BPH二重経口療法：メカニズムとその副作用
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 epidemiology as following. 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, the advancement in oral medications on BPH management has gone so far. Today we will discuss about “Dual oral therapies for BPH” BPH Dual therapies are consisted […]
一過性尿閉：管理
Urinary retention is a common complaint at my Urology office. Urinary retention being defined as the acute retention 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 retention and trying to seek a medical profession for specific treatment. Good news in between bad news, there are some reversible causes of Urinary retention, which is, if we’ve treated them correctly, it will be resolved with no need to take any further investigation or management. In this topic we will discuss about “Transient Urinary Retention” Transient Urinary Retention is the reversible condition usually came up with […]
ペイロニー病：陰茎の異常な湾曲
Peyronie’s disease (PD) is defined as an abnormal curvature in the erection of penis conditions. It is a non-malignant disorder of the penis, and it was being first described by Francois Gigot de la Peyronie, French MD in 1749. Underreported due to the embarrassment of this condition, Peyronie’s disease is thought to be affected more than 10% men in USA. PD can cause major distress to the patients and also associated with erectile dysfunction. The abnormal curvature caused by anything that can form scar at the wall surface of penile erectile tissue called Tunica albuginea. Peyronie’s disease risk factors are listed below. Risk factors are listed below. Peyronie’s disease patient’s […]
尿道狭窄：尿道内腔の狭窄
Urethral stricture is a common presentation symptom at my Urology office. It is defined as a narrowing of a segment of the urethra. There was a report from US showing 0.9% incidence among men that will dramatically increasing after age 65. The etiology of urethral stricture can be divided into 4 major causes. Once the urethral lumen was damaged by any kind of above etiologies, then the scarring formation will gradually occur resulting in narrowing urethral canal. This process will spend weeks, months or a year depends on individuals. Patients will more often visiting my office with a weak urinary stream or discomfort during urination in addition of its risk […]
高PSA血液検査を受けた場合はどうすればよいですか？
PSA or Prostate-specific antigen is one of the most common laboratory tests included in elderly male health checkup package. Lots of gentlemen who get High PSA blood test will get more often to see me up at my office for counseling. In this topic, we’re going to discuss about what you should do when you got a High PSA value. In the meantime, normal definite of High PSA is more than 4 ng/mL, and I need to let you know that a High PSA absolutely doesn’t mean you’re 100% prostate cancer. While PSA represents everything related to the prostate tissue, so anything that stimulated the prostate it is resulting in […]
TRUS後–前立腺生検患者の指導
In 1989, the first ever (TRUS) or Transrectal Ultrasound-Guided prostate biopsy was introduced to the world. Since then and now, the TRUS biopsy still the only way for the confirmation diagnosis of the prostate cancer while more than 4 million procedures are being performed worldwide through the years. In this content we’re going to discuss about the complications that possibly happen after TRUS prostate biopsy. Possibly complications from Prostate biopsy procedure You can notice that even we have use proper prophylaxis antibiotic in every case before doing the biopsy; the infection relatively-complications still possibly to be encountered. It described by the method of procedure which needs to insert the ultrasound […]
切迫性尿失禁（UI）：トイレに行く前に尿が漏れる
The definition of Urge incontinence is a sudden sense of urinating which is very difficult to hold it, causing some urine leaking for sometimes. The etiology of Urge incontinence can be categorized for 3 major causes. Urge Incontinence (UI) has been reported as the 2nd most common incontinence after the stress incontinence. It is confirmed that aging and obesity really involved with UI. Surprisingly, UI is predominant in male. When patients got into my urology’s office, the full history as well as physical examination along with necessary imaging is recommended to confirm the diagnosis of UI. The American Urological guideline has been recommended the treatment options for UI into 3 […]
腹圧性尿失禁：恥ずかしい症状
Stress incontinence (SUI) is an involuntary sudden urine loss related with the increasing of intra-abdominal pressure. SUI extremely affects patient’s quality of life by making them lack self-confidence in social interacting because of the pungent smell of the urine deriving very closely to their noses. The patients will always come to Urology office accompanied with the complaining of urine leaking by these stimulating causes. The etiologies of Stress incontinence can be divided into 2 major causes. Stress incontinence is being reported and found more in female, around 15% in adult women complaint about the SUI, there’s only 60% in that have been seeking for a medical treatment. While patients visit […]
子供の頻尿
Children as well as adults have been visited my Urology office. There’s one symptom that very commonly complaint in pediatric patients, and that is “Child urinary frequency”. The urinary frequency normally concomitant with urinary urgency, in medical professional categorized them as a syndrome called Overactive bladder syndrome (OAB). This syndrome OAB has been reported perhaps 23% begun at age 5 years old and it will drop down to 12% while at 13 years old with a negatively impact on self-esteem along with the impairs of their development. Let’s jump to the point and the definition of urinary frequency and urgency. Child urinary frequency Urinary urgency While we have confirmed the […]
急性腎盂腎炎：腎臓の細菌感染症
The kidney-related infection is one among other diseases which is under Urologist’s responsibility. Definitely right! Today we are going to discuss about a bacterial infection of the kidney, they called it an “Acute Pyelonephritis”. This medical condition, mostly happened by a gram-negative bacterial named Escherichia coli, and here are their routes of the penetration. There’s a report stating that, the Acute Pyelonephritis is 5 times or more found in female if compared to male patients. Young female with an active sexual condition, significantly found as the most common affected by the Acute pyelonephritis, and another group that considered as the secondly lured to this disease will goes to infants and […]
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