攝護腺炎是臨床上常見的男性泌尿系統疾病,好發於成年男性,青春期前極少發生,盛行率約5-8%。年紀大的男性常會因攝護腺肥大而有頻尿、夜尿、小便不順等症狀;而攝護腺炎卻偏好年輕、中年男仕,尤其慢性攝護腺炎症狀反覆不易治癒,令人不勝其擾。長久下來病人就會變得焦慮、失眠、倦怠,進而影響到工作。 …

作者: 許耕榕 謝政興

火鳥傳奇 — 談電刀的誘惑 

往墾丁國家公園的屏鵝公路上,除了沿岸的旖旎風光,另外讓人印象深刻的就是路邊斷續出現的野味串燒 – 烤伯勞鳥。雖然伯勞鳥是保育類動物,但許多民眾為了養家糊口,也只好潦落去,在汗水(不用加鹽巴)、醬料、爐火的烘烤下,出現一隻隻晶瑩剔透、美味可口的烤小鳥(但偶爾失了一個神,就燒起來變成一隻火鳥);購買的民眾則虎視瞻瞻盯著小鳥看,挑剔這個部位烤的太焦、那個部位沒烤熟。在這攤販的小天地裏,顧客與老闆彷彿在共同創作一件完美的藝術品;令人感覺興味的不是那人的專注,卻是那鳥的苦悶。身體各部位的外科手術都會遇到流血或需要處理血管的情況,使用電刀、以電燒來切割或燒灼組織,是普遍且理所當然的原則。電燒使血管的組織燒焦、萎縮、凝結,以達到止血的效果;但是大的血管使用電燒較難止血,則用絲線綁紮,所以電燒在手術中的應用相當廣泛。但是小鳥生病需接受外科手術時,不管是破壞性的手術(如包皮環切手術治療包皮過長引起的包皮炎)、或重建性的手術(如陰莖彎曲矯正、陰莖靜脈截除手術治療陰莖靜脈滲漏導致的陽萎),應用電刀燒灼處理血管時,容易使小鳥得「內傷」,運氣不好的也會得「外傷」。此話從何說起?

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陰莖主要是由兩支陰莖海綿體、一支尿道海綿體(內含尿道)及位於前端的龜頭所構成。圍繞在兩支陰莖海綿體外面的是堅韌且富彈性的白膜;陰莖海綿體內並不是一個單純的大空腔,而是類似會吸水的海綿、由眾多蜂窩狀的小空腔(海綿竇)所構成,海綿竇的腔壁中有許多平滑肌細胞,陰莖未勃起時,海綿竇是塌塌扁扁的。正常的小鳥抬頭時,陰莖動脈擴張,海綿竇腔壁中的平滑肌放鬆造成海綿竇腔室擴張,大量血液經由陰莖動脈流入陰莖海綿體內的海綿竇腔室中,造成整個陰莖海綿體內充血(就如同海綿吸飽水般膨脹);此時白膜下的小靜脈被擠壓在海綿竇壁和白膜之間而被壓扁關閉,穿過白膜的釋出靜脈則完全被阻斷,讓血液不會流出陰莖海綿體,因而保持陰莖勃起;好比充氣後的輪胎,小鳥才有高踞枝頭的神氣。當小鳥要休息時,陰莖動脈收縮,海綿竇腔壁中的平滑肌細胞也收縮,陰莖海綿體內的血流減少;海綿竇中的血液經由與海綿竇連通的小靜脈(釋出靜脈),流經較大的陰莖靜脈,再回到體內循環系統,勃起就消退了(參考文獻1)

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陰莖海綿竇與陰莖靜脈的相關結構好比是一串葡萄中、葡萄(海綿竇)與葡萄枝(小靜脈)的關係。手術中電燒這類中等大小管腔的釋出靜脈,止血效果立竿見影,可惜電流將傳導到陰莖海綿體內鄰接的海綿竇,海綿竇腔壁中的平滑肌細胞將受傷或死亡,導致海綿體內局部的纖維化(結疤);這情形好似由葡萄串的梗部通高壓電,電流傳導到放射狀分布的各個葡萄,此時葡萄(海綿竇)已萎縮成葡萄乾,要勃起時,這部份的海綿竇腔室無法擴張,海綿體內充血不完全,理所當然,勃起功能頹廢得令人「恨鐵不成鋼」。因此,依使用電燒的強度及範圍,產生不同程度的內傷,勃起硬度可能由「微軟」變「疲軟」,甚至變成不折不扣的「倒爺」。同時,由於小鳥的體積不大,電燒也可能傷害到緊鄰的陰莖背動脈、神經或包皮組織,產生麻木感或包皮局部缺血壞死等外傷。另外,許多醫學文獻報告都指出,使用電燒時,局部組織遭到破壞,這塊燒焦的地方,對細菌的抵抗力下降,傷口較易發炎感染。小鳥面對內傷加外傷的困境,即使有傾國傾城的佳人,也只能獨悵然而涕下了。

人類陰莖生理上每分鐘2毫升的血流就夠用,但在性行為時可達30倍,亦即每分鐘60毫升的血流,所以不論任何手術,格外容易出血;陰莖靜脈數目多、既細小、又繁雜,在不使用電燒的前提下,如何止血呢?不妨先在實驗室老鼠身上熟練操作血管的顯微手術要領及技巧。

引起陽萎的一個關鍵因素就是陰莖靜脈滲漏,當血液經由陰莖動脈流入陰莖海綿體後,陰莖海綿體內充血,但無法壓迫住陰莖靜脈系統,血液很快流出陰莖海綿體,此時需手術將滲漏的陰莖靜脈截除或綁紮,手術過程中須仔細綁紮的靜脈端有76-125處之多(參考文獻2,3)。如果用電燒使陰莖靜脈組織燒焦、凝結,雖可讓海綿體內的血液不會由陰莖靜脈滲漏,大幅縮短手術時間;但陰莖海綿體也可能因電流傷害而導致海綿體纖維化,亦即電燒本身就是造就陽萎的因素,正所謂「收之桑隅(靜脈不滲漏),失之東隅(陰莖不勃起)」。

這種新見解在我們刊登於美國男性學醫學雜誌(Journal of Andrology)的論文中(參考文獻4),有特別的敘述。當然,小鳥手術有許多種,電燒並非不行,但應避免副作用,尤其陰莖海綿體對於電燒的敏感度高於全身其他器官,這個課題值得醫界共同深入探討。此時,腦際倏忽響起以前熟悉的一首歌「燃燒吧火鳥」,歌詞依稀是「如果你是一隻火鳥,我願是那一根火苗,把你燃燒,把你燃燒—」,心底不禁一陣哆嗦—-!!

