The loss of an infant at the prenatal stage is one of the most traumatic events parents can experience. Prenatal losses have several negative implications for parents’ physical, psychological, and social well-being, including intimacy and sexuality. Fathers who suffer from this experience have to cope not only with their grief, but also with the physical and emotional suffering of their partners. The social context gives the father a masculine role of strength, insensitivity, and protection of the mother, with the result that his pain and grief become invisible. The objective of this study is to understand fathers’ experience of affective-sexual relationships after a grieving process for an antenatal death; A qualitative study based on interviews with 11 fathers in Spain who have experienced an antenatal death was conducted. Data were analyzed with the help of ATLAS.ti software to discover emerging themes. 6 sub-themes were developed from the analysis, grouped into two main themes: the invisibility of grieving fathers and the relationships between the grieving parents are influenced by the death of their infants. The sexuality of fathers who suffer an antenatal death is altered. Gender stereotypes and the lack of social and professional awareness make their grief invisible. Fathers need to express their emotions to cope with their own grief and break the stereotypical gendered bereavement. In most cases, the couple’s relationship is altered, from a close union to a more distant relationship, in addition to a decrease in sexual desire and arousal. However, other fathers experienced greater closeness and intimacy in the couple. A communication based on sincerity, exposing their own grief, feelings, emotions and needs could help the couple’s relationship.
{"title":"Sexuality and affectivity after a grieving process for an antenatal death: a qualitative study of fathers' experiences","authors":"","doi":"10.22514/jomh.2023.010","DOIUrl":"https://doi.org/10.22514/jomh.2023.010","url":null,"abstract":"The loss of an infant at the prenatal stage is one of the most traumatic events parents can experience. Prenatal losses have several negative implications for parents’ physical, psychological, and social well-being, including intimacy and sexuality. Fathers who suffer from this experience have to cope not only with their grief, but also with the physical and emotional suffering of their partners. The social context gives the father a masculine role of strength, insensitivity, and protection of the mother, with the result that his pain and grief become invisible. The objective of this study is to understand fathers’ experience of affective-sexual relationships after a grieving process for an antenatal death; A qualitative study based on interviews with 11 fathers in Spain who have experienced an antenatal death was conducted. Data were analyzed with the help of ATLAS.ti software to discover emerging themes. 6 sub-themes were developed from the analysis, grouped into two main themes: the invisibility of grieving fathers and the relationships between the grieving parents are influenced by the death of their infants. The sexuality of fathers who suffer an antenatal death is altered. Gender stereotypes and the lack of social and professional awareness make their grief invisible. Fathers need to express their emotions to cope with their own grief and break the stereotypical gendered bereavement. In most cases, the couple’s relationship is altered, from a close union to a more distant relationship, in addition to a decrease in sexual desire and arousal. However, other fathers experienced greater closeness and intimacy in the couple. A communication based on sincerity, exposing their own grief, feelings, emotions and needs could help the couple’s relationship.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135470259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper explores the effect of application of dual disease management theory in the discharge readiness service for patients with alcoholic cardiomyopathy and heart failure. A retrospective study of 70 male patients with heart failure due to alcoholic cardiomyopathy was conducted. All patients were admitted in the hospital from September 2021 to September 2022. The control group was identified through an odd number, and the even number was the observation group, with 35 cases in each group. The control group received routine nursing care, and the observation group received a nursing model based on dual disease management theory, developed on the basis of the control group. The assessment criteria including the discharge readiness, binary coping score, self-efficacy score, self-care ability score and nursing compliance were compared between the two groups. The discharge readiness, patient and caregiver support coping score, self-efficacy and self-care ability scores of the observation group improved, compared to those of the control group, the difference was statistically significant (p < 0.05). The nursing compliance of the observation group was 91.4 %, statistically significantly higher (p < 0.05), compared to that of the control group (71.4%). The findings in this paper suggest that dual disease management theory applicable to the routine nursing can improve the nursing compliance and self-efficacy of patients with alcoholic cardiomyopathy and heart failure and self-care ability. Therefore, the dual management theory can effectively contribute to improving the level of patient support, response and patient care compliance.
