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1.
Article in English | WPRIM | ID: wpr-713340

ABSTRACT

Onco-testicular sperm extraction is used to preserve fertility in patients with bilateral testicular tumors and azoospermia. We report the case of a testicular tumor in the solitary testis of a patient who had previously undergone successful contralateral orchiectomy and whose sperm was preserved by onco-testicular sperm extraction. A 35-year-old patient presented with swelling of his right scrotum that had lasted for 1 month. His medical history included a contralateral orchiectomy during childhood. Ultrasonography revealed a mosaic echoic area in his scrotum, suggesting a testicular tumor. The lesion was palpated within the normal testicular tissue along its edge and semen analysis showed azoospermia. Radical inguinal orchiectomy and onco-testicular sperm extraction were performed simultaneously. Motile spermatozoa were extracted from normal seminiferous tubules under microscopy and were frozen. Eventual intracytoplasmic sperm injection using the frozen spermatozoa is planned. Onco-testicular sperm extraction is an important fertility preservation method in patients with bilateral testicular tumors or a history of a previous contralateral orchiectomy.


Subject(s)
Adult , Azoospermia , Fertility , Fertility Preservation , Humans , Infertility, Male , Male , Methods , Microscopy , Orchiectomy , Scrotum , Semen Analysis , Seminiferous Tubules , Sperm Injections, Intracytoplasmic , Sperm Retrieval , Spermatozoa , Testicular Neoplasms , Testis , Ultrasonography
2.
Article in English | WPRIM | ID: wpr-713339

ABSTRACT

We report the case of a 46-year-old Chinese male patient who visited our clinic complaining of infertility. Semen analysis revealed azoospermia, and azoospermia factor c region partial deletion (b1/b3) was detected using Y chromosome microdeletion analysis. Testicular sperm extraction was performed after genetic counseling. The bilateral ductus deferens and a portion of the epididymis were absent, whereas the remaining epididymis was expanded. Motile intratesticular spermatozoa were successfully extracted from the seminiferous tubule. On histopathology, nearly complete spermatogenesis was confirmed in almost every seminiferous tubule. To our knowledge, this is the first case report of b1/b3 deletion with a congenital bilateral absence of the vas deferens and almost normal spermatogenesis.


Subject(s)
Asians , Azoospermia , Epididymis , Genetic Counseling , Humans , Infertility , Infertility, Male , Male , Middle Aged , Semen Analysis , Seminiferous Tubules , Spermatogenesis , Spermatozoa , Vas Deferens , Y Chromosome
3.
Article in English | WPRIM | ID: wpr-374232

ABSTRACT

The aim of the present study was to evaluate the relation between basal metabolic rate (BMR) and body composition in 29 Japanese elite male athletes (age 25.6±3.7y, height 175.6±7.0cm, body weight 74.7±12.8kg, fat-free mass (FFM) 64.9±9.3kg). The subjects were classified into three groups according to their FFM. There was a significant difference in BMR/FFM between S-group (less than 0.5SD of average FFM) and L-group (more than 0.5SD). The parcentage of RM to body weight in S-group was significantly higher than in L-group. In conclusion, high basal metabolic rate/fat-free mass ratio in Japanese elite male athletes can be attributed to body composition.

4.
Article in Japanese | WPRIM | ID: wpr-362615

ABSTRACT

<b>Background:</b> Although previous reports have shown a lower proportion of the ACTN3 XX genotype (R577X nonsense polymorphism) in sprint/power athletes compared with controls, possibly attributed to the importance of skeletal muscle function associated with alpha-actinin-3 deficiency, the findings on association between endurance athlete status and R577X genotype are equivocal. <b>Purpose:</b> The present study was undertaken to examine association of <i>ACTN3</i> R577X genotype with elite Japanese endurance athlete status. <b>Subjects and Methods:</b> Subjects comprised 79 elite Japanese endurance runners (E) who participated in competition at national level and 96 Japanese controls (C). We divided endurance runners into two groups, i.e., 42 national level runners (E-N) and 37 international level runners (E-I) who had represented Japan in international competition. R577X genotype (rs1815739) was analyzed by direct sequencing. Frequency differences of polymorphisms between athletes and controls were examined by Chi-square tests. <b>Result:</b> The R allele frequency tended to be higher in E group than in C group (P=0.066). When we divided E into two groups, the R allele frequency in E-I group was significantly higher than that in C group (P=0.046); whereas there were no significant differences between E-N and C groups (p=0.316). Then, the three genetic models were tested. In the additive genetic model (RR>RX>XX), there were significantly differences between E-I and C (P=0.038), but not the dominant (RR vs. RX+XX) and the recessive (RR+RX vs. XX) genetic models. <b>Conclusion:</b> R allele of the R577X genotype in the <i>ACTN3</i> gene was associated with elite Japanese endurance athlete status.