(本文登載於93年6月24日聯合報)

參考文獻

  1. Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Wu CH, Fong TH, Chen SC, Tseng GF. Anatomy of the human penis: the relationship of the architecture between skeletal and smooth muscles (人類陰莖解剖構造:骨骼肌和平滑肌之間的結構關係)Journal of Andrology. 25:426-431, 2004.
  2. Hsu GL, Hsieh CH (謝政興), Wen HS, Chiang HS. Penile venous anatomy: application to surgery for erectile disturbance (陰莖靜脈解剖構造:在勃起功能障礙手術中的應用)Asian Journal of Andrology. 4(1):61-66, 2002.
  3. Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Chen SC, Mok MS. Penile venous anatomy: an additional description and its clinical implication (陰莖靜脈解剖構造:附加描述及其臨床意涵)Journal of Andrology. 24(6):921-927, 2003.
  4. Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Chen YC, Chen RM, Chen SC, Hsieh JT. The effect of electrocoagulation on the sinusoids in the human penis (電燒對於人類陰莖海綿體的影響)Journal of Andrology. 25(6):954-9, 2004.

凡是長形、會膨脹、具穿透力的物體,都可能被認為是男性性器官(小弟弟)的表徵,例如石柱、樹幹、鰻魚、加農砲等,常被用來比喻甚至當成祟拜的對象。許多人恨鐵不成鋼,幻想著自己的小弟弟也能有如此這般的偉大堅挺,於是求助許多方法,包括推拿、坐禪、吐納等,甚至折磨小弟弟的”九九神功”,在陰莖上吊掛重物,希望把小弟弟快點「拉拔長大」、有「凍久」的效果 …

為頹廢的鳥族伸冤 — 揭開人類陰莖結構的神秘面紗

“我愛鳥。”

國學大師梁實秋先生在其所撰”鳥”一文中,第一段只有鏗鏘有力簡短的三個字,曾對鳥的靈巧、慧黠有生動傳神的描述,令人對造物者巧奪天工的設計,讚嘆不已。人體上的鳥東西與飛在枝頭的小鳥雖不能相提並論,但是在結構上更別出心裁,作另類的設計,不僅是身體排泄尿液的洩洪道,也是傳宗接代的必經途徑。因此,世上飲食男女都會對梁實秋先生的”我愛鳥”另有一番會心的體悟吧,”世界上的生物,沒有比鳥更俊俏的”。但是光只愛惜它是不夠的,還要了解它的解剖構造及生理機能,天有不測風雲,萬一小鳥生病才知如何從”根”救起。

『我的手是上天賜予的,祂要經過我的手治療你的病,祂要治好你幾分就會治好你幾分;上天的決定是什麼,我也不知道。讓我們一起祈禱吧!』,有位醫師在手術前這樣告訴病患。帶著些許揶揄卻也顯露出真誠,正說明人類對於疾病的挑戰,能力尚有許多不足之處,因此對於疾病的治療,需常滿懷敬畏之心。

泌尿醫學近年拜高科技醫療設備的創新與發展有長足的進步,但大眾對於〝下半身的醫學〞仍有諸多隱諱與誤解,因此我們建構這個專業的泌尿醫學網站,嘗試以現代醫學的觀點來闡釋可能發生在我們生活周遭人群的相關疾病;藉由清楚的疾病分類讓需要的人輕易的找到所需資訊。當然,一個優良的網站並非一蹴可幾,須顧及專業但不詰屈聱牙,深入卻又淺顯易懂,尤其秉持寧缺勿濫的最高精神,務必使內容充實精確,………,真的不容易!

最後只能說:『我的能力是上天賜予的,祂要經過我的網站傳播泌尿醫學資訊,祂要讓人了解幾分就會讓人了解幾分;上天的決定是什麼,我也不知道。讓我們一起祈禱吧!』

10.Hsu GL, Wen HS, Hsieh CH (謝政興), Liu LJ, Chen YC. Traumatic glans deformity: reconstruction of distal ligamentous structure (外傷性龜頭畸形:重建遠端韌帶結構). Journal of Urology. 166:1390, 2001.

11.Hsu GL, Wen HS, Hsieh CH (謝政興), Chen YC, Liu LJ, Chiang HS. Disturbance of erection-related veins in the human penis (人類陰莖勃起相關靜脈的分佈). New Taipei Journal of Medicine. 3:245-252, 2001.

12.Yang SSD, Hsieh CH (謝政興), Chen YT, Chen SC. Normal size of the urethral meatus in uncircumcised boys (未割包皮男孩尿道口徑的正常大小). Journal of the Urological Association ROC. 12:20-23, 2001.

13.Yang SS, Chen SC, Hsieh CH (謝政興), Chen YT. Reoperative Snodgrass procedure (Snodgrass再次手術方法). Journal of Urology. 166(6):2342-2345, 2001.

14.Wong WY, Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC. Experience with managing renal trauma (腎臟外傷處理經驗). Journal of the Urological Association ROC. 12:171-175, 2001.

15.Liao CH, Chen YT, Hsieh CH (謝政興), Yang SSD, Wang CC, Tsai SS. Multiple-session percutaneous sclerotherapy with alcohol is a safe and effective treatment for symptomatic simple renal cysts (多療程經皮酒精硬化療法對於有症狀的單純性腎囊腫是一種安全有效的治療方式). Journal of the Urological Association ROC. 13:103-107, 2002.

16.Chen SC, Yang SS, Hsieh CH (謝政興), Wang CC, Chen YT. One-stage correction of proximal hypospadias and penoscrotal transposition (單一階段手術矯正近端尿道下裂合併陰莖陰囊轉位). Journal of the Formosan Medical Association. 101(1):48-51, 2002.

17.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Liu LJ, Kang TJ, Yang SD, Chiang HS. Penile enhancement: an outpatient technique (陰莖增大:門診手術技巧). European Journal of Medical Sexology. 11(39):6-10, 2002.

18.Hsu GL, Hsieh CH (謝政興), Wen HS, Chiang HS. Penile venous anatomy: application to surgery for erectile disturbance (陰莖靜脈解剖構造:在勃起功能障礙手術中的應用). Asian Journal of Andrology. 4(1):61-66, 2002.

19.Hsu GL, Hsieh CH (謝政興), Wen HS. Curvature correction in patients with tunical rupture: a necessary adjunct to repair (陰莖白膜破裂患者的彎曲矯正:修補破裂的必要輔助方法). Journal of Urology. 167:1381-1383, 2002.

20.Chen YT, Chen J, Wong WY, Yang SS, Hsieh CH (謝政興), Wang CC. Is ureteral stenting necessary after uncomplicated ureteroscopic lithotripsy? A prospective, randomized controlled trial (非複雜性輸尿管鏡碎石手術後是否需要置入輸尿管導管?一項前瞻性隨機對照試驗). Journal of Urology. 167(5):1977-1980, 2002.

21.Yang SS, Wang CC, Hsieh CH (謝政興), Chen YT. Alpha1-adrenergic blockers in young men with primary bladder neck obstruction (使用α1-腎上腺素阻斷劑治療原發性膀胱頸阻塞的年輕男性). Journal of Urology. 168(2):571-574, 2002.

