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Your search keyword '"Shohei Kawaguchi"' showing total 2 results
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2 results on '"Shohei Kawaguchi"'

1. Predictors of persistent stress urinary incontinence after transvaginal mesh repair

Author

Atsushi Mizokami, Masami Takeyama, Yoshifumi Kadono, Kazutaka Narimoto, Satoko Urata, and Shohei Kawaguchi

Subjects
medicine.medical_specialty, Sling (implant), Urge urinary incontinence, medicine.medical_treatment, Urinary Incontinence, Stress, Urinary Bladder, 030232 urology & nephrology, Urinary incontinence, lcsh:Gynecology and obstetrics, Pelvic Organ Prolapse, 03 medical and health sciences, 0302 clinical medicine, Transvaginal mesh, Surveys and Questionnaires, medicine, Humans, lcsh:RG1-991, Aged, Pelvic organ, Suburethral Slings, 030219 obstetrics & reproductive medicine, Hysterectomy, Mesh repair, Urinary symptoms, Stress urinary incontinence, business.industry, lcsh:Public aspects of medicine, Obstetrics and Gynecology, lcsh:RA1-1270, General Medicine, Middle Aged, Surgical Mesh, Surgery, Urodynamics, Urinary Incontinence, Reproductive Medicine, Concomitant, Vagina, Voiding function, Female, medicine.symptom, business, Mid-urethral sling, Research Article
Abstract

Background We evaluated the effect of transvaginal mesh (TVM) surgery for voiding function and continence using noninvasive examination and questionnaire. The present study aimed to ascertain which categories of patients need concomitant mid-urethral sling (MUS) after TVM surgery. Methods We included women who underwent TVM procedure between November 2009 and October 2013. Data from noninstrumented uroflowmetry and questionnaires about urinary symptoms were analyzed. Results The present study investigated the cases of 961 women who underwent TVM surgery. The persistence of stress urinary incontinence (SUI) was 57.6%. Almost all the parameters measured using uroflowmetry and questionnaires significantly improved in all types of urinary incontinence 12 months after surgery. A history of hysterectomy, preoperative high flow (corrected maximum flow rate > 1.5), and preoperative urge urinary incontinence were independent risk factors for the persistence of SUI. Conclusions TVM for pelvic organ prolapse improved subjective and objective voiding function. Mixed urinary incontinence (MUI) patients with high urinary flow may be suitable for concomitant MUS with TVM because of the high level of SUI persistence.

Published
2018

2. Prevalence of human papillomavirus infection in the oropharynx and urine among sexually active men: a comparative study of infection by papillomavirus and other organisms, including Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma spp., and Ureaplasma spp

Author

Kazufumi Nakashima, Kazuyoshi Shigehara, Shohei Kawaguchi, Akira Wakatsuki, Yoshitomo Kobori, Kazuyoshi Nakashima, Yasunori Ishii, Masayoshi Shimamura, Toshiyuki Sasagawa, Yasuhide Kitagawa, Atsushi Mizokami, and Mikio Namiki

Subjects
SQUAMOUS cell carcinoma, DISEASE prevalence, TRANSMISSION of papillomavirus diseases, EPIDEMIOLOGY, NEISSERIA gonorrhoeae, NUCLEIC acid isolation methods
Abstract

Background Oropharyngeal squamous cell carcinoma (OSCC) has shown a gradual increase in male predominance due to the increasing incidence of human papillomavirus (HPV)-associated OSCC. However, the mode of HPV transmission to the oral cavity is poorly understood, and little is known about the epidemiology of oral HPV infection in men. The prevalence rates of HPV, Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma spp., and Ureaplasma spp. were compared in the oropharynx (oral cavity) and urine of male Japanese patients attending a sexually transmitted disease clinic. Methods The study population consisted of 213 men aged 16 - 70 years old (mean: 34.4 years old). Oropharyngeal gargles and urine were collected, and sedimented cells were preserved in liquid-based cytology solution. After DNA extraction, β-globin and infectious organisms were analyzed by a PCR-based method. The HPV genotype was determined by HPV GenoArray test. Results β-Globin was positive in 100% and 97.7% of oral and urine samples, respectively. HPV detection rates were 18.8% and 22.1% in oral and urine samples, respectively, suggesting that the prevalence of HPV infection in the oral cavity was similar to that in the urinary tract. N. gonorrhoeae was more prevalent in oral (15.6%) than urine samples (9.1%), whereas C. trachomatis was detected more frequently in urine (15.9%) than oral samples (4.2%). The detection rates of M. genitalium, M. hominis, and Ureaplasma spp. were 5.2%, 10.3%, and 16.0% in oral samples, and 7.7%, 6.3%, and 19.2% in urine, respectively. There were no significant differences in the detection rates of Mycoplasma spp. and Ureaplasma spp. between anatomical locations. The distribution of HPV types were similar in oral and urine samples, and HPV16 was the most common type. The majority of men with HPV infection in both the oral cavity and urine had concordant oral and urinary HPV infection. The presence of urinary HPV infection was an independent risk factor of oral HPV infection, with an odds ratio of 3.39 (95%CI: 1.49 - 7.71), whereas oral gonococcal infection was inversely correlated with oral HPV infection (odds ratio: 0.096; 95%CI: 0.01 - 0.77). Conclusions Oral HPV infection commonly occurs in sexually active men, and is significantly correlated with urinary HPV infection. [ABSTRACT FROM AUTHOR]

Published
2014
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