한국 남성 성생활의 법적 정년은?

김세철(Sae Chul Kim) 대한성학회 2020 대한성학회지 Vol.4 No.1

The prevalence of sexual dysfunction increases in older men due to aging and other medical diseases such as diabetes mellitus and hyperlipidemia. However, not all older men experience sexual dysfunction because the sexual life of each person is very diverse. Therefore, it needs to modify the legal retirement age of sex, reflecting the actual sexual life of older men. Thus, the author suggests a revised legal retirement age of sex Based on studies about sexual dysfunction in Korean men.

군에서의 임균성 비임균성뇨도염 환자에 대한 임상적 세균학적 연구

김세철 ( Sae Chul Kim ),김덕현 ( Duck Hyun Kim ),이영헌 ( Yung Heon Lee ),이학상 ( Hak Sang Lee ),김현주 ( Hyun Joo Kim ) 국군의무사령부 1978 대한군진의학학술지 Vol.9 No.1

수련중 평가시험성적 및 수련실태조서평점의 전문의시험성적과의 상관성

김세철(Sae Chul Kim),이무상(Moo Sang Lee),채수응(Soo Eung Chai) 한국의학교육학회 1994 Korean journal of medical education Vol.5 No.2

정관내 부목을 이용한 정관복원술 : Permanent Silicone Stent의 효용가치

김태형,김세철,Kim, Tae-Hyoung,Kim, Sae-Chul 대한생식의학회 1996 Clinical and Experimental Reproductive Medicine Vol.23 No.1

During a 2-year period microsurgical vasovasostomies using permanent silicone stent(c-shaped stent with 0.6mm slit, 5mm in length, 0.8mm in outer diameter, 0.5mm in inner diameter) were performed in 30 patients for vasectomy revesal. The stent-assisted vasovasostomy(SVV) was intended to decrease the technical demand, the time requirement and the occurrence of reobstruction due to postoperative stricture. The effectiveness of the permanent silicone stent for vasovasostomy was compared with that of microsurgical two-layered vasovasostomy(VV). Sperms were present in all the ejaculates of the 25 men on semen analysis 1-2 months after SVV. Pregnancy occurred in 10 of 22 couples(45.5%) during 2-24 months of follow-up and it took 4-10 months(average 7.2 months) to get pregnant. Average operation time for the VV was 150 minutes and that for the SVV 125 minutes. Among 12 men who had sperms in the ejaculates 1-2 months after SVV, 4 revealed azoospermia 3-17 months postoperatively. Among the 4 patients with postoperative azoospermia, 2 underwent reoperation. On histopathologic examination, previously anastomsed sites showed obliterated lumen of the stent and strictures of vas proximal and/or distal to the stents due to granulation tissues. In conclusion, the SVV was not more efficacious in terms of patency and pregnancy rate than the VV.

항정자항체 검출에 있어서 gelatin 정자응집검사법 및 정자부동화검사법의 비교관찰

소병억,김세철,Soh, Byoung-Uck,Kim, Sae-Chul 대한생식의학회 1985 Clinical and Experimental Reproductive Medicine Vol.12 No.1

Various immunoserologic and cellular immunity techniques have been used to explore the presence of antisperm antibodies in the serum and seminal plasma of male patients and in the blood and genital fluid of infertile women. Several recent comparative investigations using various assays to detect and quantitate levels of antibody to human spermatozoa have produced widely varying results. So the first WHO workshop on iso- and autonatibodies to human spermatozoa in 1974 tried to establish some unification in the techniques used. The purpose of this study is to compare the results of two methods-the Kibrick macro-agglutination test and the Isojima micro-immobilization test-using the same test materials based on recommandation from WHO workshop. The results are as follows: 1. Twenty normal controls showed negative reactions in all the 2 tests. Out of 25 patients, the positive sera were noted in 15 (60%) on the Kibrick test and 13 (51%) on the Isojima test. 2. Twelve (48%) out of 25 patients showed positive reactions in the two tests, and 16 (64%) out of 25 patients showed positive reaction in one or more tests. 3. The titers of the antisperm antibodies on the Kibrick test was higher than that on the Isojima test. Therefore, it seems to be possible to increase the chances of detection of the antisperm antibodies, if two tests are imployed.

pH와 삼투압 변화가 정자운동성에 미치는 영향

김현우,김세철,Kim, Hyun-Woo,Kim, Sae-Chul 대한생식의학회 1993 Clinical and Experimental Reproductive Medicine Vol.20 No.1

To maintain a good sperm motility is one of the key factors for the successful artificial insemination in retrograde ejaculation, and the sperm motility has been shown to be affected by various environmental factors, including change in pH and osmolarity. Herein we have analyzed the effect of change in pH and osmolarity in urine and normal saline on sperm motility by Sperm Quality Analyzer and Makler counting chamber. Semen, which sampled by masturbation from a 28 year old male and showed normal finding on semen analysis, was used for this study. The results were as follows: 1. When osmolarity was fixed to 300mOsm, pH did not show a definite effect on the sperm moility. However, the motility was generally a bit better in alkaline urine and saline than in acid, particularly than in pH 5.0. 2. When pH was fixed to 7.5, sperm motility was best in urine and saline of 300mOsm. Hyperosmolarity had more adverse.effect on the motility than hypoosmolarity. 3. The sperm motility was worse in the urine than in saline under the same pH and osmolarity. In conclusion, osmolarity has a definite effect on sperm motility, where as pH has relatively little effect. And certain components of urine other than pH and osmolarity might affect the sperm motility.