22.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsieh JT, Chiang HS. Outpatient surgery for penile venous patch with the patient under local anesthesia (局部麻醉門診手術:陰莖靜脈皮瓣補綴手術矯正陰莖彎曲). Journal of Andrology. 24(1):35-39, 2003.

23.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Chen SC, Mok MS. Penile venous anatomy: an additional description and its clinical implication (陰莖靜脈解剖構造:附加描述及其臨床意涵). Journal of Andrology. 24(6):921-927, 2003.

24.Chen YT, Yang SS, Hsieh CH (謝政興), Wang CC. Hand port-site metastasis of renal-cell carcinoma following hand-assisted laparoscopic radical nephrectomy: case report (手輔式腹腔鏡根治性腎臟切除術後腎細胞癌的手部端口轉移:病例報告). Journal of Endourology. 17(9):771-775, 2003.

25.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Wu CH, Fong TH, Chen SC, Tseng GF. Anatomy of the human penis: the relationship of the architecture between skeletal and smooth muscles (人類陰莖解剖構造:骨骼肌和平滑肌之間的結構關係). Journal of Andrology. 25:426-431, 2004.

26.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC, Chen YC, Liu LJ, Mok MS, Wu CH. Outpatient penile implantation with the patient under a novel method of crural block (以新的陰莖腳局部麻醉方法施行陰莖植入門診手術). International Journal of Andrology. 27:147-151, 2004.

27.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Chen YC, Chen RM, Chen SC, Hsieh JT. The effect of electrocoagulation on the sinusoids in the human penis (電燒對於人類陰莖海綿體的影響). Journal of Andrology. 25(6):954-959, 2004.

28.Chen SC, Hsieh CH (謝政興), Hsu GL, Wang CJ, Wen HS, Ling PY, Huang HM, Tseng GF. The progression of the penile vein: could it be recurrent (陰莖靜脈的進展:陰莖靜脈是否會復發)? Journal of Andrology. 26(1):53-60, 2005.

29.Hsieh CH (謝政興), Wang CJ, Hsu GL, Chen SC, Ling PY, Wang T, Fong TH, Tseng GF. Penile veins play a pivotal role in erection: the hemodynamic evidence (陰莖靜脈在勃起中扮演關鍵角色:血液動力學上的證據). International Journal of Andrology. 28(2):88-92, 2005.

30.Hsu GL, Lin CW, Hsieh CH (謝政興), Hsieh JT, Chen SC, Kuo TF, Ling PY, Huang HM, Wang CJ, Tseng GF. Distal ligament in human glans: a comparative study of penile architecture (人類龜頭遠端韌帶:一項比較研究陰莖結構). Journal of Andrology. 26(5):624-28, 2005.

31.Wen HS, Hsieh CH (謝政興), Hsu GL, Kao YC, Ling PY, Huang HM, Wang CJ, Einhorn EF. The synergism of penile venous surgery and oral sildenafil in treating patients with erectile dysfunction (陰莖靜脈截除手術與口服威而剛治療勃起功能障礙的協同作用). International Journal of Andrology. 28(5):297-303, 2005.

32.Hsu GL, Ling PY, Hsieh CH (謝政興), Wang CJ, Chen CW, Wen HS, Huang HM, Einhorn EF, Tseng GF. Outpatient varicocelectomy performed under local anesthesia (局部麻醉門診手術:精索靜脈曲張截除手術). Asian Journal of Andrology. 7(4):439-444, 2005.

47.Hsu GL, Hsieh CH (謝政興), Wen HS. Erection related venous distribution in human penis. Annual Meeting of the Association of Andrology, ROC, 2001.

48.Hsu GL, Hsieh CH (謝政興), Wen HS. Reconstruction for traumatic glans deformity: a case report. Annual Meeting of the Association of Andrology, ROC, 2001.

49.Tsai YC, Chen YT, Hsieh CH (謝政興), Yang SSD. Transurethral resection of prostate in male older than 85 years. Annual Meeting of the Association of Andrology, ROC, 2001.

50.Huang JHE, Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC. Experience of managing large impacted upper ureteral stones by ureteroscopy. Annual Meeting of the Surgical Association, ROC, 2001.

51.Wang CC, Yang SSD, Chen YT, Hsieh CH (謝政興). Female bladder outlet obstruction: ECK hospital experiences. Annual Meeting of the Surgical Association, ROC, 2001.

52.Wang CC, Yang SSD, Hsieh CH (謝政興), Chen YT. Low maximum flow rate in men less than 50 years old. Annual Meeting of the Surgical Association, ROC, 2001.

53.Wang CC, Hsieh CH (謝政興), Chen YT, Yang SSD. The volume of the prostate measured by 2-D and 3-D transrectal ultrasonography. Annual Meeting of the Surgical Association, ROC, 2001.

54.Huang JHE, Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC, Chen J. Is ureteral stenting necessary in uncomplicated ureteroscopic lithotripsy ? Annual Meeting of the American Urological Association, Aneiham, CA, 2001.

55.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen YC, Liu LJ. Penile enhancement: an outpatient technique. The 15th World Congress of Sexology, Paris, France, 2001.

56.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen YC, Liu LJ. Erection related venous distribution in human penis. The 15th World Congress of Sexology, Paris, France, 2001.

57.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen YC, Liu LJ, Kang TJ. Penile enhancement: an outpatient technique. Annual Meeting of the Urological Association, ROC, 2001.

58.Wen HS, Hsu GL, Hsieh CH (謝政興), Chen YC, Liu LJ, Kang TJ. Erection related venous distribution in human penis. Annual Meeting of the Urological Association, ROC, 2001.

59.Chen YT, Wang CC, Hsieh CH (謝政興), Yang SSD. Management of renal trauma with vicryl mesh repair and nephrectomy. Annual Meeting of the Urological Association, ROC, 2001.

60.Tsai SS, Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC. The treatment of renal cyst – our three year experience. Annual Meeting of the Urological Association, ROC, 2001.

61.Chen YT, Wang CC, Hsieh CH (謝政興), Yang SSD. Application of flexible ureterorenoscopy for upper urinary tract problems. Annual Meeting of the Urological Association, ROC, 2001.

62.Wu CC, Yang SSD, Wang CC, Hsieh CH (謝政興), Chen YT. Comparison of two steroid hormone in treating boys with phimosis: a randomized prospective study. Annual Meeting of the Urological Association, ROC, 2001.

63.Chen YT, Yang SSD, Wang CC, Hsieh CH (謝政興). Laparoscopic radical cystoprostatectomy-initial experience. Annual Meeting of the Urological Association, ROC, 2001.

64.Chen YT, Lin CH, Wang CC, Hsieh CH (謝政興), Yang SSD. Femoral nerve neuropathy after retropubic radical prostatectomy: a case report. Annual Meeting of the Urological Association, ROC, 2001.

