Journal List > Korean J Androl > v.29(3) > 1033085

Song, Kwon, Kim, and Moon: The Prevalence of Urologic Disease in Young Men Based on a Review of Korean Military Conscription Examination Results

Abstract

Purpose

We aimed to elucidate the prevalence of urologic disease in young men by reviewing the results of military conscription examinations in the Republic of Korea.

Materials and Methods

The results of 615,382 conscription examinations undertaken by the military manpower administration offices in Seoul, Korea from January, 2006 to December, 2007 were reviewed. The physical examinations were conducted based on the Ministry of National Defense implementing ordinance No. 590.

Results

Twenty eight hundred fifty-three (0.46%) examinees were found to have urologic diseases, among which urinary tract infection was the most frequent (0.16%) single disease entity, followed by testicular absence (0.12%), single kidney (0.05%), varicocele (0.04%), urolithiais (0.03%), and cryptorchidism (0.01%). Among the 16 examinees with penile amputation, 15 had been surgically amputated due to gender identity problems.

Conclusions

With modifications of the Korean conscription examination and longterm evaluation, its results could help elucidate the prevalence of urologic diseases in young males in Korea.

REFERENCES

1). Kark M, Rasmussen F. High systolic blood pressure increases the risk of obtaining a disability pension because of cardiovascular disease: a cohort study of 903 174 Swedish men. Eur J Cardiovasc Prev Rehabil. 2009; 16:597–602.
crossref
2). Karnehed NE, Rasmussen F, Hemmingsson T, Tynelius P. Obesity in young adulthood is related to social mobility among Swedish men. Obesity (Silver Spring). 2008; 16:654–8.
crossref
3). Osler M, Nordentoft M, Andersen AM. Childhood social environment and risk of drug and alcohol abuse in a cohort of Danish men born in 1953. Am J Epidemiol. 2006; 163:654–61.
crossref
4). Ku JH, Son HC, Hur JS, Kwak C, Kim SW, Paick JS, et al. Epidemiologic study about varicoceles of 19 year-old men in chung-nam province. Korean J Androl. 2002; 20:29–33.
5). Kim DH, Ku JH, Lee NK. Epidemiologic study about inguinal hernia and hydrocele performed in young men in daejeon city and chung-nam area. Korean J Urol. 2002; 43:781–5.
6). Park SW, Park HJ, Park NC. Prevalence and knowledge of premature ejaculation in the area of Busan. Korean J Androl. 2004; 22:19–23.
7). Lee SJ, Ha US, Kim SW, Cho YH, Yoon MS. Prevalence of chlamydial and gonococcal infections and sexual behavior in university students in Korea. Korean J Urol. 2004; 45:707–13.
8). Park HK, Park H, Cho SY, Bae J, Jeong SJ, Hong SK, et al. The prevalence of benign prostatic hyperplasia in elderly men in Korea: a community-based study. Korean J Urol. 2009; 50:843–7.
crossref
9). Jo MK, Kwak C, Park SK, Yoo KY, Kang DH, Kim HH, et al. Prevalence and epidemiological characteristics of urolithiasis for adults aged 40-79 in Seoul, Korea. Korean J Urol. 2000; 41:367–74.
10). Niedzielski J, Paduch D, Raczynski P. Assessment of adolescent varicocele. Pediatr Surg Int. 1997; 12:410–3.
crossref
11). Wenzler DL, Bloom DA, Park JM. What is the rate of spontaneous testicular descent in infants with cryptorchidism? J Urol. 2004; 171:849–51.
crossref
12). Kumanov P, Robeva RN, Tomova A. Adolescent varicocele: who is at risk? Pediatrics. 2008; 121:e53–7.
crossref
13). Nussinovitch M, Greenbaum E, Amir J, Volovitz B. Prevalence of adolescent varicocele. Arch Pediatr Adolesc Med. 2001; 155:855–6.
crossref
14). Marmar JL, Kim Y. Subinguinal microsurgical varicocelectomy: a technical critique and statistical analysis of semen and pregnancy data. J Urol. 1994; 152:1127–32.
crossref
15). Yeniyol CO, Tuna A, Yener H, Zeyrek N, Tilki A. High ligation to treat pain in varicocele. Int Urol Nephrol. 2003; 35:65–8.

Table 1.
Prevalence of urologic disease among 615,382 examinees
Disease No. of patients (%)
Urinary tract infection 967 (0.1571%)
Testicular absence 723 (0.1175%)
 Unilateral 678 (0.0102%)
 Bilateral 45 (0.0073%)
Single kidney 282 (0.0458%)
Varicocele 253 (0.0411%)
Urolithiasis 161 (0.0262%)
Cryptorchidism 80 (0.0130%)
 Unilateral 75 (0.0122%)
 Bilateral 5 (0.0008%)
Malignant tumor 67 (0.0109%)
Obstructive uropathy 55 (0.0089%)
Nutcracker 42 (0.0068%)
Hypospadias 27 (0.0044%)
 Glanular 13 (0.0021%)
 Scrotal 14 (0.0023%)
Neurogenic bladder 26 (0.0042%)
Benign tumor 24 (0.0039%)
Urethral stricture 21 (0.0034%)
Azoospermia 20 (0.0033%)
Simple renal cyst 20 (0.0033%)
Penile amputation 16 (0.0026%)
Hydrocele 14 (0.0023%)
VUR 13 (0.0021%)
Urinary Tbc 8 (0.0013%)
Non-specific gross hematuria 8 (0.0013%)
Horseshoe kidney 8 (0.0013%)
Nephrotopsis 6 (0.00098%)
Duplicated ureter 6 (0.00098%)
Renal transplant recipient 3 (0.00049%)
Sponge kidney 1 (0.00016%)
Organic erectile dysfunction 1 (0.00016%)
Permanent urinary diversion 1 (0.00016%)
Table 2.
Classification of urologic disease among 2,853 men who have urologic disease
Disease categories Name of disease No.of patients Rate (%)
Pediatric & congenital disease Testicular absence 723 44.06
Single kidney 282
Cryptorchidism 80
Obstructive uropathy 55
Nutcracker syndrome 42
Hypospadias 27
Hydrocele 14
VUR 13
Horseshoe kidney 8
Nephrotopsis 6
Duplicated ureter 6
Sponge kidney 1
Infection Urinary tract infection 967 34.18
Urinary Tbc 8
Infertility & sexual dysfunction Varicocele 253 10.17
Azoospermia 20
Penile amputation 16
Organic erectile dysfunction 1
Stone disease Urolithiasis 161 5.64
Oncology Malignant tumor 67 3.98
Benign tumor 24
Simple renal cyst 20
Voiding dysfunction Neurogenic bladder 26 0.91
Others Urethral stricture 21 1.16
Non-specific gross hematuria 8
Renal transplant recipient 3
Permanent urinary diversion 1
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