{"title":"Application effect of dual disease management theory in patients with alcoholic cardiomyopathy and heart failure","authors":"","doi":"10.22514/jomh.2023.075","DOIUrl":"https://doi.org/10.22514/jomh.2023.075","url":null,"abstract":"This paper explores the effect of application of dual disease management theory in the discharge readiness service for patients with alcoholic cardiomyopathy and heart failure. A retrospective study of 70 male patients with heart failure due to alcoholic cardiomyopathy was conducted. All patients were admitted in the hospital from September 2021 to September 2022. The control group was identified through an odd number, and the even number was the observation group, with 35 cases in each group. The control group received routine nursing care, and the observation group received a nursing model based on dual disease management theory, developed on the basis of the control group. The assessment criteria including the discharge readiness, binary coping score, self-efficacy score, self-care ability score and nursing compliance were compared between the two groups. The discharge readiness, patient and caregiver support coping score, self-efficacy and self-care ability scores of the observation group improved, compared to those of the control group, the difference was statistically significant (p < 0.05). The nursing compliance of the observation group was 91.4 %, statistically significantly higher (p < 0.05), compared to that of the control group (71.4%). The findings in this paper suggest that dual disease management theory applicable to the routine nursing can improve the nursing compliance and self-efficacy of patients with alcoholic cardiomyopathy and heart failure and self-care ability. Therefore, the dual management theory can effectively contribute to improving the level of patient support, response and patient care compliance.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fournier’s gangrene (FG), also known as necrotizing fasciitis, is a condition that affects the genitalia and perineum, resulting in the rapid development of necrosis and gangrene in infected tissues and potentially spreading to adjacent tissues, including the abdominal wall. It mainly affects males and requires prompt treatment to prevent potentially life-threatening complications. In Case 1, a 64-year-old man with type 2 diabetes was diagnosed with FG due to a scrotal skin injury after scratching his scrotal skin. The patient underwent radical debridement, treatment with broad-spectrum antibiotics, negative pressure wound treatment, and skin transplantation. In Case 2, a 79-year-old man suffered from a sebaceous cyst of the scrotum that had been scratched for seven days, resulting in black and necrotic skin of the scrotum. He was diagnosed with FG and underwent radical debridement and drainage of pus, followed by anti-infection treatment, negative pressure wound treatment, and skin transplantation. In Case 3, a 48-year-old male injured at the scrotum’s base developed swelling, pain, foul odor and pus discharge and was diagnosed with FG. The patient underwent emergency treatment, including incision and drainage of the scrotum and right lower abdominal wall abscess, as well as wound debridement. Ultimately, all three patients’ scrotal wounds returned to normal, but Case 2 was complicated by blood vessel thrombosis in both lower limbs. Early surgical debridement is a necessary intervention for FG, along with active postoperative anti-infection treatment and measures to prevent the occurrence of complications.
