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2.
Zhonghua Nan Ke Xue ; 27(4): 291-294, 2021 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-34914209

RESUMO

The theory of the "brain-heart-kidney-essence chamber" axis, which supplements and contributes to the construction of the andrological theory system of traditional Chinese medicine, aims to summarize and grasp the laws of andrological pathogenesis and guide andrological syndrome differentiation and medication. The core concept of the axis is that the brain, heart and kidney act as a whole and play a vital role in the onset of male diseases. "Brain god" is used to embrace the environmental, social pressure, psychological and other pathogenic factors for male diseases in contemporary society. The kidney, which is directly and closely related to the onset of male diseases, is considered as the core of the syndrome differentiation system of zang-fu organs. The abuse of the essence chamber is the final link in the onset of male diseases. Based on this theory, the author outlines the characteristics of prescription selection and summarizes the combinations of common, experienced and special drugs, aiming to provide a better guidance for clinical medication in andrology.


Assuntos
Andrologia , Encéfalo , Humanos , Rim , Masculino , Medicina Tradicional Chinesa
3.
Zhonghua Nan Ke Xue ; 27(1): 31-38, 2021 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-34914278

RESUMO

Objective: To reduce the out-of-threshold (OOT) value of the turnaround time (TAT) of semen samples in the andrology laboratory and improve the clinical diagnosis and patients' satisfaction. METHODS: We retrospectively analyzed the defect rate of TAT of semen samples in the andrology laboratory in the first two quarters of 2018. In the second two quarters, we made a table of countermeasures targeting the causes of the defects using plan-do-check-act (PDCA) circulation and the fishbone diagram drawn with the brainstorm method, followed by supervision of the implementation of the measures and observation of the changes in the OOT value of TAT of semen samples. RESULTS: The OOT rate of TAT of semen samples before seminal examination was significantly lower in the third and fourth than in the first and second quarters of 2018 (0.83% and 0.78% vs 3.43% and 2.07%, P < 0.01), and so was the total OOT rate of TAT (6.36% and 0.87% vs 7.00% and 7.15%, P < 0.01). The median of TAT of semen samples before computer assisted semen analysis was decreased from 22 min in the first to 17 min in the fourth quarter, and the 90th percentile from 54 min to 40 min. The median of total TAT in biochemical analysis was reduced from 387 min in the first to 315 min in the fourth quarter, and the 90th percentile from 1415 min to 1179 min. CONCLUSIONS: The application of PDCA circulation can significantly shorten the turnaround time of semen samples and improve the efficiency of diagnosis and treatment and quality control in the andrology laboratory.


Assuntos
Andrologia , Humanos , Laboratórios , Estudos Retrospectivos , Sêmen
4.
Arch Ital Urol Androl ; 93(3): 348-355, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34839643

RESUMO

Peyronie's disease is a chronic inflammatory disease involving the formation of plaque in the tunica albuginea of the corpora cavernosa, resulting in penis deformity. It is often associated with penile pain, especially in younger patients, but it is not rare for pain to be absent; the disease is also associated with erectile dysfunction and a depressive state in a large percentage of cases. OBJECTIVE: Aim of our study was to explore the basic knowledge base and diagnostic and therapeutic practice patterns in Peyronie's disease (PD) of a large number of physicians belonging to the Italian Andrology Society (SIA). METHODS: Our survey is based on two questionnaires which were e-mailed to the members of the SIA. The first questionnaire explored diagnostic and therapeutic practice patterns of SIA physicians, while the second questionnaire focused on their knowledge of the disease, as well as their training and level of experience in the specific field. We then planned to compare our outcomes with similar PD surveys from other countries. RESULTS: The first questionnaire was answered by 142 SIA physicians. The second questionnaire was answered by 83 SIA physicians. Most respondents (74.6%) chose penile ultrasonography as first-line diagnostic approach and 47.1% prefer to perform a color Doppler ultrasound after pharmaco-induced erection. Concerning the therapeutic practice patterns in active stage of the disease, most respondents (99.29%) prefer conservative medical therapy. Additionally, most respondents (64.78%), when failure of conservative treatment had been established, considered surgical treatment necessary, specifically corporoplasty, which may be associated with other techniques. CONCLUSIONS: The results of our survey show that, in comparison to their foreign counterparts, Italian SIA uro-andrologists have a more proactive diagnostic approach right from when patients first present. When PD is still in its active stage, SIA uro-andrologists mostly opt for medical therapy. In advanced disease or if conservative treatment fails, our survey indicates a greater preference for surgical treatment. Answers to the theoretical knowledge questions showed that SIA physicians have a good understanding of the disease's etiology, epidemiology, and clinical picture, and of the appropriate indications for treatment.


