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  Access statistics : Table of Contents
   2015| October-December  | Volume 2 | Issue 4  
    Online since October 28, 2015

 
 
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REVIEW ARTICLES
Diagnosis and Treatment of Nephrotic Syndrome in the Elderly
Min-xia Li, Guang-yan Cai
October-December 2015, 2(4):123-127
DOI:10.4103/2225-1243.168530  
Nephrotic syndrome is a common clinical type of glomerular diseases in the elderly and has its own characteristics in the pathological types, clinical manifestations, and diagnoses. Renal biopsy is an important diagnostic method for elderly patients with nephrotic syndrome. Membranous nephropathy is the most common primary pathology while amyloidosis and diabetic nephropathy are common secondary causes. Individualized treatments should be performed according to ages and physical characteristics of the elderly patients.
  8,897 947 -
Prevalence of Human Papillomavirus Infection in the Female Genital Tract of Kidney Transplant Recipients: A Systematic Review
Cleine Aglacy Nunes Miranda, Paulo Henrique Lima, Ana Katherine Gonçalves, Maria Da Conceição de Mesquita Cornetta, Ana Karla Monteiro Santana de Oliveira Freitas, Ricardo Ney Oliveira Cobucci, Janaina Cristiana de Oliveira Crispim
October-December 2015, 2(4):101-106
DOI:10.4103/2225-1243.168523  
Estimation of the prevalence of high-risk human papillomavirus (HR-HPV) genotypes and cervical intraepithelial neoplasia (CIN) in female renal transplant recipients (RTRs) is important for formulating strategies for the prevention and screening of cervical cancer in this susceptible group. A systematic review of cohort studies was conducted to evaluate the prevalence of HR-HPV cervical infection and CIN in female kidney graft recipients in comparison to healthy controls. This study adhered to the meta-analysis of observational studies in epidemiology guidelines. Studies had to meet the following criteria: (1) Cohort studies of female RTRs that assessed results of cervical cytology and/or HPV prevalence, (2) studies including adult and nonpregnant subjects, (3) the description of the study's methodological and statistical methods is provided, and (4) the prevalence of HPV was clearly stated. The prevalence of HPV infection and CIN reported in the assessed studies ranged, respectively, from 4% to 45% and 0% to more than 48% in female RTR groups, while in the control groups the prevalence ranged from 17.5% to 38% and 0% to 13%. There are relatively few publications dealing with the prevalence of CIN and HPV infection in the population of transplant recipients, and the current available studies show important methodological differences. Therefore, new observational studies with larger numbers of transplanted women, proper design and control of these biases are needed to see if, among this population, the prevalence of HR-HPV infection and CIN is greater.
  3,242 4,046 -
Association of Male Infertility to Metabolic Syndrome and Other Related Disorders
Sanjay Kumar, Divya Agrawal, Kunal Sharma, Trupti Rekha Swain
October-December 2015, 2(4):107-116
DOI:10.4103/2225-1243.168524  
Metabolic syndrome is a common global problem. This condition is also multifaceted and potential precursor to significant disturbance of numerous physiologic processes. The interconnected complexities of this disorder may varies from, life threatening risk of cardiovascular atherosclerotic diseases, type 2 diabetes, and hypertension to many of other metabolic diseases like male or female infertility. This review article cogitate the literature regarding metabolic syndrome and male reproductive health. The association between abdominal obesity, insulin resistance, systemic hypertension, and dyslipidemia are each examined with regard to their interconnected deleterious effects on male fertility. At the conclusion of this manuscript, we propose a new metabolic syndrome with male infertility paradigm. Supplementary acquisition particularly addressing the components of metabolic syndrome and their impact on male reproduction will enhance our understanding of the underlying pathophysiology. These studies may also help elucidate the role for therapeutic intervention.
