MyMedR

Management of urethral discharge in the male

Md Noh I

Family Practitioner, 1986;9:19-22.

Matched MeSH terms: Male

Vitamin C deficiency as an unusual cause of pulmonary hypertension and refusal to walk

Tan JWY, Lee OPE, Leong MC

Cardiol Young, 2021 Feb;31(2):322-324.

PMID: 33300487 DOI: 10.1017/S104795112000390X

Vitamin C deficiency has been a historical disease rarely seen nowadays. We illustrate a case of a boy with autism presenting with severe pulmonary hypertension and refusal to walk secondary to vitamin C deficiency. Initiating treatment with high-dose vitamin C reversed his symptoms and he regained full power of his lower limbs with total normalisation of his pulmonary pressures.

Matched MeSH terms: Male

On the significance and management of gonorrhoea in the male

Hope-Falkner P

Malayan Medical Journal, 1927;2:8-12.

Matched MeSH terms: Male

Fulltext Primary Prostatic Lymphoma Presenting with Prostatomegaly

Ab Hamid S

Radiol Imaging Cancer, 2023 Mar;5(2):e220171.

PMID: 36961314 DOI: 10.1148/rycan.220171

Matched MeSH terms: Male

Four new species of Cephennomicrus Reitter (Coleoptera, Staphylinidae, Scydmaeninae) from Malaysia

Jałoszyński P

Zootaxa, 2015;3911(2):273-9.

PMID: 25661611 DOI: 10.11646/zootaxa.3911.2.8

Four new species of Cephennomicrus are described from Malaysia: C. curvidens sp. n., C. gentingensis sp. n. (both from the Genting Highlands, West Malaysia), C. santubongensis sp. n. and C. muluensis sp. n. (both from Sarawak, East Malaysia). Male genitalia of all new taxa are illustrated and diagnostic characters are discussed.

Matched MeSH terms: Genitalia, Male; Male

A new species and synonymy in Elacatophora (Coleoptera, Staphylinidae, Scydmaeninae)

Jałoszyński P

Zootaxa, 2015;3915(1):143-6.

PMID: 25662117 DOI: 10.11646/zootaxa.3915.1.9

A new species of the Oriental genus Elacatophora, E. euconnoides sp. n., is described from the Cameron Highlands, West Malaysia. Diagnostic characters, including the male genitalia, are illustrated and discussed. A new case of subjective synonymy was discovered: Elacatophora minae (Makhan & Ezzatpanah, 2011) is placed as syn. n. of E. soesilae (Makhan & Ezzatpanah, 2011).

Matched MeSH terms: Genitalia, Male; Male

Fulltext The Implementation of HIV Self-Testing in Resource-Limited Settings Where the HIV Disease Burden is High

Balakrishnan P, Smiline Girija AS, Shanmugam S, Kannan I, Vignesh R, Shankar EM, et al.

Int J Public Health, 2023;68:1605790.

PMID: 37266035 DOI: 10.3389/ijph.2023.1605790

In resource-limited settings, there is growing evidence that HIV testing is lacking among high-risk key populations such as men having sex with men, injection drug users, and transgenders largely due to stigma, discrimination, and lack of confidentiality. Findings from recent studies among high-risk key populations and the general population from various regions including resource-limited settings support the need for wider accessibility of HIV self-testing (HIV-ST) to reach those who may not otherwise have access to testing. Therefore, HIV-ST has untapped potential as a strategy to improve access to HIV testing and to increase testing frequency among key high-risk populations and their partners. Though HIV-ST has emerged as a safe, acceptable, and effective way to reach people, there are several roadblocks to implementing the HIV-ST policy, and fast-track policy implementation needs to be necessitated with newer or modified strategic plans.

Matched MeSH terms: Male; Homosexuality, Male

Fulltext The probable destructive mechanisms behind COVID-19 on male reproduction system and fertility

Moshrefi M, Ghasemi-Esmailabad S, Ali J, Findikli N, Mangoli E, Khalili MA

J Assist Reprod Genet, 2021 Jul;38(7):1691-1708.