Assuntos
Andrologia , Induração Peniana , Humanos , Itália/epidemiologia , Bases de Conhecimento , Masculino , Induração Peniana/diagnóstico , Induração Peniana/epidemiologia , Induração Peniana/terapia , Urologistas
6.
Fertil Steril ; 116(1): 13-14, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148581

RESUMO

The goal of this Views and Interviews series was to bring together the thought leaders in the field and envision what the laboratory will look like in the future. This consensus piece strives to take the thoughts of those leaders and develop themes and concepts that will be significant in the laboratory in the coming years.


Assuntos
Andrologia/tendências , Inteligência Artificial/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Automação Laboratorial , Consenso , Difusão de Inovações , Feminino , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Gravidez
7.
Fertil Steril ; 116(1): 2-3, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148585

RESUMO

The in vitro fertilization and andrology laboratories are at the center of assisted reproductive technologies and the place where technicians and embryologists manipulate gametes and preimplantation-stage embryos with the goal of achieving the best embryo for transfer. Through the years, these laboratories have seen developments in technique, technology, and testing. The goal of this Views and Interviews series is to bring together the thought leaders in the field and envision what the laboratories will look like in the next 10 years.


Assuntos
Andrologia/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Difusão de Inovações , Feminino , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Gravidez
8.
Fertil Steril ; 116(1): 4-12, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148588

RESUMO

The aim of this article is to gather 9 thought leaders and their team members to present their ideas about the future of in vitro fertilization and the andrology laboratory. Although we have seen much progress and innovation in the laboratory over the years, there is still much to come, and this article looks at what these leaders think will be important in the future development of technology and processes in the laboratory.


Assuntos
Andrologia/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Andrologia/legislação & jurisprudência , Automação Laboratorial , Serviços de Laboratório Clínico/legislação & jurisprudência , Difusão de Inovações , Feminino , Fertilização In Vitro/legislação & jurisprudência , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Formulação de Políticas , Gravidez , Medicina Reprodutiva/legislação & jurisprudência
11.
Arch Ital Urol Androl ; 93(1): 111-114, 2021 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-33754622

RESUMO

The SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) was first reported in December 2019, then its rapid spread around the world caused a global pandemic in March 2020 recording a high death rate. The epicenter of the victims moved from Asia to Europe and then to the United States. In this Pandemic, the different governance mechanisms adopted by local health regional authorities made the difference in terms of contagiousness and mortality together with a community strong solidarity. This document analyzes the andrological urgencies management in public hospitals and in private practice observed in Italy and in particular in the most affected Italian Regions: Emilia-Romagna and Marche.


Assuntos
Andrologia/estatística & dados numéricos , COVID-19 , Infertilidade Masculina/terapia , Pandemias , Gerenciamento Clínico , Hospitais Públicos/estatística & dados numéricos , Humanos , Itália , Masculino , Prática Privada/estatística & dados numéricos , Doenças Urológicas/terapia
12.
Int J Clin Pract ; 75(6): e14095, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33619782

RESUMO

AIMS OF THE STUDY: The aim of this study was to investigate the impact of testosterone deficiency on cognitive functions in metastatic prostate cancer patients receiving androgen deprivation therapy (ADT). METHODS: In this multicentric prospective study, 65 metastatic prostate cancer patients were evaluated. Demographic and clinical data were recorded. Cognitive functions were assessed using the Symbol Digit Modalities Test, the California Verbal Learning Test Second Edition, the Brief Visuospatial Memory Test-Revised, and the Trail Making Test. Depressive symptoms were assessed using the Beck Depression Inventory. Cognitive functions and depressive symptoms were recorded before the androgen deprivation therapy and at the 3- and 6-month follow-ups. RESULTS: At the basal cognitive assessment, the mean Symbol Digit Modalities Test, the California Verbal Learning Test Second Edition, the Brief Visuospatial Memory Test-Revised scores were 25.84 ± 17.54, 32.68 ± 10.60, and 17.63 ± 11.23, respectively, and the mean time for the Trail Making Test was 221.56 ± 92.44 seconds, and were similar at the 3-month, and 6-month controls (P > .05). The mean pretreatment, third and sixth month testosterone levels were 381.40 ± 157.53 ng/dL, 21.61 ± 9.09 ng/dL and 12.25 ± 6.45 ng/dL (P < .05), and the total PSA levels were 46.46 ± 37.83 ng/mL, 1.41 ± 3.31 ng/mL and 0.08 ± 0.14 ng/mL (P < .05), respectively. CONCLUSION: The ADT in patients with metastatic prostate cancer does not affect patients' cognitive functions and depressive symptoms. However, further prospective randomised studies with higher cohorts and longer follow-up periods are needed.