{"title":"Clinical experience exchange of 3 cases with Fournier's gangrene","authors":"","doi":"10.22514/jomh.2023.071","DOIUrl":"https://doi.org/10.22514/jomh.2023.071","url":null,"abstract":"Fournier’s gangrene (FG), also known as necrotizing fasciitis, is a condition that affects the genitalia and perineum, resulting in the rapid development of necrosis and gangrene in infected tissues and potentially spreading to adjacent tissues, including the abdominal wall. It mainly affects males and requires prompt treatment to prevent potentially life-threatening complications. In Case 1, a 64-year-old man with type 2 diabetes was diagnosed with FG due to a scrotal skin injury after scratching his scrotal skin. The patient underwent radical debridement, treatment with broad-spectrum antibiotics, negative pressure wound treatment, and skin transplantation. In Case 2, a 79-year-old man suffered from a sebaceous cyst of the scrotum that had been scratched for seven days, resulting in black and necrotic skin of the scrotum. He was diagnosed with FG and underwent radical debridement and drainage of pus, followed by anti-infection treatment, negative pressure wound treatment, and skin transplantation. In Case 3, a 48-year-old male injured at the scrotum’s base developed swelling, pain, foul odor and pus discharge and was diagnosed with FG. The patient underwent emergency treatment, including incision and drainage of the scrotum and right lower abdominal wall abscess, as well as wound debridement. Ultimately, all three patients’ scrotal wounds returned to normal, but Case 2 was complicated by blood vessel thrombosis in both lower limbs. Early surgical debridement is a necessary intervention for FG, along with active postoperative anti-infection treatment and measures to prevent the occurrence of complications.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was two-fold: (i) to analyze the relationship between motor competence (i.e., a person’s ability to be proficient in different gross motor skills) and the rating of perceived exertion (RPE), which represents the physiological and psychological responses during training, in young adults, and (ii) to compare RPE between participants with high and low motor competence. Forty-eight male young adults (22.01 ± 2.43 years) participated in this study. Participants were randomly divided into several teams of three players to perform a small-sided game for 25 min (Goalkeeper+ 2 × 2 + Goalkeeper) in which the RPE was collected. Then, motor competence was assessed through six tests assessing three main components: stability (Jumping Sideways and Shifting Platforms); locomotor (Standing Long Jump and Shuttle Run), and manipulative (Velocity of Ball Kicking and Throwing). Motor competence was negatively associated with RPE (r = −0.64; p < 0.001). Moreover, locomotor, stability, and manipulative components were negatively associated with RPE (all, p < 0.05). Furthermore, upon comparing groups with low and high levels of motor competence, we observed significantly higher RPE values (p < 0.001; d = 0.32) in the low motor competence group. The findings from this study suggest that individuals with higher levels of motor competence may report a lower RPE during exercise. This information is valuable for coaches as improving levels of motor competence may potentially lead to increases in on-field performance.
本研究的目的有两方面:(i)分析运动能力(即一个人精通不同大运动技能的能力)与表现训练期间生理和心理反应的感知用力等级(RPE)之间的关系;(ii)比较运动能力高和低的参与者之间的RPE。48名男性青年(22.01±2.43岁)参加了本研究。参与者被随机分成若干组，每组3人，进行25分钟的小方比赛(守门员+ 2 × 2 +守门员)，并收集RPE。然后，通过六个测试来评估运动能力，评估三个主要部分:稳定性(横向跳跃和移动平台)、运动能力(立定跳远和穿梭跑)和操纵性(踢球和投球的速度)。运动能力与RPE呈负相关(r = - 0.64; p <0.001)。此外，运动、稳定性和操作成分与RPE呈负相关(all, p <0.05)。此外，通过比较运动能力低水平组和高水平组，我们观察到显著更高的RPE值(p <0.001; d = 0.32)。这项研究的结果表明，运动能力水平较高的人在运动时的RPE可能较低。这些信息对教练来说是有价值的，因为运动能力水平的提高可能会潜在地导致场上表现的提高。
{"title":"Association between motor competence, and the rating of perceived exertion in male young adults","authors":"","doi":"10.22514/jomh.2023.098","DOIUrl":"https://doi.org/10.22514/jomh.2023.098","url":null,"abstract":"The purpose of this study was two-fold: (i) to analyze the relationship between motor competence (i.e., a person’s ability to be proficient in different gross motor skills) and the rating of perceived exertion (RPE), which represents the physiological and psychological responses during training, in young adults, and (ii) to compare RPE between participants with high and low motor competence. Forty-eight male young adults (22.01 ± 2.43 years) participated in this study. Participants were randomly divided into several teams of three players to perform a small-sided game for 25 min (Goalkeeper+ 2 × 2 + Goalkeeper) in which the RPE was collected. Then, motor competence was assessed through six tests assessing three main components: stability (Jumping Sideways and Shifting Platforms); locomotor (Standing Long Jump and Shuttle Run), and manipulative (Velocity of Ball Kicking and Throwing). Motor competence was negatively associated with RPE (r = −0.64; p < 0.001). Moreover, locomotor, stability, and manipulative components were negatively associated with RPE (all, p < 0.05). Furthermore, upon comparing groups with low and high levels of motor competence, we observed significantly higher RPE values (p < 0.001; d = 0.32) in the low motor competence group. The findings from this study suggest that individuals with higher levels of motor competence may report a lower RPE during exercise. This information is valuable for coaches as improving levels of motor competence may potentially lead to increases in on-field performance.