scholarly journals Circumcision as an Intervening Strategy against HIV Acquisition in the Male Genital Tract

Pathogens ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 806
Author(s):  
Adhikarimayum Lakhikumar Sharma ◽  
Joseph Hokello ◽  
Mudit Tyagi

Unsafe sex with HIV-infected individuals remains a major route for HIV transmission, and protective strategies, such as the distribution of free condoms and pre-or post-prophylaxis medication, have failed to control the spread of HIV, particularly in resource-limited settings and high HIV prevalence areas. An additional key strategy for HIV prevention is voluntary male circumcision (MC). International health organizations (e.g., the World Health Organization, UNAIDS) have recommended this strategy on a larger scale, however, there is a general lack of public understanding about how MC effectively protects against HIV infection. This review aims to discuss the acquisition of HIV through the male genital tract and explain how and why circumcised men are more protected from HIV infection during sexual activity than uncircumcised men who are at higher risk of HIV acquisition.

Author(s):  
Aradhana Singh Hada ◽  
Sarita Nibhoria ◽  
Vaneet Kaur Sandhu ◽  
Nitin Nagpal

Introduction: The male genital system consists of the prostate, seminal vesicle, testes, epididymis, vas deferens, bulbourethral gland, ejaculatory duct, penis and scrotum. Male genital cancers are histologically diverse. They are difficult to detect and treat because of their anatomic locations, biological characters and complications. Aim: To study the histopathological spectrum of tumours of the male genital system according to World Health Organisation (WHO) classification. Materials and Methods: The present study is a hospital based descriptive study conducted in the Department of Pathology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India, during February 2019 to August 2020 which included 128 cases. All biopsies, specimens and review blocks and slides of male genital tract tumours were processed and slides were stained with Haematoxylin and Eosin (H&E) stain. Serum tumour markers and immunohistochemical stains were used. The clinical information including symptoms related to the male genital system, histopathological findings and diagnosis were recorded on the predesigned proforma. Other necessary information was collected from the requisition form received along with the biopsy material. The association between categorical variables was explored using Pearson’s Chi-square test. A p-value <0.05 was considered statistically significant for this study. Results: The present study included 128 cases, of which the majority of the cases 82 cases (64%) were that of prostate, 28 cases (21.9%) of the penis, 15 cases (11.7%) of testes, two cases (1.6%) were that of the scrotum and one case (0.8%) was of the epididymis. The histopathological spectrum showed adenocarcinoma was present in 80 (62.5%), leiomyosarcoma in 01 (0.8%), lymphoma in 01 (0.8%), mixed germ cell tumour in 9 (7%), seminoma in 5 (3.9%), postpubertal teratoma in 1 (0.8%), basaloid in 1 (0.8%), papillary- basaloid in 2 (1.6%). Conclusion: Prostate tumours outnumbered all other tumours of the male genital tract with adenocarcinoma of prostate followed by squamous cell carcinoma of the penis and mixed Germ Cell Tumour (GCT) of testes. The present study provides updated information regarding the histopathological spectrum of male genital system tumours.


Retrovirology ◽  
2012 ◽  
Vol 9 (S2) ◽  
Author(s):  
AJ Olivier ◽  
L Roberts ◽  
D Coetzee ◽  
A Williamson ◽  
JS Passmore ◽  
...  

AIDS ◽  
1999 ◽  
Vol 13 (7) ◽  
pp. 859 ◽  
Author(s):  
Stephen Taylor ◽  
David J. Back ◽  
Judith Workman ◽  
Susan M. Drake ◽  
David J. White ◽  
...  

1991 ◽  
Vol 19 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Jean-Paul Trigaux ◽  
Bernard Van Beers ◽  
Francis Delchambre

2021 ◽  
pp. 217-218
Author(s):  
Skandhan KP ◽  
Chaitrali G ◽  
Prasad B.S

Aim: A study analysis supporting reports on a hypothesis. Background: The function of epididymis is considered as responsible for making a meaningful motionless state for spermatozoa assuring sperms do not escape from male genital tract by its motility. A hypothesis stated repeated ejaculation shall lead to increase sperm count and motility. Review results: Studies showed frequent ejaculations done by men and similar studies conducted in animals support this hypothesis. Conclusion: This method should be benecial to at least patients whose sperm count and motility is less. Clinical signicance: when hypothesis is proved, clinician may advice this patients with oligozoospermia, oligoasthenozoospermia to follow repeated ejaculation instead of storing semen for several days as advised currently


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