Clinical Background of Patients with Sperm in Their Urinary Sediment

The detection rate and associated factors of at least one sperm in urinary sediment is not well-known in real clinical practice. The aim of the present study was to evaluate the clinical features associated with the presence of sperm in urinary sediment in a large number of samples. We conducted a c...

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Veröffentlicht in:PloS one 2015-09, Vol.10 (9), p.e0136844-e0136844
Hauptverfasser: Tomita, Masuomi, Kikuchi, Eiji, Maeda, Takahiro, Kabeya, Yusuke, Katsuki, Takeshi, Oikawa, Yoichi, Kato, Kiyoe, Ohashi, Masakazu, Nakamura, So, Oya, Mototsugu, Shimada, Akira
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container_start_page e0136844
container_title PloS one
container_volume 10
creator Tomita, Masuomi
Kikuchi, Eiji
Maeda, Takahiro
Kabeya, Yusuke
Katsuki, Takeshi
Oikawa, Yoichi
Kato, Kiyoe
Ohashi, Masakazu
Nakamura, So
Oya, Mototsugu
Shimada, Akira
description The detection rate and associated factors of at least one sperm in urinary sediment is not well-known in real clinical practice. The aim of the present study was to evaluate the clinical features associated with the presence of sperm in urinary sediment in a large number of samples. We conducted a cross-sectional study at Tokyo Saiseikai Central Hospital. We identified 5,005 males who were aged ≥20 years in whom urinary sedimentation had been performed at least twice between May 2011 and June 2012. The sperm group included patients in whom at least one urinary sediment test performed under a microscope had detected at least one sperm. We evaluated the associations between the presence of at least one sperm in urinary sediment and clinical parameters such as various diseases and the use of particular oral medicines. In total, 1.6% (339/20,937) of urinary sediment samples contained at least one sperm. The sperm group consisted of 282 subjects (5.6%), and the no-sperm group included 4,723 subjects (94.3%). Multivariate analysis demonstrated that younger age (
doi_str_mv 10.1371/journal.pone.0136844
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The aim of the present study was to evaluate the clinical features associated with the presence of sperm in urinary sediment in a large number of samples. We conducted a cross-sectional study at Tokyo Saiseikai Central Hospital. We identified 5,005 males who were aged ≥20 years in whom urinary sedimentation had been performed at least twice between May 2011 and June 2012. The sperm group included patients in whom at least one urinary sediment test performed under a microscope had detected at least one sperm. We evaluated the associations between the presence of at least one sperm in urinary sediment and clinical parameters such as various diseases and the use of particular oral medicines. In total, 1.6% (339/20,937) of urinary sediment samples contained at least one sperm. The sperm group consisted of 282 subjects (5.6%), and the no-sperm group included 4,723 subjects (94.3%). Multivariate analysis demonstrated that younger age (&lt;65) (odds ratio [OR]: 1.71, 95% confidence interval [CI]: 1.32-2.21), the total number of examinations (≥4) (OR: 1.46, 95%CI: 1.11-1.92), diabetes (OR: 1.72, 95%CI: 1.31-2.25), a history of pelvic surgery for colon cancer (OR: 4.89, 95%CI: 2.38-10.02), alpha-1 blocker use (OR: 1.55, 95%CI: 1.16-2.08), a history of trans-urethral resection of the prostate (OR: 2.77, 95%CI: 1.46-5.13), and selective serotonin reuptake inhibitor use (OR: 2.12, 95%CI: 1.07-4.19) were independent predictors of the presence of at least one sperm in urinary sediment. 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This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Tomita et al 2015 Tomita et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-24de9abbb0a90fe175994f8e93e6a0cb12bc0e3134e801295f9f71abedd5372c3</citedby><cites>FETCH-LOGICAL-c692t-24de9abbb0a90fe175994f8e93e6a0cb12bc0e3134e801295f9f71abedd5372c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567295/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567295/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26359862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mischak, Harald</contributor><creatorcontrib>Tomita, Masuomi</creatorcontrib><creatorcontrib>Kikuchi, Eiji</creatorcontrib><creatorcontrib>Maeda, Takahiro</creatorcontrib><creatorcontrib>Kabeya, Yusuke</creatorcontrib><creatorcontrib>Katsuki, Takeshi</creatorcontrib><creatorcontrib>Oikawa, Yoichi</creatorcontrib><creatorcontrib>Kato, Kiyoe</creatorcontrib><creatorcontrib>Ohashi, Masakazu</creatorcontrib><creatorcontrib>Nakamura, So</creatorcontrib><creatorcontrib>Oya, Mototsugu</creatorcontrib><creatorcontrib>Shimada, Akira</creatorcontrib><title>Clinical Background of Patients with Sperm in Their Urinary Sediment</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The detection rate and associated factors of at least one sperm in urinary sediment is not well-known in real clinical practice. 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The aim of the present study was to evaluate the clinical features associated with the presence of sperm in urinary sediment in a large number of samples. We conducted a cross-sectional study at Tokyo Saiseikai Central Hospital. We identified 5,005 males who were aged ≥20 years in whom urinary sedimentation had been performed at least twice between May 2011 and June 2012. The sperm group included patients in whom at least one urinary sediment test performed under a microscope had detected at least one sperm. We evaluated the associations between the presence of at least one sperm in urinary sediment and clinical parameters such as various diseases and the use of particular oral medicines. In total, 1.6% (339/20,937) of urinary sediment samples contained at least one sperm. The sperm group consisted of 282 subjects (5.6%), and the no-sperm group included 4,723 subjects (94.3%). Multivariate analysis demonstrated that younger age (&lt;65) (odds ratio [OR]: 1.71, 95% confidence interval [CI]: 1.32-2.21), the total number of examinations (≥4) (OR: 1.46, 95%CI: 1.11-1.92), diabetes (OR: 1.72, 95%CI: 1.31-2.25), a history of pelvic surgery for colon cancer (OR: 4.89, 95%CI: 2.38-10.02), alpha-1 blocker use (OR: 1.55, 95%CI: 1.16-2.08), a history of trans-urethral resection of the prostate (OR: 2.77, 95%CI: 1.46-5.13), and selective serotonin reuptake inhibitor use (OR: 2.12, 95%CI: 1.07-4.19) were independent predictors of the presence of at least one sperm in urinary sediment. There is considerable overlap between the factors associated with the presence of at least one sperm in urinary sediment and those that are strongly associated with ejaculatory disorders.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26359862</pmid><doi>10.1371/journal.pone.0136844</doi><oa>free_for_read</oa></addata></record>
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subjects Adrenergic alpha-1 Receptor Antagonists - adverse effects
Aged
Colon
Colon cancer
Colorectal cancer
Composition
Confidence intervals
Cross-Sectional Studies
Development and progression
Diabetes
Diabetes mellitus
Hospitals
Humans
Internal medicine
Male
Male genital diseases
Males
Medicine
Mens health
Middle Aged
Multivariate analysis
Patients
Properties
Prostate
Risk Factors
Sediment samplers
Sedimentation
Sedimentation & deposition
Sediments
Serotonin
Sexual Dysfunction, Physiological - epidemiology
Sexual Dysfunction, Physiological - etiology
Sexual Dysfunction, Physiological - urine
Soil testing
Sperm
Spermatozoa
Studies
Surgery
Tokyo - epidemiology
Urinalysis
Urine
Urine - cytology
Urogenital system
Urology
title Clinical Background of Patients with Sperm in Their Urinary Sediment
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