PMID: 33977466 DOI: 10.1007/s10815-021-02097-1

PURPOSE: The present study aims to summarize the current understanding of probable mechanisms and claims of adverse effects of SARS-CoV-2 on male fertility potential.

METHODS: Our search was including original articles, reviews, guidelines, letters to the editor, comments on guidelines, and editorials, regarding the male reproductive system. We used the words SARS-CoV-2, coronavirus, severe acute respiratory syndrome coronavirus 2, "2019 ncov," testis, sperm, male factor infertility, fertility treatment, semen, assisted reproductive technology (ART), sexual transmission, and ACE2.

RESULTS: Data showed coronavirus affects men more than women because of more expression of 2019 nCoV receptors (ACE2 and TMPRSS2) in testicular cells. Also, "Bioinformatics Analysis" suggests that sperm production may be damaged, since "Pseudo Time Analysis" has shown disruption in spermatogenesis. "Gene Ontology" (GO) showed an increase in viral reproduction and a decrease in sperm production-related terms. Recently, SARS-COV-2 mRNA and protein were detected in the semen of patients that had recovered from SARS-CoV-2 infection. Therefore, the probable disruption of blood-testis barrier (BTB) in febrile diseases is suspected in the acute phase of the disease enabling viral entry into the testes. Not only is spermatogenesis disturbed, but also disturbs gonadotropin, androgens, and testosterone secretion during SARS-CoV-2 infection. No sexual transmission has been reported yet; however, detection of the virus in semen still makes the sexual transmission an open question.

CONCLUSION: There is a concern that male fertility may be disturbed after the SARS-CoV-2 infection. Therefore, follow-up of the reproductive functions and male fertility may be necessary in recovered cases, especially in aged men.

Matched MeSH terms: Genitalia, Male/pathology*; Genitalia, Male/virology; Infertility, Male/epidemiology; Infertility, Male/pathology*; Infertility, Male/virology; Male

A simple device for circumcision

Lazim TR, Zainol J

J R Coll Surg Edinb, 1996 Apr;41(2):122-3.

PMID: 8632386

Several sizes of plastic cap were designed and made to fit the vertex of the penile glans. The foreskin is prepared in the usual manner, the glans capped with the specially made plastic cap and the foreskin pulled forwards over the cap. A crushing or non-crushing forceps is applied across the foreskin. The plastic cap separates the glans from the clamp, and its unwanted portion is cut with a knife without fear of injuries in the glans. We find this method to be safe even if it is used by a surgeon with limited experience.

Matched MeSH terms: Circumcision, Male/instrumentation*; Male

Fulltext SARS-CoV-2 and Male Infertility: Possible Multifaceted Pathology

Dutta S, Sengupta P

Reprod Sci, 2021 Jan;28(1):23-26.

PMID: 32651900 DOI: 10.1007/s43032-020-00261-z

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing the coronavirus disease 2019 (COVID-19) has been declared a pandemic by the World Health Organization (WHO) on 11th March 2020. Bulk of research on this virus are carried out to unveil its multivariate pathology. Surprisingly, men are reportedly more vulnerable to COVID-19 even with higher fatality rate compared to women. Thus, it is crucial to determine whether SARS-CoV-2 infection can even affect male fertility as an immediate or long-term consequence of the disease. Among the discrete data available, an important finding is that angiotensin converting enzymes 2 (ACE2) receptor, that aids the SARS-CoV-2 entry into host cells, is profoundly expressed in testicular cells. In addition, the endogenous androgen milieu and its receptors are associated with ACE2 activation reflecting that enhanced testosterone levels may trigger the pathogenesis of COVID-19. In contrary, hypogonadism has also been reported in the acute phase of some COVID-19 cases. Moreover, SARS-CoV-2 infection-induced uncontrolled inflammatory responses may lead to systemic oxidative stress (OS), whose severe disruptive effects on testicular functions are well-documented. This article aims to precisely present the possible impact of COVID-19 on male reproductive functions, and to highlight the speculations that need in-depth research for the exact underlying mechanisms how COVID-19 is associated with men's health and fertility.

Matched MeSH terms: Infertility, Male/metabolism; Infertility, Male/epidemiology*; Infertility, Male/pathology*; Male

Scrotal lump: do not forget tuberculosis!

