BPH symptoms(start when prostatic urethra obstructed)
dribbling(weak stream of urine)
dysuria(pain during urination)
have to strain when urinating
hesitensy(trouble initiating urination)
nocturia reproductiveurology HirotoShishido
which histological pattern of BPH does best respond to finasteride?predominant epithelial hyperplasia>> predominant stromal hyperplasia(collagen or smooth muscle predominance) reproductiveurologyUWorld HirotoShishido
sexual play between children who vary in age (no matter what their sex)Sexual play by an older child can suggest that ☆recently he has been sexually abused by an adult and is replicating what has been done to him with the younger one. behavioral sciencereproductive HirotoShishido
Elevation of the uterusThe tenting effect, elevation of the uterus in the pelvic cavity, begins during the excitement phase of the sexual response cycle in women. behavioral sciencereproductive HirotoShishido
agglutination inhibition testβ-hCG in urine prevent anti-hCG antibodies from binding to latex particle coated with hCG causing agglutination
→ the presence of agglutination is a negative result for pregnancy reproductiveUWorld SIM2 HirotoShishido
the most promising way to achieve pregnancy in a woman with Turner syndrome☆In vitro fertilization of Turner syndrome patients with an ovum provided by a related or anonymous donor results in pregnancy rates approaching 60%.
(Pregnancy can occur spontaneously in some patients with Turner syndrome, but the risk of spontaneous abortion, Down syndrome and Turner syndrome are all increased in such cases.) reproductiveobstetricsUWorld HirotoShishido
which part of urethra commonly injuredanterior urethral injury: perineal straddle injury→ bulbar urethra
mechanism of endometrial hyperplasia in postmenopausal obese womanSmall amounts of androgens continue to be produced in the ovaries and adrenal glands after menopause. In obese women, these androgens (eg, androstenedione) are readily converted to estrogens (eg, estrone) by the aromatase enzyme found in adipose tissue.
However, ovarian progesterone production remains low; therefore, the unopposed estrogen causes unregulated endom etrial proliferation and subsequent endometrial hyperplasia. reproductiveUWorld HirotoShishido
penis anatomy
which part does cGMP affectcorpus cavernosum/ corpus spongiosum
→ tunica albuginea→ Buck's(deep) fascia→ Dartos(superficial) fascia→ skin