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The incidence of frailty was studied and prediction model was constructed for the elderly male patients with chronic obstructive pulmonary disease (COPD). Total of 266 elderly males having COPD were selected, and Fried Frailty Phenotype was employed to investigate their frailty status. According to the clinical experience, literature and reports; age, BMI (Body Mass Index), course and condition of COPD, laboratory findings, lung function, life quality, nutritional status and disease acceptance were designated as independent variables; and the incidence of frailty was taken as dependent variable. A binary logistic regression model was applied to analyze the factors affecting incidence of frailty, and a prediction model was constructed for the clinical screening of elderly male COPD patients at high frailty risk. The scores of 266 elderly male COPD patients investigated by frailty phenotype (FP) phenotype ranged from 0 to 5, and mean score was 1.83 ± 0.43. Total of 103 patients scored more than 3 among these patients. The frailty detection rate was 38.72%. Multi-factors logistic regression analysis suggested that age, hospitalization for acute exacerbation of COPD within a year, and interleukin 6 (IL-6) levels were the risk factors for incidence of frailty in elderly male COPD patients, while FEV1 (Forced Expiratory Volume in 1 second) and MNA-SF (Mini Nutritional Assessment Short-Form) levels were the protective factors. COPD frailty was higher in elderly men. Age, inflammatory response, lung function, disease control and nutritional status were the independent factors affecting incidence of frailty. Strengthening the screening for frailty in elderly patients and monitoring their inflammatory response, lung function, and nutritional status were significant in reducing incidence and improving prognosis.
研究老年男性慢性阻塞性肺疾病(COPD)患者的衰弱发生率并建立预测模型。选取266例老年男性COPD患者，采用Fried衰弱表型法对其衰弱状态进行调查。根据临床经验及文献报道，以年龄、BMI (Body Mass Index)、病程及病情、实验室检查结果、肺功能、生活质量、营养状况、疾病接受度为自变量，以衰弱发生率为因变量。采用二元logistic回归模型对影响衰弱发生率的因素进行分析，构建预测模型，用于临床筛查老年男性COPD高衰弱风险患者。266例老年男性慢性阻塞性肺病患者的脆弱表型(FP)评分范围为0 ~ 5分，平均得分为1.83±0.43分。其中得分在3分以上的共有103例。脆弱检出率为38.72%。多因素logistic回归分析提示，年龄、1年内COPD急性加重住院、白细胞介素6 (IL-6)水平是老年男性COPD患者发生衰弱的危险因素，而FEV1(1秒用力呼气量)和MNA-SF (Mini nutrition Assessment short form)水平是保护因素。老年男性的COPD脆弱性更高。年龄、炎症反应、肺功能、疾病控制和营养状况是影响衰弱发生率的独立因素。加强对老年虚弱患者的筛查，监测其炎症反应、肺功能和营养状况，对降低发病率和改善预后具有重要意义。
{"title":"Incidence of frailty and construction of prediction model in elderly male patients with chronic obstructive pulmonary disease","authors":"","doi":"10.22514/jomh.2023.105","DOIUrl":"https://doi.org/10.22514/jomh.2023.105","url":null,"abstract":"The incidence of frailty was studied and prediction model was constructed for the elderly male patients with chronic obstructive pulmonary disease (COPD). Total of 266 elderly males having COPD were selected, and Fried Frailty Phenotype was employed to investigate their frailty status. According to the clinical experience, literature and reports; age, BMI (Body Mass Index), course and condition of COPD, laboratory findings, lung function, life quality, nutritional status and disease acceptance were designated as independent variables; and the incidence of frailty was taken as dependent variable. A binary logistic regression model was applied to analyze the factors affecting incidence of frailty, and a prediction model was constructed for the clinical screening of elderly male COPD patients at high frailty risk. The scores of 266 elderly male COPD patients investigated by frailty phenotype (FP) phenotype ranged from 0 to 5, and mean score was 1.83 ± 0.43. Total of 103 patients scored more than 3 among these patients. The frailty detection rate was 38.72%. Multi-factors logistic regression analysis suggested that age, hospitalization for acute exacerbation of COPD within a year, and interleukin 6 (IL-6) levels were the risk factors for incidence of frailty in elderly male COPD patients, while FEV1 (Forced Expiratory Volume in 1 second) and MNA-SF (Mini Nutritional Assessment Short-Form) levels were the protective factors. COPD frailty was higher in elderly men. Age, inflammatory response, lung function, disease control and nutritional status were the independent factors affecting incidence of frailty. Strengthening the screening for frailty in elderly patients and monitoring their inflammatory response, lung function, and nutritional status were significant in reducing incidence and improving prognosis.