Ho CC, Rusdi AR

Clin Ter, 2014;165(2):107-9.

PMID: 24770814 DOI: 10.7471/CT.2014.1686

Scrotal tuberculosis (TB) is rare. Lack of awareness may lead to a misdiagnosis and/or delayed diagnosis of scrotal TB. Clinicians should have a high suspicion index for scrotal TB when facing a patient with a chronic scrotal lump. Since scrotal TB can be medically cured, biopsy of the scrotal lump for pathology study and/or urine polymerase chain reaction (PCR) analysis for M. tuberculosis should be performed first for rapid diagnostic purposes, and therefore unnecessary surgery may thereby be circumvented.

Matched MeSH terms: Male; Tuberculosis, Male Genital/diagnosis*

Fulltext Circumcision: myth, ritual, operation

Cohen Y

Med J Malaysia, 1984 Sep;39(3):210-9.

PMID: 6544922

The article was presented at the A.M. Ismail Oration, 26 May 1984, Kuala Lumpur.

Matched MeSH terms: Circumcision, Male*; Female; Male

Anti-gay "Honor" Abuse: A Multinational Attitudinal Study of Collectivist- Versus Individualist-Orientated Populations in Asia and England

Lowe M, Khan R, Thanzami V, Barzy M, Karmaliani R

J Interpers Violence, 2021 08;36(15-16):7866-7885.

PMID: 30924715 DOI: 10.1177/0886260519838493

Cultural collectivism, a core feature of honor cultures, is associated with the acceptance of aggression if it is used in the name of so-called "honor." Currently overlooked in the research literature, this study explored perceptions of antigay "honor" abuse in collectivist-orientated honor cultures, where homosexuality, in particular, is considered to be dishonorable. To conduct exploratory and comparative analysis, this study recruited 922 students in four Asian countries (India, Iran, Malaysia, and Pakistan), as well as Asian British and White British students in England. All participants read a brief vignette depicting a man whose relatives verbally abuse him and threaten him with life-threatening violence, after suspecting that he is gay and has joined an online dating website to meet men. Participants then completed a short questionnaire that assessed the extent to which they thought the man's actions had damaged his family's honor and their approval of the antigay "honor" abuse depicted in the scenario. Broadly in line with predictions, data analyses revealed attitudes more supportive of antigay "honor" abuse in all five collectivist-orientated populations than the sample of individualistic-orientated counterparts in England. Notably, however, a series of one-way analyses of variance (ANOVAs) demonstrated that these results varied depending on country of residence, gender, religious denomination, educational status, and age. The findings show that individual and demographic differences influence perceptions toward homophobic "honor" abuse in collectivist cultures. These differences are useful indices of the psychosocial factors that underpin hostile attitudes toward gay males in cultures where homosexuality is denounced.

Matched MeSH terms: Male; Homosexuality, Male*

Fulltext Congenital bilateral aplasia of vas deferens (CBAVD): a reminder to clinicians

Koh, P.S., Shanggar, K., Razack, A.H., Lee, G.

JUMMEC, 2008;11(2):89-90.

MyJurnal

Male factor infertility which accounts for 30-50% of infertility is a major problem faced by married couples. Congenital absence of the vas deferens, though uncommon, remains the most common abnormality seen in extratesticular ductal and ejaculatory system, accounting for 1-2% of male infertility. It may be unilateral or bilateral. Association with renal abnormality has also been reported with congenital absence of vas deferens (1). The patients are asymptomatic and the congenital abnormality is usually detected when investigation for infertility is carried out. We present a case of an unusual presentation of congenital bilateral absence of vas deferens (CBAVD).

Matched MeSH terms: Infertility, Male; Male; Male Urogenital Diseases

Fulltext Salmonella Osteomyelitis in a one year old Child without Sickle Cell Disease: A Case Report

Saturveithan C, Arieff A, Premganesh G, Sivapathasundaram N

Malays Orthop J, 2014 Jul;8(2):52-4.