65.Yang SSD, Tsai YC, Chen SC, Chen YT, Hsieh CH (謝政興), Wang CC. The efficacy and safety of alpha-1 blockers in the treatment of enuresis associated with low peak flow rate. Annual Meeting of the Urological Association, ROC, 2001.

66.Wang CC, Yang SSD, Chen YT, Hsieh CH (謝政興). Management of bladder neck dysfunction. Annual Meeting of the Urological Association, ROC, 2001.

67.Yang SSD, Liao CH, Chen YT, Hsieh CH (謝政興), Wang CC. Biofeedback relaxation (BFR) for patients with pelvic floor overactivity (PFO): preliminary experience in En-Chu-Kong hospital. Annual Meeting of the Urological Association, ROC, 2001.

68.Chen YT, Yang SSD, Wang CC, Hsieh CH (謝政興). Is ureteral stenting necessary after uncomplicated ureteroscopic lithotripsy:a prospective randomized controlled trial. Annual Meeting of the Urological Association, ROC, 2001.

69.Hsieh CH (謝政興), Tsai YC, Chen YT, Wang CC, Yang SSD. PCN-L for calyceal diverticular stone under ultrasonographic guidance with patients in modified supine position. Annual Meeting of the Urological Association, ROC, 2001.

70.Wu CC, Chen YT, Hsieh CH (謝政興), Wang CC, Yang SSD. Management of bladder calculi:clinical experience in En-Chu-Kong hospital. Annual Meeting of the Urological Association, ROC, 2001.

71.Wong MY, Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC. Management large impacted upper ureteral stones by ureteroscopy. Annual Meeting of the Urological Association, ROC, 2001.

72.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen YC, Liu LJ, Kang TJ. Penile enhancement for implant patients: outpatient vein-ligated technique. The 8th Biennial Asia Pacific Meeting on Impotence, APSIR, Phuket, Thailand, 2001.

73.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Liu LJ, Kang TJ. Erection related venous distribution in human penis. The 8th Biennial Asia Pacific Meeting on Impotence, APSIR, Phuket, Thailand, 2001.

74.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Liu LJ, Kang TJ. The necessity of curvature correction in patients with tunical rupture. The 8th Biennial Asia Pacific Meeting on Impotence, APSIR, Phuket, Thailand, 2001.

75.Chen YT, Yang SSD, Wang CC, Hsieh CH (謝政興). Laparoscopic radical cystoprostatectomy-initial experience. Annual Meeting of the Urological Association, ROC, 2001.

76.Chen YT, Yang SSD, Wang CC, Hsieh CH (謝政興). Laparoscopic radical cystotectomy and radical prostatectomy. The 3th Symposium of the Minimally Invasive Surgery, Taiwan, 2001.

77.Chen YT, Wong WY, Yang SSD, Hsieh CH (謝政興), Wang CC. Is ureteral stentng necessary after uncomplicated ureteroscopic lithotripsy-a prospective randomized controlled trial. The 17th Basic Research Symposium and the 19th World Congress on Endourology and SWL. Bangkok, Thailand, 2001.

78.Chen YT, Yang SSD, Hsieh CH (謝政興), Wong WY. Management of large upper ureteral stones by ureteroscopic electrohydraulict lithotripsy. The 17th Basic Research Symposium and the 19th World Congress on Endourology and SWL. Bangkok, Thailand, 2001.

79.Chen YT, Yang SSD, Hsieh CH (謝政興), Wang CC. Simultaneous antegrade and reterograde endoscopic management of ureteral stricture. The 17th Basic Research Symposium and the 19th World Congress on Endourology and SWL. Bangkok, Thailand, 2001.

80.Chen YT, Chunghsin Y, Hsieh CH (謝政興), Yang SSD, Guangdar J. Management of ureteric calculi during pregnancy by ureteroscopy and electrohydraulic lithotripsy. The 17th Basic Research Symposium and the 19th World Congress on Endourology and SWL. Bangkok, Thailand, 2001.

81.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen JS, Kang TJ, Chiang HS. Outpatient surgery of penile implant with the patient under local anesthesia. The 17th General Scientific Meeting of the Association of Andrology, ROC, P49, Taipei, 2002.

82.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen JS, Kang TJ, Chiang HS. Penile anatomy: implication for erectile surgery. The 17th General Scientific Meeting of the Association of Andrology, ROC, P50, 2002.

83.Chen JS, Hsu GL, Hsieh CH (謝政興), Wen HS, Kang TJ, Chiang HS. Sildenafil in patient with poor responsiveness to penile venous stripping surgery. The 17th General Scientific Meeting of the Association of Andrology, ROC, P57, 2002.

84.Hsieh CH (謝政興), Hsu GL, Wen HS, Kang TJ, Chen JS, Chiang HS. Outpatient surgery for penile venous patch with the patient under local anesthesia. The 24th Congress of the Urological Association, ROC, F7, 2002.

85.Hsu GL, Hsieh CH (謝政興), Wen HS, Kang TJ, Chen JS, Chiang HS. Penile venous surgery: shall it be abandoned? The 24th Congress of the Urological Association, ROC, F6, 2002.

86.Hsu GL, Hsieh CH (謝政興), Wen HS, Kang TJ, Chen JS, Chiang HS. Penile venous anatomy: application for erectile surgery. International Journal of Impotence Research. 14(Suppl 3), S112, Montreal, Canada, 2002.

87.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen JS, Kang TJ, Chiang HS. Outpatient surgery of penile implant with the patient under local anesthesia. International Journal of Impotence Research. 14(Suppl 3), S34, Montreal, Canada, 2002.

88.Hsu GL, Hsieh CH (謝政興), Wen HS, Kang TJ, Chen JS, Chiang HS. The evolution of the penile vein: could it be recurrent? International Journal of Impotence Research. 14(Suppl 3), S115, Montreal, Canada, 2002.

89.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC, Tsai TC. The evolution of the penile vein: could it be recurrent? XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P351, 2002.

90.Hsu GL, Chen SC, Hsieh CH (謝政興), Wen HS, Tsai TC. Penile venous surgery: shall it be abandoned? XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P351, 2002.

91.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsieh JT, Chiang HS. Outpatient surgery for penile venous patch with the patient under local anesthesia. XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P352, 2002.

92.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Chiu SY, Tsai SS. A guidline to the quantity of grafting for penile curvature cirrection. XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P352, 2002.

93.Hsu GL, Hsieh CH (謝政興), Wen HS, Chiu SY, Chen RM. The effect of electrocoagulation on the sinusoids of the human penis. XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P353, 2002.

94.Hsu GL, Hsieh CH (謝政興), Wen HS, Kang TJ, Tsai TC. Outpatient surgery of penile implant with the patient under local anesthesia. XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P353, 2002.