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Impostor phenomenon (IP) is the persistent inability to believe that one’s success is deserved or has been legitimately achieved due to one’s efforts or skills. It is associated with burnout, anxiety and depression and can negatively impact the lives of the affected individuals. This study aimed to determine the prevalence of IP among urologists in Saudi Arabia. A cross-sectional study was conducted among practicing urologists and urologists-in-training in Saudi Arabia between November and December 2022. A self-administered questionnaire comprising questions on the sociodemographic characteristics and the Clance impostor phenomenon scale (CIPS) was distributed through email to all registered urologists in the Saudi Commission for Health Specialties database. A total of 155 urologists (143 men and 12 women) were enrolled in this study. The majority of the urologists (44.5%) were consultants, and the prevalence of the impostor phenomenon in this study was 27.7%. Nearly half of the urologists (49.7%) presented moderate levels of the phenomenon, 23.9% of the urologists demonstrated high levels, and 20.6% presented low levels. Only 5.8% of the urologists showed intense levels of the phenomenon. The phenomenon was significantly more prevalent among those in training (p = 0.010) and less prevalent among those with a subspecialty in endourology (p = 0.016). The prevalence of the impostor phenomenon among urologists was 27.7%. It was more commonly seen in resident urologists, and those with a subspecialty in endourology were less likely to be affected by this phenomenon.
{"title":"Impostor phenomenon among urologists in Saudi Arabia","authors":"","doi":"10.22514/jomh.2023.091","DOIUrl":"https://doi.org/10.22514/jomh.2023.091","url":null,"abstract":"Impostor phenomenon (IP) is the persistent inability to believe that one’s success is deserved or has been legitimately achieved due to one’s efforts or skills. It is associated with burnout, anxiety and depression and can negatively impact the lives of the affected individuals. This study aimed to determine the prevalence of IP among urologists in Saudi Arabia. A cross-sectional study was conducted among practicing urologists and urologists-in-training in Saudi Arabia between November and December 2022. A self-administered questionnaire comprising questions on the sociodemographic characteristics and the Clance impostor phenomenon scale (CIPS) was distributed through email to all registered urologists in the Saudi Commission for Health Specialties database. A total of 155 urologists (143 men and 12 women) were enrolled in this study. The majority of the urologists (44.5%) were consultants, and the prevalence of the impostor phenomenon in this study was 27.7%. Nearly half of the urologists (49.7%) presented moderate levels of the phenomenon, 23.9% of the urologists demonstrated high levels, and 20.6% presented low levels. Only 5.8% of the urologists showed intense levels of the phenomenon. The phenomenon was significantly more prevalent among those in training (p = 0.010) and less prevalent among those with a subspecialty in endourology (p = 0.016). The prevalence of the impostor phenomenon among urologists was 27.7%. It was more commonly seen in resident urologists, and those with a subspecialty in endourology were less likely to be affected by this phenomenon.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135801328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Penile fractures are due to a traumatic rupture of the penile tunica albuginea of the corpus cavernosum and may result from numerous etiologies. The purpose of our review is to describe the etiology, management, and outcomes of penile fractures. Methods : A literature review was performed. Results : The diagnosis of penile fractures is usually made clinically but can also be made with the assistance of ultrasound or MRI (magnetic resonance imaging) imaging when unclear. Cystoscopy should be performed when urethral involvement is suspected. Surgical management should be initiated promptly after the diagnosis, and within 24 hours of presentation. Surgical management can include the subcoronal or penoscrotal approach, although the penoscrotal approach is preferred when imaging confirms the location of the injury to be ventral and proximal, due to the reduced morbidity of this technique. Complications following penile fractures include erectile dysfunction, penile curvature, and voiding symptoms, but the incidence of complications is reduced if surgical intervention is performed promptly after fracture presentation. A rare cause of penile fractures is collagenase clostridium histolyticum injection, and these cases should predominantly be managed conservatively. Conclusions : Penile fractures can present in various ways and must be managed surgically and promptly after the diagnosis is made.
