[Case of lower urinary tract symptoms caused by urothelial papilloma-inverted type as diagnosed by transrectal ultrasonography at voiding].

A 54-year-old male visited our hospital, complaining of lower urinary tract symptoms (LUTS) such as loss of urinary force following the unsuccessful treatment using an alpha1-blocker. Transabdominal ultrasonography performed for measuring postvoid residual urine volume incidentally detected a solid tumor at the bladder neck. In addition, transrectal ultrasonography at voiding confirmed the tumor to obstruct prostatic urethra during voiding.

[Systematic prostate biopsy before transurethral resection of the prostate].

Purpose: With the aim of evaluating the clinical significance of systematic prostate biopsy before transurethral resection of the prostate (TUR-P), clinical data were reviewed retrospectively in patients who had underwent prostate biopsy prior to scheduled TUR-P.

Patients And Methods: Between July, 1994 and June, 2000, TUR-P was scheduled in a total number of 456 patients with clinically diagnosed benign prostatic hyperplasia (BPH).

Results: In 218 (47.

[Primary symptoms of 301 patients with prostate cancer: Nagoya Urology Hospital experience].

Purpose: Primary symptoms were reviewed retrospectively in patients with prostate cancer diagnosed in our hospital with the aim of promoting early detection.

Materials And Methods: The subjects included 301 cases with prostate cancer diagnosed histologically in Nagoya Urology Hospital from August, 1988 to December, 2001. The mean age was 72.

[A case of primary adenocarcinoma of the epididymis].

A 68-year-old man presented with right intrascrotal swelling. On palpation, a hard tumor without pain was recognized at the head of the right epididymis. Power Doppler ultrasonography revealed blood flow signals within the tumor.

Acute urethritis caused by Neisseria meningitidis.

A 48-year-old heterosexual Japanese man visited the outpatient clinic of Nagoya Urology Hospital, complaining of burning pain at voiding and pus discharge from the urethral orifice. These symptoms appeared the day following oral-genital contact (fellatio) with a commercial sex worker. On the basis of the presumptive clinical diagnosis of gonorrhea because of the microscopic detection of diplococci in the urethral discharge, he was treated with levofloxacin (300 mg per day) for 7 days.

[The clinical evaluation of 414 cases of male urethritis].

Purpose: We reviewed the clinical data of male urethritis diagnosed as sexually transmitted disease with the aim of revealing its clinical features.

Patients And Methods: In a total number of 414 males diagnosed as having acute urethritis transmitted by sexual activities between January and December in 2000, clinical data were collected and analyzed. In addition, questionnaire concerning the awareness of pharyngeal infection was obtained.

[Clinical study on prostatic cancer detected incidentally by transurethral resection of the prostate].

Transurethral resection of the prostate (TUR-P) was performed on 463 consecutive patients with clinically diagnosed benign prostatic hyperplasia (BPH) between April 1994 and June 2000. Pathological examinations of resected prostatic tissues revealed prostatic cancer in 15 (3.2%) of them.