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91.
Bone Mineral Density and Androgen Levels in Elderly Males 总被引:4,自引:0,他引:4
Rapado A Hawkins F Sobrinho L Díaz-Curiel M Galvao-Telles A Arver S Melo Gomes J Mazer N Garcia e Costa J Horcajada C López-Gavilanes E Mascarenhas M Papapietro K López Alvarez MB Pereira MC Martinez G Valverde I García JJ Carballal JJ García I 《Calcified tissue international》1999,65(6):417-421
To clarify the relationship of sex male hormones and bone in men, we studied in 140 healthy elderly men (aged 55–90 years)
the relation between serum levels of androgens and related sex hormones, bone mineral density (BMD) at different sites, and
other parameters related to bone metabolism. Our results show a slight decrease of serum-free testosterone with age, with
an increase of follicle stimulating hormone (FSH) and luteinizing hormone (LH) in a third of the elderly subjects studied.
BMD decreased significantly with age in all regions studied, except in the lumbar spine. We found a positive correlation between
body mass index (BMI) and BMD at the lumbar spine and femoral neck (P < 0.001). No relationship was found (uni- and multivariate regression analysis) between serum androgens or sex hormone-binding
globulin (SHBG) and BMD. We found a positive correlation of vitamin D binding protein (DBP) and osteocalcin with lumbar spine
BMD and with BMI, DBP, IGF-1, and PTH with femoral neck BMD. In conclusion, there is a slight decline in free testosterone
and BMD in the healthy elderly males. However, sex male hormones are not correlated to the decrease in hip BMD. Other age-related
factors must be associated with bone loss in elderly males.
Received: 29 April 1997 / Accepted: 9 November 1997 相似文献
92.
Ramírez R Martín R Martín JJ Ramírez JR Paniagua R Santamaría L 《Journal of andrology》1999,20(6):702-712
To investigate 1) the correlation between the proliferative activity of epididymal epithelium plus myoid cells and the increase in the number of these cells and 2) the role of the basal epithelial cells in the renewal of epididymal epithelium, a quantitative evaluation of the proliferation of both epithelial cells and periductal myoid cells in the different epididymal regions (caput, corpus, and cauda) has been carried out during postnatal development of the rat by immunohistochemical evaluation of BrdU-labeling indices. These data were correlated with cell numbers and counted by the optical dissector method. The presence of bcl-2 protein was immunohistochemically detected and evaluated. No significant differences in BrdU indices were observed among epididymal regions in any stage studied. Cell proliferation decreased from the prepubertal period to adulthood in both epithelial and myoid cells in the three regions of the epididymis, suggesting a close relationship between epithelial and mesenchymal components. The numbers of both cell types were significantly higher in the caput than in the corpus and cauda in all stages studied, suggesting functional differences between regions. A negative linear correlation between proliferative activity and cell numbers was noted that might be related to regulation of the cell population size. Basal cells showed a lower proliferation rate than principal cells, but most of the immunoreactive bcl-2 protein, in pubertal and adult epididymides, was observed in basal cells. Therefore, these cells might comprise a low-proliferating and apoptosis-resistant population. 相似文献
93.
We report a new case of Wunderlich's syndrome (spontaneous perirenal hematoma) in a patient with chronic renal failure undergoing hemodialysis secondary to acquired renal cystic disease. The literature relative to this condition is review. 相似文献
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96.
Fariña Pérez LA Menéndez P Astudillo A González del Rey C Manjón JA Medina AG 《Actas urologicas espa?olas》1999,23(10):885-887
Urinary infection due to urea splitting bacteria leads to a rise in urinary pH, favouring the precipitation of calcium salts and struvita crystals. If deposited on the surface of a bladder with chronic inflammation or some other previous lesion, may produce an alkaline encrusted cystitis, now a rare condition. In the case here presented, occurred in a 69-year-old male. Corynebacterium urealyticum grown in the urine, and some foci of malakoplakia were found in the area of encrustation endoscopically excised. This case seems to be the third example of alkaline encrusted cystitis associated with malakoplakia reported in the bibliography. These two conditions share similar clinical signs and may probably have a common aetiopathogenesis. 相似文献
97.
Martín-Marquina Aspiunza A Zudaire Bergera JJ Sánchez Zalabardo D Arocena García-Tapia J Sanz Pérez G Díez-Caballero Alonso F Rosell Costa D Robles García JE Berián Polo JM 《Actas urologicas espa?olas》1999,23(1):5-9
Study of 165 patients with prostate adenocarcinoma who underwent radical prostatectomy using a retropubic approach. Mean PSA is 19 ng/ml, mean age 63 years and median follow-up 26 months. 22 patients (13.2%) reported complications during the first month post-surgery, primarily urinary fistula of more than 5 days long in 5 patients and rectal injury in 3.49 patients (29%) reported complications after the first month, mainly urinary incontinence in 26 cases and stenosis of the urethrovesical juncture in 15. The group with early complications showed no significant differences compared to those who had none, neither in PSA (p = 0.3) or a worse pathological stage (p = 0.1), and no evidence is shown in terms of biochemical progression or in disease free progression (p = 1). Patients with urethrovesical juncture stenosis have higher mean PSA (p = 0.01), greater biochemical progression (p = 0.006), worse Gleason (p = 0.03 = and worse progression free survival (p = 0.01). Patients with stress incontinence showed no differences compared to the other groups relative to the studied factors. 相似文献
98.
Navas Pastor J Ferrero Doria R Guzmán Martínez-Valls PL Morga Egea JP García Ligero J Tomás Ros M Rico Galliano JL Sempere Gutiérrez A Fontana Compiano LO 《Actas urologicas espa?olas》1999,23(1):22-27
Presentation of eight cases of urinary candidiasis in patients who underwent radical cystectomy and were managed using by-pass of the urinary tract, oral antifungal therapy and solutions in the way of intermittent instillation through nephrostomy catheters. 相似文献
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