{"title":"Presentation, Management, and Outcomes of Penile Fractures","authors":"M. Pandher, Gabriel Fernandez Pedrosa, A. Alwaal","doi":"10.31083/j.jomh1811215","DOIUrl":"https://doi.org/10.31083/j.jomh1811215","url":null,"abstract":"Background : Penile fractures are due to a traumatic rupture of the penile tunica albuginea of the corpus cavernosum and may result from numerous etiologies. The purpose of our review is to describe the etiology, management, and outcomes of penile fractures. Methods : A literature review was performed. Results : The diagnosis of penile fractures is usually made clinically but can also be made with the assistance of ultrasound or MRI (magnetic resonance imaging) imaging when unclear. Cystoscopy should be performed when urethral involvement is suspected. Surgical management should be initiated promptly after the diagnosis, and within 24 hours of presentation. Surgical management can include the subcoronal or penoscrotal approach, although the penoscrotal approach is preferred when imaging confirms the location of the injury to be ventral and proximal, due to the reduced morbidity of this technique. Complications following penile fractures include erectile dysfunction, penile curvature, and voiding symptoms, but the incidence of complications is reduced if surgical intervention is performed promptly after fracture presentation. A rare cause of penile fractures is collagenase clostridium histolyticum injection, and these cases should predominantly be managed conservatively. Conclusions : Penile fractures can present in various ways and must be managed surgically and promptly after the diagnosis is made.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47926352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Willi Zhou, P. Bischoff, H. Hanitzsch, Matthias Schmidt, Andreas Schäfer, Ayoub El-Mansouri, A. Kovács
Background : Prostatic artery embolization (PAE) is an emerging minimal-invasive therapy of benign prostatic hyperplasia (BPH), able to reduce the prostatic volume (PVol) and the IPP. The presence of a true middle lobe (TML) is associated with bladder outlet obstruction (BOO), causing lower urinary tract symptoms (LUTS). In this study we investigate the effect of PAE in TML improvement in patients with LUTS. Methods : A retrospective analysis was done of 47 men treated with PAE from April 2015 to September 2021. The volume of the TML, IPP, and PUA were measured on MRI prior and 2 months after PAE. Successful devascularization of the TML was evaluated by contrast-enhanced MRI (ceMRI) 48 hours after therapy. Results : The TML was successfully embolised technically in 72%. After two months, the total volume of the prostate (PVol) was reduced by 25.8 ± 13.3% (from 72.1 ± 39.8 cc to 52.5 ± 27.9 cc; p < 0.000). Following a technically successful PAE of the TML, the TMLVol decreased by 32.1 ± 21.5% (from 10.6 ± 16.1 cc to 7.2 ± 13.1 cc; p < 0.000), and the IPP was reduced by 29.3 ± 15.5% (from 16.3 ± 7.4 mm to 11.9 ± 6.6 mm; p < 0.000). In contrast, after a technically incomplete devascularisation of the TML the TMLVol decreased by only 7.2 ± 17.7% (from 8.4 ± 9.3 cc to 7.5 ± 8.9 cc; p = 0.089), and the IPP was reduced by only 10.9 ± 8.8% (from 16.4 ± 7.3 mm to 14.6 ± 6.7 mm; p = 0.003). The currecture of the PUA after a successful and after an incomplete embolization of the TML was comparable with 11.6 ± 7.6 and 12.2 ± 9.4, respectively (in both p < 0.001). Conclusions : Our study firstly shows that PAE is able to reduce TML volume. Furthermore, PAE is able to reduce the IPP even if caused by a TML.