5.
Urology Annals. 2010; 2 (2): 83-85
in English | IMEMR | ID: emr-123669

ABSTRACT

We report a case of infective endocarditis [IE] after transurethral prostatic resection [TUR-P]. A 63-year-old man who had underwent TUR-P for benign prostatic hyperplasia. After 40 days of surgery, he developed a fever. A diagnosis of IE was established by cardiograph which detected large vegetation at mitral valve. After intravenous antibiotics therapy, he underwent mitral valve replacement surgey


Subject(s)
Humans , Male , Transurethral Resection of Prostate , Mitral Valve , Postoperative Complications
6.
Article in Japanese | WPRIM | ID: wpr-362576

ABSTRACT

The present study was conducted to examine whether stretching was effective to control muscular atrophy.Subjects were eight male undergraduate students (height 171.4 ± 5.8 cm, body weight 72.2 ± 7.8 kg, and age 20.6 ± 1.1 years) and the muscle analyzed was the vastus lateralis.Firstly, the subjects were instructed to perform strength training for a period of 16 weeks, which was followed by a 12-week detraining period. During the detraining period, either the right or the left leg was stretched daily for 10 minutes (2 sets). The mass of the vastus lateralis muscle was estimated based on its cross-sectional area (CSA), as assessed by magnetic resonance imaging (MRI). Relative decreases in muscle mass were compared between the stretched and the non-stretched control leg.Muscle mass in the non-stretched leg showed significant decreases during detraining, while no significant decreases in muscle mass were detected in the stretched leg. This outcome indicates that stretching can influence muscle plasticity and, therefore, is effective for preventing decreases in muscle mass.In conclusion, this study suggests that, added to its known ability to improve flexibility, accelerate recovery from fatigue, and prevent injuries, static stretching is effective for controlling muscle atrophy.

7.
Article in Japanese | WPRIM | ID: wpr-362362

ABSTRACT

Forearm bone mineral content for adult white elite synchronized swimmers is lower than that of normative data (Roby et al. 1988). However, bone mineral density (BMD) in local body regions and the body as a whole are unclear in adolescent synchronized swimmers. The purpose of this study was to examine BMD of adolescent synchronized swimmers. This study also examined the relationship between BMD for young athletes and biological (e. g. morphological and functional aspects) and habitual (e. g. physical activity and nutritional state in daily living) variables. Subjects were nine females selected nationwide out of a large number of synchronized swimmers of fourth to sixth grade in elementary school, who participated in an audition with the committee of synchronized swimming in the Japan Swimming Federation. Chronological and bone age were 13.4±1.0 years and 12.7±0.9 years (n=8), respectively. BMD was evaluated in local regions and the body as a whole by dual X-ray absorbtiometry (DXA). Walking was measured by pedometer, and physical activity and nutritional status were analyzed by activity diary and food weighing method, respectively. As a result, mean BMD in athletes tended to be lower than in normal Japanese girls for lower limbs and lumbar vertebra (L2-L4), while it was almost the same between the two groups for whole body, upper limbs, thoracic vertebrae and pelvis. The correlations between BMD for whole body and bone age, the number of years since menarche, body mass, lean body mass and physical activity in leisure time of daily life were significant. An analysis using a general linear model indicated that bone age and active leisure activity together explained 94.6% of the variance of the BMD. These findings indicate that BMD of adolescent synchronized swimmers tended to be unique in local regions. Furthermore, BMD in athletes was affected by the biological maturation level and physical activity in leisure time of daily life.