PMID: 25279095 MyJurnal DOI: 10.5704/MOJ.1407.005

A one year old boy was admitted with left shoulder pain with reduced range of motion of five days' duration associated. Inflammatory markers were raised and radiograph of the left shoulder revealed widening of the metaphysis of the proximal humerus. Empirically, he was started on intravenous C-penicillin and cloxacillin after initial joint aspiration yielded only synovial fluid with negative culture. Subsequent MRI revealed acute osteomyelitis of the proximal left humerus with concurrent septic arthritis of the shoulder joint. Cultures from the arthrotomy washout grew Salmonella sp, sensitive to ampicillin. He recovered following six weeks of intravenous unasyn ( ampicillin and sulbactum). This rare case of salmonella osteomyelitis in a non-sickle cell disease patient was diagnosed with serial laboratory and radiological studies and was successfully treated with adequate duration of antibiotics and operative intervention.

Matched MeSH terms: Male

Recurrent gastric inflammatory myofibroblastic tumour in a 13-year-old male

Hamidah A, Khu SY, Thambidorai CR, Muhaizan WM, Zarina AL, Jamal R

Pediatr Surg Int, 2007 Jun;23(6):601-3.

PMID: 17063336

A 13-year-old boy who had epigastric pain and pallor for 2 months and found to have an ulcerative mass in the stomach and underwent partial gastrectomy. A diagnosis of inflammatory myofibroblastic tumour (IMT) of the stomach was made on histological examination. Three years later, recurrence in the stomach, with invasion into the pancreas and hilum of the spleen was noted and was managed by wide wedge resection of the stomach, distal pancreatectomy and splenectomy. The patient has been recurrence-free for the past 2 years. Gastric IMT is an uncommon tumour in children with unpredictable prognosis.

Matched MeSH terms: Male

Fulltext Carotid body tumour--a case report

Mohamad AS, Rejab E, Said H

Med J Malaysia, 1989 Jun;44(2):174-7.

PMID: 2626128

A case of carotid body tumour is presented. Pathology, diagnostic investigations, modalities of treatment and prognosis are discussed. With greater awareness of this condition and improvement in diagnostic investigations and surgical techniques, the outlook in managing this condition should be better.

Matched MeSH terms: Male

Fulltext Three cases of sexual deviation seen at the University Hospital, Kuala Lumpur

Loke KH

Med J Malaysia, 1983 Dec;38(4):339-43.

PMID: 6599996

Sexually deviant behaviour is a fairly common phenomenon but because it is socially embarassing, a few cases come forward for consultation and treatment on a voluntary basis. Most cases are referred by the law courts. Two such cases, one of exhibitionism and the other offetishism, were referred to the University Hospital, Kuala Lumpur in 1982. Their development histories were elaborated. A third case of sexual sadism came voluntarily for help out defaulted after the initial session. A review on the current western concepts on sexual deviation is included in the text. It is concluded that although it is generally thought that neurological conditions give rise to deviant sexual behaviour, this assumption should not be arrived at hastily, as many cases of organic mental disorders do not exhibit deviant sexual
behaviour.

Matched MeSH terms: Male

Fulltext Giant cavernous hemangioma of the anterior chest wall in a neonate: a case report

Boo NY, Laidin AZ

Med J Malaysia, 1985 Sep;40(3):252-6.

PMID: 3842722

A term, Malay male neonate, delivered by spontaneous vertex delivery, was found to have a huge carvenous hemangioma on the anterior chest wall. He developed respiratory failure on the second day of life. Having considered the various options possible, an emergency surgical excision was carried outat the age of 57 hours. The patient recovered after a stormy post-operative period.

Matched MeSH terms: Male

Fulltext Vogt-Koyanagi-Harada syndrome--a case report

Yusof Z, Pratap RC, Nor M, Reddy TN

Med J Malaysia, 1990 Mar;45(1):70-3.

PMID: 2152072

A 30 year old Malay male developed bilateral choroiditis followed by vitiligo, poliosis and canities. CT scan showed nodular thickening of the optic nerves. Characteristic abnormalities were seen in visual and brainstem auditory evoked potentials and fluorescein angiography. These findings were in keeping with the diagnosis of Vogt-Koyanagi-Harada syndrome. Treatment with dexamethasone resulted in complete recovery of vision and partial improvement in skin and hair lesions.

Matched MeSH terms: Male

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