  5,433 1,645 3
CASE REPORTS
Adenomatoid Tumor of the Testis: One Case Report
Chun-Feng He, Qing-Chuan Zhang, Fang Huang, Yang Wu, Wan-Jun Yu
October-December 2015, 2(4):135-138
DOI:10.4103/2225-1243.168545  
Adenomatoid tumor is a rare neoplasm of mesothelial origin commonly seen in male and female genital tract. In this case report, the authors present a case of adenomatoid tumor in a 36-year-old male who presented with a 1-year history of scrotal swelling. A clinical diagnosis of testicular neoplasm was made, but the final diagnosis of adenomatoid tumor was made after testicular cancer radical.
  3,843 245 -
ORIGINAL ARTICLE
Prevalence of Benign Prostatic Hyperplasia in Shanghai, China: A Community-based Study
Jun Da, Ming-xi Xu, Hai-jun Yao, Xiao-Min Ren, Ke Zhang, Zhong Wang
October-December 2015, 2(4):128-131
DOI:10.4103/2225-1243.168541  
Background and Objective: The prevalence of benign prostatic hyperplasia (BPH) in Shanghai, China, has not been updated in over 20 years. Here, we conducted a study in the community health system to get current BPH prevalence. Materials and Methods: All males older than 50 years old with lower urinary tract symptoms (LUTS) in five randomly selected communities in Shanghai were included in this study and were grouped according to their age. Group A was men with ages between 50 and 59, Group B 60-69, Group C 70-79, and Group D over 80. Results of international prostate symptom scores (IPSS), urinalysis, digital rectal examination, ultrasound scan, uroflowmetry, prostate specific antigen level, and any complications related to BPH were collected and analyzed. Results: The ages ranged from 50 to 92 (68.7 ± 9.6, mean ± standard deviation). The average IPSS in each group increased with aging, from 15.13 ± 2.87 in Group A to 19.95 ± 7.43 in Group D. However the quality of life scores (QoL) did not correlate with IPSS in Group A (r = 0.263, P < 0.001). The prevalence rate of BPH increased with aging. The growth rate of the prostate slowed from 27.86% to 8.84% from Group A to Group D. Conclusions: The overall prevalence rate of BPH in our study is 11.99%, LUTS symptoms develop with aging, and the result of the single-question QoL questionnaire should be carefully considered while dealing with patients in Shanghai older than 60.
  3,651 291 1
CASE REPORTS
Recurrent Penile Fracture: A Case Report and Review of Literature
Douglas Graham Ridyard, Elizabeth A Phillips, Ricardo Munarriz
October-December 2015, 2(4):132-134
DOI:10.4103/2225-1243.168543  
We report the case of a 49-year-old man presenting with a recurrent penile fracture 1-year after undergoing delayed repair for a previous penile fracture. To the authors' knowledge, this case represents the first documented instance of repeat fracture occurring after delayed repair. Risk factors for repeat penile fracture are not well documented due to the rarity of this condition. A review of literature regarding repeat penile fracture and the impact of delayed repair is discussed.
  3,476 271 4
REVIEW ARTICLES
Clinical Evaluation and Management of Chronic Kidney Disease in the Elderly
Rong-zheng Yue, Ping Fu
October-December 2015, 2(4):117-122
DOI:10.4103/2225-1243.168527  
A suitable evaluation and management structure is important for slowing and delaying the progression of chronic kidney disease (CKD) and improving the quality of life in the elderly patients. Due to the special features of the elderly CKD patients, there also exist some problems to be solved or researched currently. According to the latest guideline for clinical practice, we discuss some aspects in diagnosis and prognosis of the elderly CKD patients as well as the management of common complications, so as to reduce over-diagnosis, and better predict the risks of progression to end stage renal failure and take necessary measures for clinical intervention as soon as possible.
  3,257 269 -
LETTER TO EDITOR
Hydronephrosis Due to Ureteropelvic Junction Obstruction in an Adult: Crossing Vessels
Selahattin Çaliskan, Mustafa Sungur
October-December 2015, 2(4):139-140
DOI:10.4103/2225-1243.168548  
  644 27 -