scholarly journals Prepuce: Phimosis, Paraphimosis, and Circumcision

2011 ◽  
Vol 11 ◽  
pp. 289-301 ◽  
Author(s):  
Yutaro Hayashi ◽  
Yoshiyuki Kojima ◽  
Kentaro Mizuno ◽  
Kenjiro Kohri
Keyword(s):  
Penile Cancer ◽  
Age Groups ◽  
Topical Steroid ◽  
Religious Practice ◽  
Skin Condition ◽  
Rite Of Passage ◽  
Transmitted Infection ◽  
Prophylactic Measure ◽  
Sexually Transmitted ◽  
Male Patients

Phimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4–11% of uncircumcised boys. Circumcision is generally undertaken for three reasons: first, as an item of religious practice, typically neonatally although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments for the reduction in the risk of penile cancer, urinary tract infection, and sexually transmitted infection; and third, for immediate medical indication. Balanitisxeroticaobliterans is an infiltrative skin condition that causes a pathological phimosis and has been considered to be the only absolute indication for circumcision. Various kinds of effective alternatives to circumcision have been described, including manual retraction therapy, topical steroid therapy, and several variations of preputioplasty. All of these treatments have the ability to retract the foreskin as their goal and do not involve the removal of the entire foreskin. Paraphimosis is a condition in which the foreskin is left retracted. When manipulation is not effective, a dorsal slit should be done, which is usually followed by circumcision.

Chemsex in Moscow: investigation of the phenomenon in a cohort of men who have sex with men hospitalized due to addictive disorders

2020 ◽  
Vol 31 (2) ◽  
pp. 136-141 ◽  
Author(s):  
VY Skryabin ◽  
EA Bryun ◽  
LJ Maier
Keyword(s):  
Collaborative Work ◽  
Transmitted Infection ◽  
Addictive Disorders ◽  
Sexually Transmitted ◽  
Face To Face ◽  
Hiv Serostatus ◽  
Observational Cohort ◽  
Male Patients ◽  
Sex With Men

The present study was designed to investigate the phenomenon of chemsex among Moscow men who have sex with men (MSM) patients who were hospitalized due to various addictive disorders. It was an observational cohort study which included a total of 30 male patients who underwent inpatient treatment at the Moscow Research and Practical Centre on Addictions of the Moscow Department of Healthcare due to various addictive disorders. Data on sociodemographic, sexuality-, sexually transmitted infection- (STI-), and drug use-related characteristics obtained in face-to-face interviews were recorded in all patients. Mean (SD) age of the patients was 24.3 (3.5) years. Mephedrone was the drug most commonly reported as being used for chemsex (over half of cases); it was consumed by 16 patients. Gamma-hydroxybutyric acid/gamma-butyrolactone use was reported by 6.7% of patients; 16.7% of patients preferred cocaine; ketamine use was present only in one patient. Five participants (16.7%) reported the use of other stimulants. Overall, 20% of patients reported their HIV serostatus as positive. Self-reported other STI status was positive in 12 patients (40.0%). Our findings revealed that practicing chemsex among MSM can be considered a trend in Moscow. Our study emphasizes the role of collaborative work of sexologists and addictologists in order to develop and evaluate the interventions.

scholarly journals Gonococcal Prosthetic Joint Infection

2017 ◽  
Vol 2 (3) ◽  
pp. 160-162 ◽  
Author(s):  
Ian Gassiep ◽  
Bradley Gilpin ◽  
Joel Douglas ◽  
David Siebert
Keyword(s):  
Septic Arthritis ◽  
Antimicrobial Therapy ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Age Groups ◽  
Gonococcal Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Neisseria Gonorrhoea ◽  
Prosthetic Joint

Abstract. Neisseria gonorrhoea is a common sexually transmitted infection worldwide. Disseminated gonococcal infection is an infrequent presentation and rarely can be associated with septic arthritis. Incidence of this infection is rising, both internationally and in older age groups. We present the first documented case of N. gonorrhoea prosthetic joint infection which was successfully treated with laparoscopic debridement and antimicrobial therapy.

scholarly journals Serodiagnostic Investigation of Syphilis in Taluka Gambat

2020 ◽  
Vol 10 (2) ◽  
pp. 76-81
Author(s):  
Sagheer Hussain Shah ◽  
Agha Asad Noor
Keyword(s):  
Congenital Syphilis ◽  
Age Groups ◽  
Laboratory Diagnosis ◽  
Morbidity Rate ◽  
Age Group ◽  
Serum Samples ◽  
Transmitted Infection ◽  
Serological Method ◽  
Female Population ◽  
Sexually Transmitted

