Male refertilization is the restoration of fertility (fertility) after sterilization (e.g., vasectomy or vasoresection). Vasectomy is a surgical cutting of the ductus deferens (vas deferens), i.e. interruption of the vas deferens, resulting in infertility with undiminished potency. Vasorection refers to the surgical removal of a segment of vas deferens also for the purpose of sterilization. … Refertilization in Men
Testicular sperm extraction (TESE; i.e., “extraction of sperm from the testis”; synonym: testicular biopsy) is performed by microsurgical means. The procedure is always combined with intracytoplamatic sperm injection (ICSI) and in vitro fertilization (IVF). Indications (areas of application) Testicular atrophy (“shrunken testis”). Sertoli-cell-only syndrome – Special form of testicular (testicular-related) infertility; characterized by severely reduced … Testicular Sperm Extraction
In Germany, burn injuries are among the most common consequences of accidents in childhood. Mostly it hits children up to the age of 5. And also here – as for example also with poisonings – the household is the most dangerous place: Because 80 per cent of these accidents happen at the “domestic stove”. The … Burns and Scalds: What to Do?
Mostly they just want to find out what the interesting green juice tastes like that mom always uses to wash the dishes. Or they want to taste the colorful candies that Grandma swallows in the morning and evening. There are no limits to young children’s curiosity, and their own household is still the most dangerous … What to do in Case of Poisoning?
Radical prostatectomy (surgical removal of the prostate gland with capsule, the end pieces of the vas deferens, the seminal vesicles, and the regional lymph nodes) is the ultima ratio – last option – in the treatment of chronic prostatitis. However, this procedure carries risks of erectile dysfunction or incontinence.
To prevent prostatitis (inflammation of the prostate), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Psycho-social situation Psychological factors Sexual problems Relationship problems Stress, “Risky” sexual behavior, such as insertive anal intercourse (person inserting their penis). Too little exposure to sunlight
Cardiovascular System (I00-I99). Internal hemorrhoids Mouth, esophagus (food pipe), stomach and intestines (K00-K67; K90-K93). Anal fissures – mucosal tears in the wall of the anus (anal fissures). Anal fistulas – ganglions in the wall of the anus. Neoplasms – tumor diseases (C00-D48) Prostate carcinoma (prostate cancer) Psyche – nervous system (F00-F99; G00-G99) Chronic pelvic pain … Prostatitis (Prostate Inflammation): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by prostatitis (inflammation of the prostate): Psyche – Nervous System (F00-F99; G00-G99). Chronic pain Loss of libido Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99) Chronic prostatitis Prostate abscess – accumulation of pus in the prostate gland. Male fertility disorder (due … Prostatitis (Prostate Inflammation): Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Inspection and palpation (palpation) of the abdomen (abdomen), inguinal region, etc. (groin region) etc. (pressure pain?, knock pain?, release pain?, cough pain?, … Prostatitis (Prostate Inflammation): Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count [leukocytes (white blood cells) ↑] Inflammatory parameters – C-reactive protein Urinalysis – urinalysis typically reveals bacteria as well as leukocytes (white blood cells) as an indication of existing inflammation. A germ culture (for pathogens (aerobic and anaerobic) and resistance should be created … Prostatitis (Prostate Inflammation): Test and Diagnosis
Therapeutic target Healing of the inflammation and thus prevention of complications. Therapy recommendations Acute bacterial prostatitis (ABP; NIH type I): Immediate, high-dose administration of an antibiotic (see below): fluoroquinolones [first-line antibiotics), third-generation cephalosporins, or piperacillin/tazobactam. Atypical pathogens and intracellular germs: tetracyclines and macrolides. Protozoa such as trichomonads: Metronidazole Selection of antibiotic according to the age … Prostatitis (Prostate Inflammation): Drug Therapy
Obligatory medical device diagnostics. Transrectal prostate ultrasonography (transrectal ultrasonography (TRUS); for ultrasound diagnosis of the prostate and seminal vesicles; ultrasound probe is inserted through the anus (anus) into the rectum (rectal cavity)) [evidence of prostatic abscess/encapsulated pus cavity in the prostate, if applicable]Note: If fever persists for more than 36 hours after initiation of therapy, … Prostatitis (Prostate Inflammation): Diagnostic Tests