95.Hsu GL, Wen HS, Chen CW, Hsieh CH (謝政興), Tsai TC. Enhancement of oral sildenafil to penile venous surgery. XXXIII World Congress of the International College of Surgeons in conjunction with 2002 Annual Meeting of ICS, Taiwan section, P354, 2002.

96.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen SC, Tsai TC. Penile venous surgery for impotence: shall it be abandoned? The 19th General Scientific Meeting of the Taiwanese Association of Andrology, P58, 2003.

97.Hsieh CH (謝政興), Hsu GL, Wen HS, Chen SC, Tsai TC. Penile venous surgery for impotence: shall it be abandoned? 海峽兩岸男性老化研討會. E7, Taipei, Taiwan, 2003.

98.Hsieh CH (謝政興), Hsu GL, Wen HS, Hsu WL, Chiu, Chen RM. The effect of electrocoagulation on the sinusoids in the human penis. The 2nd Asian ISSAM Meeting on the Aging Male, P2-06, Taipei, Taiwan, 2003.

99.Hsu GL, Hsieh CH (謝政興), Wen HS, Hsu WL, Chiu SY, Chen SC. A guideline to the quantity of grafting for penile curvature correction. The 2nd Asian ISSAM Meeting on the Aging Male, P2-07, Taipei, Taiwan, 2003.

100.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC, Tsai TC. The evolution of the penile vein: could it be recurrent? The 18th Congress of the Taiwan Surgical Association, ROC, Abstract book, P156, 2003.

101.Hsieh CH (謝政興), Hsu GL, Wen HS, Chiu SY, Chen RM. The effect of electrocoagulation on the sinusoids in the human penis. The 18th Congress of the Taiwan Surgical Association, ROC, Abstract book, P197, 2003.

102.Chen YC, Hsu GL, Hsieh CH (謝政興), Wen HS, Lin MY, Chen SC. Penile venous surgery for impotence: should it be abandoned? The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P82, 2004.

103.Hsieh CH (謝政興), Hsu GL, Wen HS, Lin MY, Chen YC, Chen SC. Progression of the penile vein: could it be recurrent? The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P83, 2004.

104.Hsieh CH (謝政興), Hsu GL, Wen HS, Lin MY, Chen YC, Chen SC. The evolution of mammals’ penis: an anatomical evidence. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P57, 2004.

105.Hsu GL, Hsieh CH (謝政興), Wen HS, Lin MY, Chen YC, Chen SC. Anatomy of the human penis: the relationship of the architecture between skeletal and smooth muscles. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P56, 2004.

106.Lin MY, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Chen SC. Testicular ptosis: a new recognition and its management. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P76, 2004.

107.Lin MY, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Chen SC. The electrocoagulation effect on penile sinusoids. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P53, 2004.

108.Wen HS, Hsu GL, Hsieh CH (謝政興), Lin MY, Chen YC, Chen SC. Guidelines for determining the amount of grafting required for correction of penile curvature. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P52, 2004.

109.Wen HS, Hsu GL, Hsieh CH (謝政興), Lin MY, Chen YC, Chen SC. Outpatient penile implantation with the patient under a novel method of crural block. The 21st General Scientific Meeting of the Taiwanese Association of Andrology, P81, 2004.

110.Hsieh CH (謝政興), Wen HS, Hsu GL, Chen SC, Liu LJ, Chen YC. Testicular ptosis: a new recognition and its management. The 19th Congress of the Taiwan Surgical Association, ROC, Abstract book, P193, 2004.

111.Hsieh CH (謝政興), Wen HS, Hsu GL, Chen SC, Chen YC, Liu LJ. Anatomy of glans penis: a comparative study. The 19th Congress of the Taiwan Surgical Association, ROC, Abstract book, P164, 2004.

112.Hsieh CH (謝政興), Lee WC, Lee CL, Hsu WH. Giant bladder diverticulum. The 19th Congress of the Taiwan Surgical Association, ROC, Abstract book, P195, 2004.

113.Hsieh CH (謝政興), Hsu GL, Wen HS, Lin MY, Chen SC. Progression of the penile vein: could it be recurrent? The 29th Annual Meeting of American Society of Andrology, Abstract book, P60, Baltimore, 2004.

114.Hsieh CH (謝政興), Hsu GL, Wen HS, Lin MY, Chen YC, Chen SC. Anatomy of glans penis: a comparative study. The 29th Annual Meeting of American Society of Andrology, Abstract book, P94, Baltimore, 2004.

115.Hsu GL, Hsieh CH (謝政興), Wen HS, Lin MY, Fong TH. Anatomy of the human penis: the relationship of the architecture between skeletal and smooth muscles. The 29th Annual Meeting of American Society of Andrology, Abstract book, P60, Baltimore, 2004.

116.Hsu GL, Hsieh CH (謝政興), Wen HS, Lin MY, Chen SC. Penile venous surgery for impotence: should it be abandoned? The 29th Annual Meeting of American Society of Andrology, Abstract book, P95, Baltimore, 2004.

117.Lin MY, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC. Testicular ptosis: a new recognition and its management. The 29th Annual Meeting of American Society of Andrology. Abstract book, P56, Baltimore, 2004.

118.Lin MY, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC. The electrocoagulation effect on penile sinusoids. The 29th Annual Meeting of American Society of Andrology, Abstract book, P57, Baltimore, 2004.

119.Wen HS, Hsu GL, Hsieh CH (謝政興), Lin MY, Chen SC. Guidelines for determining the amount of grafting required for correction of penile curvature. The 29th Annual Meeting of American Society of Andrology, Abstract book, P60, Baltimore, 2004.

120.Wen HS, Hsu GL, Hsieh CH (謝政興), Lin MY, Chen SC. Outpatient penile implantation with the patient under a novel method of crural block. The 29th Annual Meeting of American Society of Andrology, Abstract book, P95, Baltimore, 2004.

121.Hsu GL, Hsieh CH (謝政興), Wen HS, Lin MY, Wang T, Fong TH, Tseng GF. Penile veins play a pivotal role in erection: the hemodynamic evidence. The 26th Congress of the Urological Association, ROC, B5, 2004.

122.Hsieh CH (謝政興), Lin CW, Hsu GL, Chen SC, Huang HM, Tseng GF. Evolution of the mammalian penis: the anatomical evidence. The 26th Congress of the Urological Association, ROC, B4, 2004.

123.Lin MY, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC, Wu CH. Penile venous surgery for impotence: should it be abandoned? The 26th Congress of the Urological Association, ROC, B6, 2004.

124.Wen HS, Hsu GL, Hsieh CH (謝政興), Chen SC, Chen YC, Huang HM, Tseng GF. Guidelines for determining the amount of grafting required for correction of penile curvature. The 26th Congress of the Urological Association, ROC, P1, 2004. (Best Poster Award)

125.Hsu GL, Chen YC,Hsieh CH (謝政興), Wen HS, Chen RM, Chen SC. The effect of electrocoagulation on the sinusoids in the human penis. International Journal of Andrology. 11(Suppl):A56, The 7th Asian Congress of Urology, Hong Kong, 2004.

