲后裔的血红蛋白β-球蛋白链。SCD 是一种常见的常染色体隐性遗传疾病,主要影响非洲后裔中的β-球蛋白血红蛋白链,全球有 300 多万人受其影响,主要集中在撒哈拉以南非洲地区[2]。据报道,在患有 SCD 的男性中,IP 的发病率高达 40%,到 40 岁时累积发病率为 60%[2]。治疗终末期 ED 和晚期 IP 的方法是植入阴茎假体。据报道,满意率为 70-80%[3]。在塞内加尔,这种手术尚处于起步阶段,我们在此介绍我们在伊德里萨-普耶综合医院(HOGIP)的初步经验。我们在此介绍 2022 年 3 月至 2023 年 1 月期间为 9 名男性植入可弯曲阴茎假体的结果。所有患者均在手术当天入院,手术由经验丰富的妇产科医生出诊实施。所有患者在入院时都接受了抗生素(庆大霉素)治疗,假体在植入前浸泡在庆大霉素溶液中。插入的可塑性假体为 Coloplast Genesis(Coloplast Corp,美国明尼阿波利斯)或 iMedicare Rigi10(iMEDicare,英国沃特福德)。剃须后进行了 10 分钟的标准社交清洗。所有手术均在脊髓麻醉下进行,切口位于阴囊。
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引用次数: 0
A population analysis of delayed ejaculation using a claims database: characteristics and national trends in prevalence, incidence, and pharmacotherapy. 利用索赔数据库对延迟射精进行人口分析:流行率、发病率和药物治疗的特点和全国趋势。
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-09 DOI: 10.1038/s41443-024-00937-z
Brian Liao, Corey Able, Steven Banner, Clemens An, Ali A Nasrallah, Kevin Vu, Joseph Sonstein, Laith Alzweri, Taylor P Kohn

We investigated the prevalence, incidence, and rates of pharmacological treatment of delayed ejaculation using the TriNetX Diamond Network. We included all men evaluated in the inpatient, outpatient, and emergency settings. Prevalence was determined by comparing the number of men diagnosed with delayed ejaculation to the entire population. Incidence was determined by comparing the number of men diagnosed with delayed ejaculation without a prior diagnosis to the overall population without a prior diagnosis. Rates of pharmacologic treatment were calculated by comparing the number of men who received a prescription to the total number of men with delayed ejaculation. Trends in prevalence and incidence were compared using six-month intervals, while trends in pharmacologic treatment were compared using one-year intervals. A total of 23,164 adult males were diagnosed with delayed ejaculation from 2013 to 2019. During the final six-month interval (July to December 2019), 2,747 of 16,496,744 men received a delayed ejaculation diagnosis, and 1,375 of 16,488,270 men without a prior diagnosis were diagnosed with delayed ejaculation. In 2019, only 916 of 4,733 (19.4%) men diagnosed with delayed ejaculation received any prescription, with the most common being testosterone (9.5%), bupropion (6.6%), and buspirone (2.3%). Prevalence, incidence and pharmacologic treatment all had increasing trends.

我们利用 TriNetX Diamond 网络调查了射精延迟的患病率、发病率和药物治疗率。我们纳入了在住院、门诊和急诊环境中接受评估的所有男性。患病率是通过比较确诊为射精延迟的男性人数与总人口来确定的。发病率是通过比较未确诊射精延迟的男性人数与未确诊射精延迟的总人数来确定的。药物治疗率的计算方法是将获得处方的男性人数与射精延迟男性总人数进行比较。患病率和发病率的趋势以六个月为间隔进行比较,而药物治疗的趋势则以一年为间隔进行比较。从 2013 年到 2019 年,共有 23,164 名成年男性被诊断为射精延迟。在最后六个月间隔期(2019 年 7 月至 12 月)内,16,496,744 名男性中有 2,747 人被诊断为射精延迟,16,488,270 名之前未确诊的男性中有 1,375 人被诊断为射精延迟。2019年,在4733名确诊射精延迟的男性中,只有916人(19.4%)接受了任何处方治疗,其中最常见的是睾酮(9.5%)、安非他酮(6.6%)和丁螺环酮(2.3%)。患病率、发病率和药物治疗均呈上升趋势。
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引用次数: 0
Comment on: Efficacy and safety of two disposable circumcision suture devices for circumcision in adults: a prospective comparative multicenter study. 评论:用于成人包皮环切术的两种一次性包皮环切缝合器的有效性和安全性:一项前瞻性多中心比较研究。
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-06 DOI: 10.1038/s41443-024-00947-x
Seyed Sajjad Tabei, Omer A Raheem
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引用次数: 0
Commentary on: Use of Himplant® for correction of residual deformity following prior treatment of Peyronie's disease: a case report. 评论:使用 Himplant® 矫正佩罗尼氏病治疗后的残余畸形:病例报告。
IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Pub Date : 2024-07-05 DOI: 10.1038/s41443-024-00932-4
Wai Gin Lee, Karl H Pang
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引用次数: 0
期刊
International Journal of Impotence Research
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