Background: Syphilis is a chronic and sexually transmitted infection, caused by Treponema pallidum. Taluka Gambat is an under developing rural area of District Khairpur, Sindh having higher poverty rate. This study was undertaken to assess the morbidity rate of syphilis and awareness about this disease in the population of Gambat. Objectives: To investigate the prevalence of syphilis in various age groups of male and female population of Taluka Gambat to review the frequency of occurrence of syphilis. Methodology: This work was done using conventional serological method by collecting data and laboratory diagnosis. Total 437 serum samples from different private and public health units, dispensaries and hospitals in Taluka Gambat were collected between October 2016 to March 2017 and subjected to qualitative testing by VDRL-Immune Chromatography test. Results: Out of 437 samples, 80 samples (18%) were reactive in adults of 30-45 years of age and one sample showed positive case in 9 months old boy indicating congenital syphilis (0.2%) whereas 373 stood non-reactive.  Our results showed a 14% prevalence of syphilis in Taluka Gambat in the age group between 30-45 years of age and 0.2% congenital syphilis. It is an alarming situation due to lack of diagnostic, treatment facilities and awareness about sexually transmitted diseases (STDs). Conclusion: It is concluded that syphilis is found more or less in all age groups. The highest incidence is observed in population of age group between 30-40 years in Taluka Gambat. Majority infections were found in immunocompromised patients owing to drug abuse and having multiple sex partners.

scholarly journals A syphilis outbreak in remote Australia: epidemiology and strategies for control

2004 ◽  
Vol 132 (5) ◽  
pp. 805-812 ◽  
Author(s):  
D. B. MAK ◽  
G. H. JOHNSON ◽  
A. J. PLANT
Keyword(s):  
Control Strategies ◽  
Age Groups ◽  
Health Service Delivery ◽  
Contact Tracing ◽  
Indigenous Australians ◽  
Health Staff ◽  
Contributing Factors ◽  
Transmitted Infection ◽  
Community Knowledge ◽  
Sexually Transmitted

This paper describes the epidemiology of a syphilis outbreak in remote Australia, and explores contributing factors and control strategies. Between 1 August 2000 and 31 January 2002, 74 cases of early syphilis (42 female, 32 male) were identified in 73 Kimberley residents. Syphilis rates in age groups 10–19 and 20–29 years were 583 and 439 per 100000 person years respectively. Factors contributing to the outbreak included incompleteness of sexually transmitted infection (STI) clinical management, untimely contact tracing, staffing and management issues, and poor community knowledge about STIs. Outbreak control strategies addressed factors that could be influenced by changes in health service delivery, and focused on providing education and support to health staff, and efforts to increase community knowledge about sexual health. Although some improvements have occurred, the outbreak is still continuing. Until open and honest discussion and a collaborative approach is taken toward STI problems affecting Indigenous Australians, outbreaks such as this will continue to occur.

scholarly journals Modern concepts of epidemiologyHPV-infection

2013 ◽  
Vol 62 (5) ◽  
pp. 3-14
Author(s):  
Kseniya Yevgenyevna Semenova ◽  
Armine Robertovna Khachaturyan
Keyword(s):  
Human Papillomavirus ◽  
High Risk ◽  
Age Groups ◽  
Treatment Strategies ◽  
Hpv Infection ◽  
Dna Testing ◽  
Transmitted Infection ◽  
Hpv Dna ◽  
Sexually Transmitted ◽  
Hpv Dna Testing

Human papillomavirus (HPV) is widespread sexually transmitted infection, which is defined by high risk of contagion and high cancer potential. HPV extension depends on patiens age, residence, opportunites of diagnostics, etc. There are general methods of HPV-diagnostics such as HPV DNA testing, cytological, hystological methods, which are not always useful in detection of transitory and persistent HPV-infection forms. Nowadays, there is acute need to develop new diagnostic and prognostic methods, treatment strategies for patients from various age groups, having different infection formss.

scholarly journals Frequency ofChlamydia trachomatisin Women with Cervicitis in Tehran, Iran

2007 ◽  
Vol 2007 ◽  
pp. 1-4 ◽  
Author(s):  
Farhad B. Hashemi ◽  
Babak Pourakbari ◽  
Javad Zaeimi Yazdi
Keyword(s):  
Screening Program ◽  
Age Groups ◽  
Current Data ◽  
High Morbidity ◽  
Colorimetric Analysis ◽  
Transmitted Infection ◽  
Ct Screening ◽  
Sexually Transmitted ◽  
Coated Plate ◽  
Labeled Probe