126.Hsu GL, Hsieh CH (謝政興), Lin CW, Chen YC, Tseng GF. The distal ligament is an essential structure in the human penis: a comparatively anatomical study of mammalian penises. International Journal of Andrology. 11(Suppl):A55, The 7th Asian Congress of Urology, Hong Kong, 2004.

127.Hsu GL, Hsieh CH (謝政興), Chen YC, Chen SC, Wen HS, TsengGF. The destiny of the penile vein: could it be recurrent? International Journal of Andrology. 11(Suppl):A57, The 7th Asian Congress of Urology, Hong Kong, 2004.

128.Hsu GL, Hsieh CH (謝政興), Wen HS, Chen YC, Wang T, Tseng GF. Penile veins play a pivotal role in erection: the hemodynamic evidence. International Journal of Andrology. 11(Suppl):A57, The 7th Asian Congress of Urology, Hong Kong, 2004.

129.Hsu GL, Hsieh CH (謝政興), Chen YC, Chen SC, Wen HS, Tseng GF. Penile venous surgery: shall it be abandoned? International Journal of Andrology. 11(Suppl):A23, The 7th Asian Congress of Urology, Hong Kong, 2004.

130.Chen YC, Hsu GL, Hsieh CH (謝政興), Chen SC, Wen HS, Tseng GF. Guidelines for venous patch for penile curvature correction. International Journal of Andrology. 11(Suppl):A57, The 7th Asian Congress of Urology, Hong Kong, 2004.

131.Chen YC, Hsu GL, Hsieh CH (謝政興), Wen HS, Chen SC, Tseng GF. Oral sildenafil plus penile venous surgery: a good option for medical intractable impotence. International Journal of Andrology. 11(Suppl):A23, The 7th Asian Congress of Urology, Hong Kong, 2004.

132.Hsu GL, Hsieh CH (謝政興), Wen HS, Ling PY, Chi LJ. Insufficient response to venous surgery: is penile vein recurrent or residual? The 23rd General Scientific Meeting of the Taiwanese Association of Andrology, P60, 2005.

133.Hsieh CH (謝政興), Hsu GL, Wen HS, Ling PY, Chi LJ. Is ballooning formation a necessary complication of tunical repair? The 23rd General Scientific Meeting of the Taiwanese Association of Andrology, P59, 2005.

134.Wen HS, Hsu GL, Hsieh CH (謝政興), Ling PY, Chi LJ. Venous surgery has a role in treating patients with erectile dysfunction: clinical evidence of synergic effect with sildenafil. The 23rd General Scientific Meeting of the Taiwanese Association of Andrology, P61, 2005.

135.Hsieh CH (謝政興), Hsu GL, Wen HS, Ling PY, Chi LJ. Can pure local anesthesia for outpatient penile surgeries be strictly followed? The 23rd General Scientific Meeting of the Taiwanese Association of Andrology, P77, 2005.

136.Hsieh CH (謝政興), Hsu GL, Wen HS, Ling PY, Chi LJ. Insufficient response to venous surgery: is penile vein recurrent or residual? The 20th Congress of the Taiwan Surgical Association, ROC, Abstract book, P128, 2005.

137.Hsieh CH (謝政興), Hsu GL, Wen HS, Ling PY, Chi LJ. Venous surgery has a role in treating patients with erectile dysfunction: clinical evidence of synergic effect with sildenafil. The 20th Congress of the Taiwan Surgical Association, ROC, Abstract book, P133, 2005.

138.Hsu GL, Hsieh CH (謝政興), Ling PY, Wen HS, Chi LJ. Can pure local anesthesia for outpatient penile surgeries be strictly followed? The 30th Annual Meeting of American Society of Andrology, Abstract book, P, Seattle, 2005.

139.Hsieh CH (謝政興), Hsu GL, Ling PY, Wen HS, Chi LJ. Venous surgery has a role in treating patients with erectile dysfunction: clinical evidence of synergic effect with sildenafil. The 30th Annual Meeting of American Society of Andrology, Abstract book, P, Seattle, 2005.

140.Hsieh CH (謝政興), Hsu GL, Ling PY, Wen HS, Chi LJ. Is ballooning formation a necessary complication of tunical repair? The 30th Annual Meeting of American Society of Andrology, Abstract book, P, Seattle, 2005.

141.Hsu GL, Hsieh CH (謝政興), Ling PY, Wen HS, Chi LJ. Insufficient response to venous surgery: is penile vein recurrent or residual? The 30th Annual Meeting of American Society of Andrology, Abstract book, P, Seattle, 2005.

142.Hsu GL, Hsieh CH (謝政興), Wen HS: Can pure local anesthesia for outpatient  penile surgeries be strictly followed? International Journal of Andrology. 28(Supplement 1):P-204,The 8th International conference of Andrology, Seoul, Korea, 2005.

143.Hsu GL, Hsieh CH (謝政興), Wen HS: Penile venous stripping surgery for erectile dysfunction: should it be abandoned? International Journal of Andrology. 28(Supplement 1):P-205, The 8th International conference of Andrology, Seoul, Korea, 2005.

144.Hsu GL, Hsieh CH (謝政興), Wen HS: Insufficient response to venous surgery: is penile vein recurrent or residual? International Journal of Andrology. 28(Supplement 1): P-206, The 8th International conference of Andrology, Seoul, Korea, 2005.

145.Hsu GL, Hsieh CH (謝政興), Wen HS: The synergism of penile venous surgery and oral sildenafil in treating patients with erectile dysfunction. International Journal of Andrology. 28(Supplement 1): P-207, The 8th International conference of Andrology, Seoul, Korea, 2005.

146.Hsu GL, Hsieh CH (謝政興), Wen HS: Guidelines for determining the amount of grafting required for correction of penile curvature. International Journal of Andrology. 28(Supplement 1): P-208, The 8th International conference of Andrology, Seoul, Korea, 2005.

147.Hsu GL, Hsieh CH (謝政興), Wen HS: Distal ligament in human glans: a comparative study of penile architecture. International Journal of Andrology. 28(Supplement 1):P-209, The 8th International conference of Andrology, Seoul, Korea, 2005.

148.Hsu GL, Hsieh CH (謝政興), Wen HS: Is a herniation complication necessary in tunical repair? International Journal of Andrology. 28(Supplement 1): P-211, The 8th International conference of Andrology, Seoul, Korea, 2005.

149.Hsu GL, Hsieh CH (謝政興), Wen HS: Penile veins play a pivotal role in erection: the hemodynamic evidence. International Journal of Andrology. 28(Supplement 1): F-14,The 8th International conference of Andrology, Seoul, Korea, 2005.

