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精巣上体嚢胞:私たちはそれに対処する必要がありますか?

精巣上体嚢胞は、私の泌尿器科で最も一般的な精巣関連の問題の1つです。それは、精巣上体の以前の損傷または炎症の結果として文字通り説明される精巣上体炎を閉鎖する嚢胞構造として定義された。精子または精液が精巣上体嚢胞の内部にある液体であるという確認された証拠があります。これらは、精巣上体の嚢胞が完全に良性の病変であることを意味します。症状は通常、シャワーを浴びている間、偶然に自己検査の痛みのない陰嚢の腫れとして現れます。それは常に無症候性でしたが、陰嚢超音波から偶然に報告された20 –40%がありました。精巣上体嚢胞の自然史は、続きを読む “Epididymal cyst: What should we deal with it?”

尿道カテーテル:それは何のためですか?有害ですか?

Undoubtedly, that I, urologist, was getting used to this thing a “urethral catheterization procedure”. But in the contrary, patients instead that seems to be naïve for this thing here; a urethral catheterization system always terrified them while putting this thing into their urethra. This topic will show on the general frequent asked questions which I always need to educate them before doing the procedure. Q: Why do I need to be retaining the urethral catheter? A: There should be a medical indicator; for example, inability to void by yourself or to be monitoring urine in critical ill patients. Q: Is it painful? A: I won’t say there’s nothing pain. But続きを読む “Urethral catheter: What’s it for? Is it harmful?”

腎臓の血管筋脂肪腫:一般的な良性腎腫瘍

An incidentally finding kidney tumor which is very common at my urology office, that so-called Angiomyolipoma (AMLs) in medical term. This tumor mostly detected at health promotion clinic which is made the patients really concerned when their first met with me. And that is the reason that we are going to discuss today. First of all, I need to confirm that AMLs is a benign renal tumor. There were reports on 0.2% – 0.6% among general populations and most commonly found in middle-aged of female. Their etiologies divide into 2 categorizes Sporadic or happens by itself without any causes – 80% of cases. Generic-related diseases, tuberosclerosis (TSC) or pulmonary lymphangioleiomyomatosis続きを読む “Angiomyolipoma of the kidney: A common benign renal tumor”

血精液:紳士にとっての悪夢

Bloody semen or in medical term “Hematospermia” is the top one concerning between the others at my Andrology clinic. This kind of Andrological-related problem absolutely terrified the patient and their partner because they will see the fresh blood in semen with naked eyes. So, in this topic it will be cleared along with clarifying for all aspects about the hematospermia. The definition of hematospermia is blood presenting in seminal fluid. The color visible as blood can be varied from a light red to brownish or even black clots. Mostly, hematospermia is painless. There was a report on the hematospermia prevalance approximately around 1 : 5,000 among urological patients.  Thoroughly, the続きを読む “Bloody semen: A Nightmare for Gentlemen”

Erectile dysfunction treatment with Platelet-rich plasma (PRP)

There are lots of patients in my office who are seeking for some new modality to handle a severely impacted on men’s health well-being; it’s been called- erectile dysfunctions (ED). It is also known that ED is a consequence of an aging process which is leading to a low quality of small blood vessels and small nerves in the penile tissue. By the way, Thank God for the development of the regenerative medicine currently, that can make us get to know with the Platelet-rich plasma (PRP). PRP has been gaining popularity in many fields of regenerative medicine. Men’s health issue also the one among them, PRP will be taken from続きを読む “Erectile dysfunction treatment with Platelet-rich plasma (PRP)”

割礼後の指示

Regarding to tons of patients which I have done a circumcision so far, and the more important method is that the postoperative management. So, in this topic we will pay much more attention on the proper postoperative circumcision instructions for all my patients. Firstly, the circumcision technique which I have done is the best technique named “Sleeve technique” The patient will gain maximum benefit in term of cosmetic aspect and here are my enhancing instructions. During 6 hours after the operation. Your penis still feels numbness due to the penile nerve block effect still existed. You can urinate as usual. Please don’t open the pressure dressing yet. The dressing will続きを読む “Post-Circumcision instructions”

第4世代ESWLはどのように機能しますか?

Regarding to a ton of questions on Extracorporeal Shockwave Lithotripsy (ESWL), a minimal invasive procedure for kidney stones so I will launch this topic especially for the 4th Generation ESWL which currently implicated at Royal Phnom Penh hospital, Cambodia. How ESWL works? I must say that the ESWL technology is an incidental breakthrough during World War 2 which develops generation by generation. Latest advance generation will give us the more benefit in term of the perioperative pain and complications reduction. 4th Generation ESWL is the latest ever technology so far (2021) ESWL will create shockwave pulse from its shockwave head which implicated at the patient’s skin around the flank area続きを読む “How the 4th Generation ESWL works?”

術後指導;精管切除

Vasectomy is a permanent male contraceptive day-care operation which consumed duration times around 1 hour. It was more than just intraoperative technique; postoperative management is also an important method to make successful outcome in contraceptive aspect. This topic will show you how to take care yourself during postoperative period. Postoperative instructions Within one week after Vasectomy Sedentary life is recommended Due to risk of slided ligated material, so avoid heavy exercise such as Jogging, Bicycling or Marathon Avoid sexual activity One week after the Vasectomy Heavy exercise is allowed Sexual activity is allowed BUT other method of contraceptive must be used Method confirming success Vasectomy procedure Patient will be appointed続きを読む “Post-operative instruction; Vasectomy”

BPH Dual oral therapies: Mechanism and their side effects

As we all know that Benign Prostatic Hyperplasia (BPH) is a degenerative changed of prostate gland which all gentlemen cannot be escaped when we’re getting older. There was a report on BPH epidemiology as following. 42% of gentlemen, ages from 51 to 60. > 70% of gentlemen, ages from 61 to 70. Almost 90% of gentlemen ages from 81 to 90. BPH commonly presented with a weak urinary streams and nighttime urination (I have made the article on all presentation of BPH which you can visit by clicking this link). I have always been emphasized the patients that BPH is not fetal but majority effect on quality of life.  Nowadays,続きを読む “BPH Dual oral therapies: Mechanism and their side effects”

Transient Urinary Incontinence: Management

Urinary incontinence (UI) is a common complaint at my Urology office. UI being defined as the involuntary leakage of urine, affects millions of people all over the world with the prevalence increasing in elderly. Patients more likely terrifying with their first episode of UI and trying to seek a medical profession for specific treatment. Good news in between bad news, there are some reversible causes of UI, which is, if we’ve treated them correctly, the UI will be resolved with no need to take any further investigation or management. In this topic we will discuss about “Transient Urinary Incontinence” Transient Urinary Incontinence is the reversible incontinence usually came up with続きを読む “Transient Urinary Incontinence: Management”

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