Chlamydia trachomatis(CT) is the most common cause of bacterial sexually transmitted infection (STI) worldwide, but current data concerning the prevalence of CT among women in Iran is scarce. Data regarding the frequency of CT infection among Iranian women can help to justify the implementation of a national CT screening program that can reduce the high morbidity associated with sequelae of CT infections by treating infected women. Endocervical secretions from 123 married women (20–55 years) with cervicitis were tested by a PCR-EIA method using primers to amplify a CT-specific plasmid. The digoxigenin-labeled amplicon was measured by hybridization to a biotin-labeled probe and a strepavidin-coated plate, followed by an enzyme-linked colorimetric analysis. Overall frequency of CT infection among women was 17%(21/123). The range of CT frequency among various age groups was 12–25%. The 31–40-year-age group comprised the majority (49%) of CT positive samples, followed by 20–30 year group (33%). Although the 20-to-30-year-old women reported the highest frequency of STI history, they had the lowest relative frequency of CT infection (12%). There is a high frequency of CT infection among women with cervicitis in Tehran, Iran, thus indicating a necessity to implement a routine CT screening program in the major cities of Iran and possibly nationwide. Identification of CT-infected women may prevent its spread, and thereby reduce the high morbidity associated with CT infections among women in Iran.

Domestic Minor Sex Trafficking: A Case Series of Male Pediatric Patients

2020 ◽  
pp. 088626051990032
Author(s):  
Jessica Moore ◽  
Meagan Fitzgerald ◽  
Timothy Owens ◽  
Brett Slingsby ◽  
Christine Barron ◽  
...  
Keyword(s):  
Child Protection ◽  
Sex Trafficking ◽  
Sexual Exploitation ◽  
Case Series ◽  
Male Involvement ◽  
Transmitted Infection ◽  
Domestic Minor Sex Trafficking ◽  
Male Youth ◽  
Sexually Transmitted ◽  
Male Patients

Domestic minor sex trafficking (DMST) is the commercial sexual exploitation of children (<18 years old) who are U.S. citizens or lawful permanent residents, victimized within U.S. borders. There is limited knowledge and research in regard to male involvement in DMST outside the context of homelessness and runaway youth. To our knowledge, no research specifically examines at-risk or involved male youth from a larger dataset of youth who present to a child abuse outpatient medical clinic. The objective of the present case series was to describe the demographic, psychosocial, medical, and psychiatric characteristics of natal male participants (who did not identify as transgender) suspected of DMST involvement. Six medical records of male patients under the age of 18 who were referred to a child protection clinic for concern of DMST involvement between 8/1/13 and 12/31/18 were retrospectively reviewed. Our case series demonstrates that male participants present for concern of sex trafficking and have complex behavioral, medical, and psychiatric concerns similar to what has been identified in research focused on female victims. Therefore, testing (e.g., sexually transmitted infection (STI)/HIV testing, urine toxicology screening), DMST screening, and interventions (e.g., STI prophylaxis, referrals to mental health counselors) should be completed in male patients.

Prevalence of Trichomonas Vaginalis and its Correlation with Socio-demographic Variables in Pregnant Women in Al-Diwaniya,Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Shiren Ali Al Hamzawi
Keyword(s):  
Pregnant Women ◽  
Rural Areas ◽  
Trichomonas Vaginalis ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Vaginal Swabs ◽  
Low Education

Estimates of Trichomonas vaginalis prevalence in pregnant women are variable with few studies in Iraq.T. vaginalis is a worldwide prevalent sexually transmitted infection,but fortunately,it is very treatable. Researchers believed that pregnancy is one of the effective factors for T. vaginalis infection in women.A cross-sectional study performed in Obstetrics and Gynecology Department at Maternity and Children Teaching Hospital in Al-Diwaniya city on two hundred female pregnant patients between the ages of 16-45 years. These females had no intercourse for 2–3 days,not using drugs (antibiotics,antiprotozoal or steroids) for the last 15 days. Vaginal discharges of any type with or without itching,burning sensation or both were their main complaints. Vaginal swabs were taken from all participating patients for direct wet mount microscopy and culture for the detection of Trichomonas vaginalis infection. The study showed that twelve out of two hundred examined pregnant women (6%) presented with T. vaginalis infection. The infection was more in those with mothers’ age (26-35) years,housewives,low education,higher parity,and of rural residents. Other maternal variables were not significantly associated with T. vaginalis infection. The study showed a prevalence of (6%) of T. vaginalis infection in pregnant female attendees. Infection was more in those with mothers ’age (26-35) years,housewives,low educational level,higher parity,and living in rural areas.

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