1.Hsieh CH (謝政興), Wang CJ, Lin MC, Liu SP, Yu HJ, Chen SC, Hsieh JT, Hsieh TS, Law HS, Chen J, Tsai TC, Hsu TC, Chiu TY. The results and complications of transurethral resection of prostate in patients with benign prostatic hyperplasia. Annual Meeting of the Urological Association, ROC, 1993.

2.Hsieh CH (謝政興), Lin MC, Huang TH, Chiu TY. Acquired isolated LH deficiency: a case report. Annual Meeting of the Urological Association, ROC, 1994.

3.Hsieh CH (謝政興), Chiang GJ, Yu HJ, Chiu TY, Lai MK. The distribution of serum prostate-specific antigen in health men. Annual Meeting of the Urological Association, ROC, 1995.

4.Hsieh CH (謝政興), Liu SP, Hsieh JT, Shun CT, Ko FN, Lai MK. The effect of hypercholesterolemia with or without treatments on the rabbit corpus cavernosum smooth muscle. Annual Meeting of the Urological Association, ROC, 1995.

5.Hsieh CH (謝政興), Liu SP, Hsieh JT, Lai MK. Evaluation of normal intrarenal arterial blood flow with ultrasound-Angio. Annual Meeting of the Urological Association, ROC, 1995. (Best Poster Award)

6.Hsieh JT, Liu SP, Hsieh CH (謝政興), Cheng JT, Lai MK. The regulation among sympathetic, dopaminergic and serotonergic systems of rat seminal vesicle -ex vivo evaluation. Annual Meeting of the Urological Association, ROC, 1996.

7.Hsieh CH (謝政興), Lai MK, Chueh SC, Chen SC, Chiang LY, Chen WC. The effects of fullerenols on the preservation of canine renal grafts – preliminary report. Annual Meeting of the Urological Association, ROC, 1996.

8.Hsieh CH (謝政興), Yu HJ, Chie WC, Lai MK. Correlation of prostate specific antigen density with prostate biopsy in patients with intermediate prostate specific antigen level. Annual Meeting of the Surgical Association, ROC, 1996.

9.Hsieh CH (謝政興), Liu SP, Hsiao PJ, Lai MK. Application of endoluminal ultrasound for ureteral lesions. Annual Meeting of the Surgical Association, ROC, 1996.

10.Hsieh CH (謝政興), Hsieh JT, Liu SP, Lai MK, Cheng JT. The regulation of rat seminal vesicle among sympathetic, dopaminergic and serotoninergic systems -ex vivo evaluation-. The 7th World Meeting on Impotence, ISSIR, San Francisco, USA, 1996.

11.Hsieh JT, Hsieh CH (謝政興), Cheng JT. The effect of negative pressure vaccum device on spinal cord injury patients. The 7th World Meeting on Impotence, ISSIR, San Francisco, USA, 1996.

12.Hsieh JT, Hsieh CH (謝政興), Law HS, Lai MK. The responses to serotoninergic agents in the rat seminal vesicle -in vivo evaluation-. Annual Meeting of the Urological Association, ROC, 1997.

13.Hsieh JT, Hsieh CH (謝政興), Law HS, Lai MK. The responses to serotoninergic agents in the rat seminal vesicle -in vivo evaluation-. Annual Meeting of the Association of Andrology , ROC, 1997.

14.Hsieh CH (謝政興), Hsieh JT, Cheng JT. The regulation among adrenergic, dopaminergic and serotonergic systems of rat seminal vesicle – ex vivo. The 6th Biennial Asia Pacific Meeting on Impotence, APSIR, Kuala Lumpur, Malaysia, 1997.

15.Hsieh JT, Law HS, Hsieh CH (謝政興), Cheng JT. In vivo evaluation of serotoninergic agents on premature ejaculation by inhibiting the seminal vesicle pressure response to electric nerve stimulation. The 6th Biennial Asia Pacific Meeting on Impotence, APSIR, Kuala Lumpur, Malaysia, 1997.

16.Hsieh CH (謝政興), Liu SP, Law HS, Hsieh HS. The inhibitory responses to sympatholytic agents and dopamine antagonists in the rat seminal vesicle. Annual Meeting of the Association of Andrology, ROC, 1998.

17.Hsieh JT, Hsieh CH (謝政興), Liu SP, Lai MK, Cheng JT. In vivo evaluation of serotoninergic agents and alpha adrenergic blocker on premature ejaculation by inhibiting the seminal vesicle pressure response to electric nerve stimulation. Annual Meeting of the American Urological Association, USA, 1998.

18.Chen YT, Hsieh CH (謝政興), Yang SSD. Encrustation and extensive stone formation of double J catheter –two case reports. Annual Meeting of the Urological Association, ROC, 1999.

19.Yang SSD, Chen YT, Hsieh CH (謝政興). Laser incision of prostate – preliminary report. Annual Meeting of the Urological Association, ROC, 1999.

20.Yang SSD, Chen YT, Hsieh CH (謝政興), Chen SC. Preservation of the distal thin urethra in hypospadias repair. Annual Meeting of the Urological Association, ROC, 1999.

21.Hsieh CH (謝政興), Chen YT, Yao WC, Yang SSD. Percutaneous nephrolithotomy under ultrasonographic guidance with patients in the supine position: experience in En Chu Kong hospital. Annual Meeting of the Urological Association, ROC, 1999. (Best Poster Award)

22.Hsieh CH (謝政興), Chen YT, Yang SSD. Chondrosarcoma of the urinary bladder associated with a giant vesical calculi: report of a case and review of the literature. Annual Meeting of the Urological Association, ROC, 1999.

23.Yang SSD, Chen YT, Hsieh CH (謝政興), Chen SC. Preservation of the thin distal urethra in hypospadias repair. The 1st Symposium of Pediatric Urology, Urological Association, ROC, 1999.

24.Chen YT, Yang SSD, Hsieh CH (謝政興). Management of ureterocele – four case reports. The 1st Symposium of Pediatric Urology, Urological Association, ROC, 1999.

25.Yang SSD, Hsieh CH (謝政興), Chen YT, Chen SC. The application of appendicovesicostomy as a continent atherizable stoma. The 1st Symposium of Pediatric Urology, Urological Association, ROC, 1999.

26.Yang SSD, Hsieh CH (謝政興), Chen YT, Chen SC. The size of the urethral meatus and its relationship with circumcision in taiwanese boys. The 1st Congress of the Asian-Pacific Association of Pediatric Urology, Beijing, China, 1999.

27.Hsieh CH (謝政興), Chen YT, Yang SSD. Viagra Safety Test in Impotent Patients at High Risk. The 7th Biennial Asia Pacific Meeting on Impotence, APSIR, Tokyo, Japan, 1999.

28.Hsieh CH (謝政興), Chen YT, Yao WC, Yang SSD. Percutaneous nephrolithotomy under ultrasonographic guidance with patients in the supine position. Annual Meeting of the Surgical Association, ROC, 2000. (Best Poster Award)

29.Hsieh CH (謝政興), Chen YT, Yang SSD. Viagra safety test in impotent patients at high risk. Annual Meeting of the Surgical Association, ROC, 2000.