8.
Article in Japanese | WPRIM | ID: wpr-371874

ABSTRACT

To investigate effects of 1, 300 meters altitude on swimming training, several physiologic parameters were examined in eight female high school swimmers before, during and after living and training for six days at 1, 300 meters altitude.<BR>Variables included peak heart rate (peakHR), rate of perceived exhaustion (RPE) and blood lactate concentration (BLa) associated with 200m swimming at submaximal and maximal speeds were measured 2-3 days before, during and 1-2 days after altitude exposure. Blood samples were collected before, during and after altitude exposure.<BR>On day 1 of altitude exposure, peakHR and RPE at submaximal speeds increased from pre-altitude values while BLa didn't change. At maximal speed, swimming speed and BLa decreased, RPE increased, and peakHR didn't change from pre-altitude.<BR>During altitude exposure, for the first three days of altiude exposure for peakHR and for all six days for RPE, the same submaximal speeds elicited greater values than pre-altitude.<BR>Post-altitude BLa at submaximal speeds was reduced compared to pre-altitude. Maximal heart rate, RPE, and BLa at maximal speed didn't change pre- to post-altitude. However, mean values of them decreased from pre-altitude.<BR>Erythropoietin was elevated above pre-altitude on day 2, and reticulocytes increased post-altitude significantly from pre-altitude.<BR>These results indicate that the relative workload increased during the training at 1, 300 meters. There also appeared to be some stimulation for erythropoiesis.<BR>In summary, this study found that 1, 300 meters altitude increased the difficulty of swimming training and six days at 1, 300 meters produced mild stimulation of erythropoiesis in these female swimmers

9.
Article in Japanese | WPRIM | ID: wpr-376857

ABSTRACT

To investigate effects of 1, 300 meters altitude on swimming training, several physiologic parameters were examined in eight female high school swimmers before, during and after living and training for six days at 1, 300 meters altitude.<BR>Variables included peak heart rate (peakHR), rate of perceived exhaustion (RPE) and blood lactate concentration (BLa) associated with 200m swimming at submaximal and maximal speeds were measured 2-3 days before, during and 1-2 days after altitude exposure. Blood samples were collected before, during and after altitude exposure.<BR>On day 1 of altitude exposure, peakHR and RPE at submaximal speeds increased from pre-altitude values while BLa didn't change. At maximal speed, swimming speed and BLa decreased, RPE increased, and peakHR didn't change from pre-altitude.<BR>During altitude exposure, for the first three days of altiude exposure for peakHR and for all six days for RPE, the same submaximal speeds elicited greater values than pre-altitude.<BR>Post-altitude BLa at submaximal speeds was reduced compared to pre-altitude. Maximal heart rate, RPE, and BLa at maximal speed didn't change pre- to post-altitude. However, mean values of them decreased from pre-altitude.<BR>Erythropoietin was elevated above pre-altitude on day 2, and reticulocytes increased post-altitude significantly from pre-altitude.<BR>These results indicate that the relative workload increased during the training at 1, 300 meters. There also appeared to be some stimulation for erythropoiesis.<BR>In summary, this study found that 1, 300 meters altitude increased the difficulty of swimming training and six days at 1, 300 meters produced mild stimulation of erythropoiesis in these female swimmers

10.
Article in Japanese | WPRIM | ID: wpr-376831

ABSTRACT

Little is known about the effects of aerobic exercise on cardiac structure in children. Echocardiographic study was performed at rest in 38 boys aged 11-12 (18 soccer players and 20 untrained) . Soccer players had significantly increased left ventricular end-diastolic dimension (43.6±2.8 vs 40.1±2.8 mm) and left atrial dimension (27.7±3.7 vs 23.0±2.8 mm) . There was no difference in interventricular septum and left ventricular posterior wall thickness between the two groups, these data show that intensive aerobic exercise may influence on cardiac structure in children.

11.
Article in Japanese | WPRIM | ID: wpr-376828

ABSTRACT

In this study the effects of endurance exercise on cardiorespiratory functions and performance in developing age were exemined in 12 year old boys. Sujects were consisted of 11 boys who had been participating in training for soccer more than 2 hours a day for 6 days per week (S) and 10 non-participating boys for control (C) . Maximal oxygen uptake (Vo<SUB>2</SUB>max), maximal heart rate (HRmax) and maximal cardiac output (Qmax) by acetylnerebreathing method were measured on the exercise on a treadmill. Five minute run was also administered.<BR>Significant differences were found in Vo<SUB>2</SUB>max (p<0.05), values of which were 2.13±0.07 1⋅min<SUP>-1</SUP> for S. and 1.86±0.08 1⋅min<SUP>-1</SUP> for C., respectively, and in Qmax (p<0.001), values of which were 17.9±1.41⋅min<SUP>-1</SUP> for S. and 12.4+0.71⋅min<SUP>-1</SUP> for C. G., respectively. There were no significant differences in HRmax and V<SUB>E</SUB> between both groups. Values of stroke volume and V<SUB>E</SUB>/Vo<SUB>2</SUB>max were significantly higher for S.. Performances on 5 minute-run were 1164 m for S. and 1083 m for C, which showed significant difference (p<0.01) . Significant correlationship (r=0.746, p<0.001) was obtained between Vo<SUB>2</SUB>max and Qmax. It was also found that the higher Vo<SUB>2</SUB>max was, the higher Qmax was attaind.

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