Assuntos
Andrologia , Neoplasias da Próstata , Antagonistas de Androgênios/efeitos adversos , Androgênios , Cognição , Humanos , Masculino , Estudos Prospectivos , Neoplasias da Próstata/tratamento farmacológico
17.
Urology ; 153: 35-41, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33450281

RESUMO

OBJECTIVE: To evaluate patient satisfaction with telemedicine appointments as an alternative to in-person appointments at an Andrology-focused academic urology practice during the coronavirus disease 2019 pandemic. METHODS: Between March and June 2020, all appointments at the practice of a single Andrology-focused academic urologist were conducted by telephone. Consecutive patients were contacted by telephone following their appointment to complete a telephone questionnaire. Baseline demographic information was obtained, and perceptions regarding telephone appointments were assessed using a Likert scale. RESULTS: Ninety-six patients completed the telephone questionnaire. Median age was 48.5 years (interquartile range 37.3-62.8 years) with 55 of 96 (57.3%) of the appointments Andrology-focused. Mean distance of residence from the hospital was 8.4 km (interquartile range 4.7-25.2 km). Only 9 of 96 (9.3%) of the patients felt that the telephone format did not adequately address their needs. However, 26 of 96 (27.1%) of patients said they would prefer an in-person appointment. On multivariable analysis adjusting for age, gender, presenting complaint, type of appointment, education level, and employment status, no factors were associated with feeling that the telephone appointment adequately addressed needs or preference for an in-person appointment in the future. CONCLUSION: Patients were generally satisfied with telephone appointments as an alternative to in-person appointments during the coronavirus disease 2019 pandemic. Nonetheless, a substantial portion of patients said they would prefer in-person appointments in the future.


Assuntos
COVID-19/prevenção & controle , Visita a Consultório Médico , Preferência do Paciente/estatística & dados numéricos , Telemedicina , Urologia/estatística & dados numéricos , Adulto , Andrologia , Emprego , Feminino , Doenças Urogenitais Femininas/terapia , Humanos , Masculino , Doenças Urogenitais Masculinas/terapia , Pessoa de Meia-Idade , Visita a Consultório Médico/economia , SARS-CoV-2 , Inquéritos e Questionários , Telefone
18.
Andrologia ; 53(3): e13961, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33491204

RESUMO

In 2020, the COVID-19 pandemic led to the suspension of the annual Summer Internship at the American Center for Reproductive Medicine (ACRM). To transit it into an online format, an inaugural 6-week 2020 ACRM Online Mentorship Program was developed focusing on five core pillars of andrology research: scientific writing, scientific methodology, plagiarism understanding, soft skills development and mentee basic andrology knowledge. This study aims to determine mentee developmental outcomes based on student surveys and discuss these within the context of the relevant teaching and learning methodology. The mentorship was structured around scientific writing projects established by the team using a student-centred approach, with one-on-one expert mentorship through weekly formative assessments. Furthermore, weekly online meetings were conducted, including expert lectures, formative assessments and social engagement. Data were collected through final assessments and mentee surveys on mentorship outcomes. Results show that mentees (n = 28) reported a significant (p < .0001) improvement in all criteria related to the five core pillars. These results illustrate that the aims of the online mentorship program were achieved through a unique and adaptive online educational model and that our model has demonstrated its effectiveness as an innovative structured educational experience through the COVID-19 crisis.


Assuntos
Andrologia/educação , Educação à Distância/organização & administração , Escrita Médica , Modelos Educacionais , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Avaliação Educacional/estatística & dados numéricos , Feminino , Humanos , Masculino , Mentores , Pandemias/prevenção & controle , Plágio , Estudantes/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Comunicação por Videoconferência/organização & administração
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