30.Hsieh CH (謝政興), Chen YT, Yang SSD. Chondrosarcoma of the urinary bladder associated with a giant vesical calculi: report of a case and review of the literature. Annual Meeting of the Surgical Association, ROC, 2000.

31.Huang HE, Yang SSD, Chen YT, Hsieh CH (謝政興). Management of ureterocele – four case reports. Annual Meeting of the Surgical Association, ROC, 2000.

32.Wu HC, Yang SSD, Chen YT, Hsieh CH (謝政興). Laparoscopic orchiopexy of the intra-abdominal testis. Annual Meeting of the Surgical Association, ROC, 2000.

33.Yang SSD, Chen YT, Hsieh CH (謝政興). Salvage urethroplasty with snodgrass’ procedure. Annual Meeting of the Surgical Association, ROC, 2000.

34.Chen YT, Hsieh CH (謝政興), Yang SSD. Simultaneous nephroscopy and cystoscopy with patient in tilted dorsal lithotomy position. Annual Meeting of the Surgical Association, ROC, 2000.

35.Chen YT, Hsieh CH (謝政興), Yang SSD. Various contact medium to reduce pain in eswl: petroleum jelly versus ultrasound gel. Annual Meeting of the Surgical Association, ROC, 2000.

36.Hsieh CH (謝政興), Lin HH, Chen YT, Yang SSD. Prostate stromal sarcoma: report of a case and review of the literature. Annual Meeting of the Urological Association, ROC, 2000.

37.Huang SW, Chen YT, Hsieh CH (謝政興), Yang SSD. Management of ureteric calculi during pregnancy by rigid ureteroscopy and electrohydraulic lithotripsy. Annual Meeting of the Urological Association, ROC, 2000.

38.Yang SSD, Tsai YC, Chen YT, Hsieh CH (謝政興). The Nd:YAG contact laser resection of benign prostatic enlargement-a preliminary report. Annual Meeting of the Urological Association, ROC, 2000.

39.Chen YT, Yang SSD, Hsieh CH (謝政興). Tilted dorsal lithotomy position for simultaneous retrograde and percutaneous endoscopy managementof ureter stricture. Annual Meeting of the Urological Association, ROC, 2000.

40.Yang SSD, Chen SC, Hsieh CH (謝政興), Chen YT. Normal size of the urethral meatus in the Taiwanese boys. Annual Meeting of the Urological Association, ROC, 2000.

41.Yang SSD, Tsai YC, Chen YT, Hsieh CH (謝政興). Laser incision of prostate-preliminary report. Annual Meeting of the Urological Association, ROC, 2000.

42.Chen YT, Huang HE, Yang SSD, Hsieh CH (謝政興). Nd-YAG laser incision of bladder neck for the management of bladder neck contacture and bladder neck dysfuncton. Annual Meeting of the Urological Association, ROC, 2000.

43.Yang SSD, Chen SC, Hsieh CH (謝政興), Chen YT. Tubularized incised plate (TIP) urethroplasty for proximal hypospadias. Annual Meeting of the Urological Association, ROC, 2000.

44.Yang SSD, Chen YT, Hsieh CH (謝政興). The ND:YAG contact laser resection of benign prostate enlargement–a preliminary report. The 5th Asian Congress on Urology, Beijing, China, 2000.

45.Yang SSD, Cheng SC, Hsieh CH (謝政興), Chen YT. Tubularized incision plate (TIP) urethroplasty for proximal hypospadias. The 5th Asian Congress on Urology, Beijing, China, 2000.

46.Chen YT, Yang SSD, Hsieh CH (謝政興). Tilted dorsal lithotomy position for simultaneous retrograde and percutaneous endoscopy management of ureter stricture. The 5th Asian Congress on Urology, Beijing, China, 2000.

1.Yu HJ, Chie WC, Hsieh CH (謝政興), Tsai CC, Lai MK. Clinical efficacy of prostate-specific antigen testing in patients with prostate disease (前列腺特異性抗原檢測在前列腺疾病患者中的臨床療效). Journal of the Formosan Medical Association. 95(10):782-8, 1996.

2.Hsieh JT, Chang HC, Law HS, Hsieh CH (謝政興), Cheng JT. In vivo evaluation of serotonergic agents and alpha-adrenergic blockers on premature ejaculation by inhibiting the seminal vesicle pressure response to electrical nerve stimulation (藉由抑制儲精囊壓力對電神經刺激的反應,體內評估血清素和α-腎上腺素阻斷劑對早發性射精(早洩)的作用). British Journal of Urology. 82(2):237-240, 1998.

3.Hsieh JT, Liu SP, Hsieh CH (謝政興), Lai MK, Cheng JT. An ex vivo evaluation of regulatory role of biogenic amines in rat seminal vesicle after pharmacological manipulation (運用藥物作用,體外評估生物胺在老鼠儲精囊的調節腳色). Life Sciences. 63(15):PL221-229, 1998.

4.Hsieh CH (謝政興), Huang TH, Law HS, Lin MC. Acquired hypothalamus secretory dysfunction with isolated luteinizing hormone deficiency (後天性下視丘腦分泌功能障礙伴隨黃體生成激素缺乏). Journal of the Urological Association ROC. 9:36-40,1998.

5.Hsieh JT, Liu SP, Hsieh CH (謝政興), Cheng JT. An in vivo evaluation of the therapeutic potential of sympatholytic agents on premature ejaculation (體內評估交感神經阻斷藥物對於早發性射精(早洩)的治療潛力). BJU International. 84(4):503-506, 1999.

6.Guh JH, Hsieh CH (謝政興), Teng CM. Investigation of the effects of some alkaloidal alpha1-adrenoceptor antagonists on human hyperplastic prostate (某些生物鹼α1-腎上腺素受體拮抗劑對於人類攝護腺增生影響的研究). European Journal of Pharmacology. 374(3):503-510, 1999.

7.Yang SSD, Chen YT, Hsieh CH (謝政興), Chen SC. Preservation of the thin distal urethra in hypospadias repair (尿道下裂修補手術中保留遠端薄壁尿道). Journal of Urology. 164(1):151-153, 2000.

8.Chen SC, Yang SSD, Hsieh CH (謝政興), Chen YT. Tubularized incised plate urethroplasty for proximal hypospadias (運用尿道板切開管狀尿道成形術治療近端尿道下裂). BJU International. 86(9):1050-1053, 2000.

9.Yang SSD, Hsieh CH (謝政興), Chen YT. Combined use of Nd: YAG contact laser incision and non-contact coagulation necrosis in the treatment of benign prostatic hypertrophy – a preliminary report (合併使用Nd:YAG接觸性雷射切開術及非接觸性凝血壞死治療良性前列腺肥大的初步報告). Formosan Journal of Medicine. 4:1-7, 2000.