タグ: カンボジア

ESWL の患者指導の第 3 世代

There’re questions came up from the patients for what and how the difference between the patient’s instruction on 3rd and 4th of the ESWL? I’m going to state it deliberately only on the 3rd generation in this topic. If you would like to review the 4th Generation of ESWL patient’s instructions – please visit this link. Once we all know that the 4th Generation of ESWL is especially designed for synchronizing with the human breathing leading to scientific prove on 98.5% stone hit rate which the 3rd generation does not. So, the pitfall of 3rd generation is, missing the stone hit target – 82.6% during awaken time. What does it […]

前立腺肥大症に対する水蒸気療法 – 患者への指示

The advancement of benign prostatic hyperplasia (BPH) treatment technology is now toward the “minimal invasive procedure”. The Water Vapor therapy is a day-care procedure which taken less than 10 minutes. In this topic will basically focused on the post-procedure for patient instructions. What is Benign Prostatic disease? Would you possibly get rid of it? Right after the Water Vapor therapy Within 7 days after Water Vapor therapy During catheterization time The day of removing urethral catheter. Within 30 days after Water Vapor therapy Possible adverse effects that you may encounter within 3 months after Water Vapor therapy and should be resolved spontaneously within 3 weeks. Despite very tiny adverse effects […]

割礼後のホッチキスに関する指示

Since I have done lots of circumcision stapler operation so far, the even more important method is that the postoperative management. So, in this topic we will pay much more attention on the proper postoperative circumcision stapler instructions for all of my patients. What is Circumcision stapler operation? General idea on Circumcision Post Circumcision stapler instructions. Immediately after operation During 1 hours after operation After 1 hour of the operation During 2 days of the operation During 1 week after the operation While 1 week postoperatively has passed, you will feel more comfortable at your surgical wound and all blood crust may be peeled off completely. During 2 – 4 […]

ウロフローメトリー、尿の強さを測定する非侵襲的な方法。

Today we will figure out about the Uroflowmetry’s utility. I do have a lot of patients who visit my urology clinic with so much complained about a weakening urinary stream. This kind of symptom– a weak urination is very emotionally complaint, and it was hardly to do a scientifically measure among individuals. I always ran into some young patients that they complained a lot about a poor urinary stream’s strength but his urination still not so weak though. On the other hand, some elderly patients, they didn’t complain about those symptoms at all despite they possessed a very weak urination that need to do something very urgently before the retention […]

ペイロニー病における体外衝撃波治療

Peyronie’s disease or Penile curvature is one of the most annoying problems for any gentlemen who suffer from. In the severe case, inability to invaginate during sexual intercourse probably encountered. It is still lucky for the one who is in a mild condition because that they just can perform the intercourse, on the contrary of the psychological issue we still have concerned. Various kind of treatments had been proposed, commencing way of oral medications and up to a definite surgery as well. Despites a lot of therapeutic choices had been provided, but it still a problem and not so much succeed rating that could be guarantee. This is why the […]

男性性腺機能低下症における hCG 単剤療法

Now a day, younger gentlemen come to see me with a hypogonadism symptom issue. Today we will discuss the new alternative way to treat this kind of disease by using hCG monotherapy with evidence-based medicine. We will pay attention in the late-onset hypogonadism which related with aging process only and here is the definition. Hypogonadism is a state of testosterone deficiency including associated symptoms or signs, deficiency of sperm production, or both. The hypogonadism symptoms are shown below. Symptoms of Hypogonadism Normally, when patients experience in those kinds of symptoms, we will have a protocol to confirm the medical diagnosis and then will consider about the testosterone replacement therapy. By […]

1ヶ月あたりの妊娠率はどのくらい？

Family planning for gentlemen is another duty at my urology clinic. Once a lot of gentlemen came and asked on how to get their partners pregnant, therefore, today we will talk more on how much pregnancy rate you can prospect per 1 menstrual cycle. First of all, we must know the definition of pregnancy rate in detail. There still no universal accepted definition on this, but in this topic, Pregnancy rate means ability to get positive pregnancy test in each ovulation cycle. Please do not confuse with living birth rate which is represents the chance of survival baby when delivery. There were 2 interesting study which have done in England […]

尿管狭窄：原因と治療

Ureteral stricture is a condition that spin around my urology clinic. Most of patients have been sent from the other clinics by various causes of etiology, some are symptomatic, and some are not. This kind of condition need a carefully history taking as well as physical examination along with a proper imaging investigation before discussion of the root cause and treatment options to the patients. Today we are going to talk about this problem, ureteral stricture. Causing of ureteral stricture 2 essential questions that we must keep in mind when dealing with ureteral stricture. After we make a provisional diagnosis, then we will choose the proper investigation to clarify our […]

精子検査または精液分析の解釈

Male infertility is another common issue in my andrology office, and the sperm test or semen analysis is the key to open this padlock for the solution.  What is male infertility? Male infertility was suspects when the reproductive-aged of a couple couldn’t conceive after 1 year of unprotected sexual intercourse. It’s been showed; for up to 15% of a couple who experienced in infertility, and male is the common trigger for about 50% of cases. Good semen specimen should be as following World Health Organization has provided a normal reference of sperm test or semen analysis as following If the sperm test or semen analysis results in normal range that […]

リコピン: 前立腺がんの予防にはどのくらい摂取する必要がありますか?

Lycopene, the antioxidant which rich in tomato, carrot, watermelon, and papaya widely being mentioned in general audiences for the prevention of prostate cancer’s supplements. This topic will give you more detail related to the magic-like antioxidant. Q&A on Lycopene Q: What is Lycopene? A: It is a pigment that we can find in plants known as carotenoids. Carotenoids produce colors ranging from yellow, orange, and red colors. Q: Hit-to-the-point question, dose it scientifically help preventing of a prostate cancer? A: Yes, it is but it’s only helps when it will be taken at least 9 mg daily. Q: How much prostate cancer risk lowering while getting over 9 mg of […]