부고환 생검이 부고환의 폐색에 미치는 실험적 연구

김두천,김세철,Kim, Du-Cheun,Kim, Sae-Chul 대한생식의학회 1984 Clinical and Experimental Reproductive Medicine Vol.11 No.2

Epididymal biopsy has been performed without consideration of the possibility of epididymal ductal severance and obstruction which result in obstructive azoospermia. An attempt was made to study the effect of the epididymal biopsy on the obstruction of the epididymal ducts. Bilateral epididymal biopsies were done in 8 healthy rabbits (New Zealand White strain) weighing over 3 kg, and then ejaculated semens have been analyzed 5 times every other week from 1 month after biopsies. Microscopic examination of the biopsied epididymides was also done after the 5th semen analysis. The results were as follows. 1. Semen analysis: 6 out of 8 rabbits showed azoospermia from the 4th semen analysis and 2 cases showed normal number of the sperms in the 5th semen analysis. 2, Microscopic examination: 6 cases of azoospermia showed complete obstruction of the biopsied sites of the epididymides, and abscence of sperms in epididymal ducts distal to the biopsied sites of the epididymides. However, recanalization of the epididymal ducts was noted in 2 cases showing normal sperm count. Therefore, it is concluded that the epididymal biopsy should be avoided in patients who want to be fertile, because it may cause the epididymal severance and obstruction of the epididymal ducts.

최근 5년간 원발성 남성불임증 환자의 임상적 분석

김태형,김경도,김세철,Kim, Tae-Hyoung,Kim, Kyung-Do,Kim, Sae-Chul 대한생식의학회 1994 Clinical and Experimental Reproductive Medicine Vol.21 No.3

A clinical investigation was undertaken on primary male infertility patients of recent 5 years. The results obtained were as follow: 1. Suspective etiologic factors were: 1) testicular failure, 36.1 %; 2) varicocele, 18.7%; 3) endocrine abnormality, 13.5%; 4) obstruction, 13.5%; 5) idiopathic, 10.9%; 6) cryptorchidism, 2.6%; 7) necrospermia, 0.9%. 2. On semen analyses, azoospermia was found in 55.8%, single abnormal parameter in 21.5 %, and multiple/all abnormal parameter in 22.7% of the 163 cases. 3. For the evaluation of the sensitivity and specificity of noninvasive variables in predict in obstruction as the cause of azoospermia in patient who had undergone testicular biopsy, the testicular size and serum follicle-stimulating hormone(FSH) level revealed 100% of sensitivity. 4. Among the 43 patients with a testicular biopsy confirmed diagnosis there was a significant difference in testicular size, ejaculate volume(p<0.0001) and serum FSH(p<0.0001) between patients with testicular failure and those with ductal obstruction. 5. Of 93 treated patients with primary male infertility, 42 were managed by medical treatment including endocrine treament, retrograde ejaculation treatment, infection treatment and observation; 29 were managed by surgical treatment including varicocelectomy, vasovasostomy, vasoepididymostomy and TUR of ejaculatory duct; 20 were managed by sperm preparation treatment including artificial insemination(AI), electroejaculation plus AI and vibration ejaculation plus AI ; 2 were managed by microscopic epididymal sperm aspiration plus IVF, repectively. 6. 42 patients who could be followed-up, 21 patients(50%) impregnated their wives.

비폐쇄성 남성불임증환자의 고환용적과 고환기능

명순철,김인규,김세철,Myong, Sun-Chul,Kim, In-Gyu,Kim, Sae-Chul 대한생식의학회 1991 Clinical and Experimental Reproductive Medicine Vol.18 No.1

The testicular volume measured by a Prader orchidometer was compared with sperm count in semen, the levels of serum FSH, LH, testosterone, prolactin, estradiol and progesterone in 59 nonobstructive infertile men. 1. The causes of infertility were primary hypogonadisms in 50 patients (35 unknown, 9 Klinefelter syndromes, 6 varicocels) and secondary hypogonadism in 9 (5 isolated FSH deficiencies, 1 hyperprolactinerriia, 3 pituitary hypogonadisms). 2. Decreased levels of serum FSH (less than 4 mIU/ml) did not correlate with testis volume but increased level of serum FSH (more than 20 mIU/ml) were mostly noted in the testis less than 10ml. 3. Decreased level of serum testosterone (less than 3 ng/ml) were distinguishably noted in the atrophied testis less than 5 ml. 4. There was no correlation between the testicular volume and the levels of serum prolactin, estradiol, and progesterone. Coclusively, testicular volume less than 11 ml suggests poor spermatogenesis, but normal testicular volume dose not nessarily rule out poor spermatogenesis. Function of Leydig cell is relatively well preserved in atrophied testis of 5 to 10 ml comparing with that of seminiferous tubule.

혈청테스토스테론치가 감소된 발기부전증환자(저성선자극호르몬성 성선기능저하증 제외)에서 Testosterone cypionate의 치료효과

서경근,문영태,김세철,Seo, Kyeng-Keun,Moon, Young-Tae,Kim, Sae-Chul 대한생식의학회 1990 Clinical and Experimental Reproductive Medicine Vol.17 No.1

Clinical effects of intramuscular injection of 250mg testosterone cypionate every 2-3 weeks were investigated in 15 impotent patients with low or low normal serum testosterone level (Hypo-gonadotrophic hypogonadism was excluded). The results were obtained as follows. 1. Among 15 patients, 7(46.7%) showed markedly improved potency, 6(40%) partially improved potency and 2(13.7%) no improvement of potency. There was no correlation between effec-tiveness of testosterone replacement and age, testicular size, serum testosterone level or LH, FSH level. 2. Among 12 patients who had showed improved potency, 8(66.7%) complained of redeveloped decrease in potency during testosterone replacement. In conclusion, testosterone cypionate for treatment of the impotent patients with low or low normal serum testosterone level was effective, but further studies are necessary to investigate cause of redeveloped decrease in potency during testosterone replacement.