背景:前列腺动脉栓塞术(PAE)是一种新兴的治疗良性前列腺增生(BPH)的微创治疗方法，能够降低前列腺体积(PVol)和IPP。真中叶(TML)的存在与膀胱出口梗阻(BOO)相关，引起下尿路症状(LUTS)。在这项研究中，我们探讨了PAE在LUTS患者TML改善中的作用。方法:回顾性分析2015年4月至2021年9月期间接受PAE治疗的47例男性患者。在PAE前和PAE后2个月分别用MRI测量TML、IPP和PUA的体积。治疗后48小时通过对比增强MRI (ceMRI)评估TML的成功断流。结果:TML技术栓塞成功率为72%。2个月后，前列腺总积(PVol)下降25.8±13.3%(由72.1±39.8 cc降至52.5±27.9 cc, p < 0.000)。在技术上成功地对TML进行PAE后，TMLVol降低了32.1±21.5%(从10.6±16.1 cc降至7.2±13.1 cc, p < 0.000)， IPP降低了29.3±15.5%(从16.3±7.4 mm降至11.9±6.6 mm, p < 0.000)。相比之下，在技术上不完全断流TML后，TMLVol仅下降7.2±17.7%(从8.4±9.3 cc降至7.5±8.9 cc, p = 0.089)， IPP仅下降10.9±8.8%(从16.4±7.3 mm降至14.6±6.7 mm, p = 0.003)。TML成功栓塞和不完全栓塞后PUA的栓塞率分别为11.6±7.6和12.2±9.4 (p均< 0.001)。结论:本研究首次表明PAE能够减少TML体积。此外，即使是由html引起的IPP, PAE也能够降低IPP。
{"title":"Impact of Prostatic Artery Embolization in Patients with Enlarged True Middle Lobes","authors":"Willi Zhou, P. Bischoff, H. Hanitzsch, Matthias Schmidt, Andreas Schäfer, Ayoub El-Mansouri, A. Kovács","doi":"10.31083/j.jomh1811216","DOIUrl":"https://doi.org/10.31083/j.jomh1811216","url":null,"abstract":"Background : Prostatic artery embolization (PAE) is an emerging minimal-invasive therapy of benign prostatic hyperplasia (BPH), able to reduce the prostatic volume (PVol) and the IPP. The presence of a true middle lobe (TML) is associated with bladder outlet obstruction (BOO), causing lower urinary tract symptoms (LUTS). In this study we investigate the effect of PAE in TML improvement in patients with LUTS. Methods : A retrospective analysis was done of 47 men treated with PAE from April 2015 to September 2021. The volume of the TML, IPP, and PUA were measured on MRI prior and 2 months after PAE. Successful devascularization of the TML was evaluated by contrast-enhanced MRI (ceMRI) 48 hours after therapy. Results : The TML was successfully embolised technically in 72%. After two months, the total volume of the prostate (PVol) was reduced by 25.8 ± 13.3% (from 72.1 ± 39.8 cc to 52.5 ± 27.9 cc; p < 0.000). Following a technically successful PAE of the TML, the TMLVol decreased by 32.1 ± 21.5% (from 10.6 ± 16.1 cc to 7.2 ± 13.1 cc; p < 0.000), and the IPP was reduced by 29.3 ± 15.5% (from 16.3 ± 7.4 mm to 11.9 ± 6.6 mm; p < 0.000). In contrast, after a technically incomplete devascularisation of the TML the TMLVol decreased by only 7.2 ± 17.7% (from 8.4 ± 9.3 cc to 7.5 ± 8.9 cc; p = 0.089), and the IPP was reduced by only 10.9 ± 8.8% (from 16.4 ± 7.3 mm to 14.6 ± 6.7 mm; p = 0.003). The currecture of the PUA after a successful and after an incomplete embolization of the TML was comparable with 11.6 ± 7.6 and 12.2 ± 9.4, respectively (in both p < 0.001). Conclusions : Our study firstly shows that PAE is able to reduce TML volume. Furthermore, PAE is able to reduce the IPP even if caused by a TML.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48050533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jin Wu, Xinlong Liu, Yujia Wang, Yunlu Zhang, Yongzhao Fan
Background : Previous studies have found a correlation between digit ratio (2D:4D) and performance in sporting events which require physical competence. Such correlation, however, has not been well studied in technique-oriented sports. This study explored the correlation between 2D:4D and sporting performance of Chinese elite archers. Also it provides some references for sports research in other fields. Methods : We conducted the study with 31 Chinese elite archers (15 males and 16 females) preparing for the 2020 Tokyo Olympic Games and collected their 2D:4D ratios by measuring their index and ring fingers. The study also asked them to take physical fitness tests including push-ups, decline sit-ups, half-squat and a 4000-meter run, and obtained their results in former ranking tournaments and Olympic elimination series. The study recorded every entry of data in a “mean ± standard deviation” (M ± SD) format and processed them in SPSS 24.0 to produce One-Way ANOVA and Pearson correlations. Results : Our study found no significant difference between varied sporting levels in the left 2D:4D, and between world-class and national-level archers in the right 2D:4D ( p > 0.05), yet a significant one between left-right 2D:4D of world-class, national-level, and level-1 archers ( p < 0.01). We also found no significant correlation between the left 2D:4D and specific physical fitness test results, and between those archers’ results. Similarly, there was a significant negative correlation between the right 2D:4D and specific test results ( p < 0.05), and a strong negative correlation between that and results of ranking tournaments ( p < 0.01) and Olympic elimination series ( p < 0.01). Conclusions : Chinese elite archers with lower right 2D:4D are of better physical fitness and enhanced sport performance. Hence, the right 2D:4D may act as a critical indicator in selecting excellent archers.
{"title":"Digit Ratio (2D:4D) and Performance of Chinese Elite Archers","authors":"Jin Wu, Xinlong Liu, Yujia Wang, Yunlu Zhang, Yongzhao Fan","doi":"10.31083/j.jomh1811214","DOIUrl":"https://doi.org/10.31083/j.jomh1811214","url":null,"abstract":"Background : Previous studies have found a correlation between digit ratio (2D:4D) and performance in sporting events which require physical competence. Such correlation, however, has not been well studied in technique-oriented sports. This study explored the correlation between 2D:4D and sporting performance of Chinese elite archers. Also it provides some references for sports research in other fields. Methods : We conducted the study with 31 Chinese elite archers (15 males and 16 females) preparing for the 2020 Tokyo Olympic Games and collected their 2D:4D ratios by measuring their index and ring fingers. The study also asked them to take physical fitness tests including push-ups, decline sit-ups, half-squat and a 4000-meter run, and obtained their results in former ranking tournaments and Olympic elimination series. The study recorded every entry of data in a “mean ± standard deviation” (M ± SD) format and processed them in SPSS 24.0 to produce One-Way ANOVA and Pearson correlations. Results : Our study found no significant difference between varied sporting levels in the left 2D:4D, and between world-class and national-level archers in the right 2D:4D ( p > 0.05), yet a significant one between left-right 2D:4D of world-class, national-level, and level-1 archers ( p < 0.01). We also found no significant correlation between the left 2D:4D and specific physical fitness test results, and between those archers’ results. Similarly, there was a significant negative correlation between the right 2D:4D and specific test results ( p < 0.05), and a strong negative correlation between that and results of ranking tournaments ( p < 0.01) and Olympic elimination series ( p < 0.01). Conclusions : Chinese elite archers with lower right 2D:4D are of better physical fitness and enhanced sport performance. Hence, the right 2D:4D may act as a critical indicator in selecting excellent archers.","PeriodicalId":16360,"journal":{"name":"Journal of Men's Health","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47142159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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