eng
Egyptian Society of Andrology
Human Andrology
2090-6048
2090-6056
2017-03-01
7
1
1
6
10.21608/HA.2017.3551
3602
Original Article
Evaluation of the Association of the Presence of Subclinical Varicocele with Subfertility in Men
Ahmed Hassanin
ahmed.hassanin@kasralainy.edu.eg
1
Hamed Hamed
2
Maha Arafat
3
Department of Andrology and Sexology, Faculty of Medicine, Cairo University, Cairo, Egypt
Department of Andrology and Sexology, Faculty of Medicine, Cairo University, Cairo, Egypt
Department of Andrology and Sexology, Faculty of Medicine, Cairo University, Cairo, Egypt
Background: The negative impact of clinical varicocele on fertility has been thoroughly investigated. On the other hand, subclinical varicocele is a well-defined ultrasonographic finding and is more common than clinical varicoceles. It remains to be resolved wheather or not subclinical varicocele is a contributor to subfertility in men.Purpose: To investigate a possible association between subfertility and subclinical varicocele in men.Patients and Methods: After exclusion of cases with clinical varicocele; a total of 40 subfertile men were compared to 40 fertile men regarding standard semen parameters and scrotal ultra-sonography findings.A scrotal ultrasonography was performed to measure testicular veins diameters at, erect position. Also, to detect the presence/absence of reversal of blood flow (regurge) > 1 second in testicular veins during Valsalva maneuver. Subclinical varicocele was diagnosed when testicular vein diameter was ≥ 2.5 mm with positive regurge. Cases with subclinical varicocele had the testicular veins’ diameters correlated to the standard semen analysis parameters.Results:There was significantly higher left and bilateral testicular vein(s) regurge and left sided subclinical varicocele in the subfertile group. Testicular veins diameters were not correlated to the standard semen parameters.Conclusion: Subclinical varicocele should be considered as a possible etiological factor for subfertility in men.
https://ha.journals.ekb.eg/article_3602_4016992b97b651e6d6633d85150aabf4.pdf
Male infertility
male subfertility, semen
sperm
subclinical
Varicocele
eng
Egyptian Society of Andrology
Human Andrology
2090-6048
2090-6056
2017-03-01
7
1
7
14
10.21608/HA.2017.3553
3604
Original Article
Prospective Analysis of the Surgical Outcomes after Semirigid Penile Implant and their Impact on the Patients’ and their Partners’ Satisfaction Rate Human Andrology
Mohamed Roaiah
1
Sameh Gamal El Din
samehfayek@hotmail.com
2
Ahmed Khazaali
3
Wael Saleh
4
Departments of Andrology and STDs Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Eg
Department of Andrology and STDs, Kasr Al-Ainy Cairo University, Cairo, Egypt
Al-Mustansiriya University, Baghdad, Iraq
Obstetrics and Gynecology, Kasr Al-Ainy Faculty of Medicine, Cairo University,Cairo, Egypt
Purpose: The current study assessed the surgical outcomes of the semirigid implant and their impact on the patient’s and the partner’s satisfaction. To the best of our knowledge, this is the first study to highlight the essential role of both radial and axial rigidities in patients’ and partners’ satisfaction.Patients and methods: The study included 32 patients and their partners. Their penile duplexes and Rigiscan proved the diagnosis. Subcoronal approach was adopted to insert the implant. Structured interview was carried out to evaluate the surgical outcomes using a 10-question questionnaire to evaluate the patients’ and their partners’ satisfaction rate prospectively, at 1, 3, and 6 months, respectively. Spearman’s rank correlation coefficient or Spearman’s ρ was used.Results: In our patients, we found moderate satisfaction rates for the majority of both patients and their partners. The current study revealed that the majority of the study patients were complaining of poor radial rigidity and dropped penis, which had an adverse impact on the overall satisfaction of the patient. A significant relationship was revealed between reimplantation and poor radial rigidity. Age demonstrated a significant correlation with poor circumferential rigidity and dropped penis. As regards the female partners, they showed a significant positive correlation between their negative responses and poor radial rigidity.Conclusion: This study highlighted the adverse impact of poor radial rigidity on patient satisfaction rate, which can be avoided with proper surgical technique. In addition, proper counseling is essential, especially for older patients, about the possibility of poor radial rigidity and dropped penis as they may push them to remove the implant.
https://ha.journals.ekb.eg/article_3604_edd3408907c9506747e24776b51193ab.pdf
Erectile dysfunction
patients’ and their partners’ satisfactions
semirigid penile prosthesis
surgical outcomes
eng
Egyptian Society of Andrology
Human Andrology
2090-6048
2090-6056
2017-03-01
7
1
15
23
10.21608/ha.2017.3555
3605
Original Article
What Do Women Want: Factors Affecting Female Libido Human Andrology Factors Affecting Female Libido
Ihab Younis
ihabyounis@hotmail.com
1
Fatma El-Esawy
2
RehaB Salem
3
Hanaa Eid
4
Dermatology&andrology, faculty of medicine, Banha University, Egypt
Department of Dermatology and Andrology, Faculty of Medicine, Banha University, Banha, Egypt
Department of Dermatology and Andrology, Faculty of Medicine, Banha University, Banha, Egypt
Department of Dermatology and Andrology, Faculty of Medicine, Banha University, Banha, Egypt
Back ground: Information about female sexuality is limited in Egypt and many other Islamic countries due to traditions. The current study is an effort to evaluate some aspects of libido in women in order to shed some light on this ignored item in this area of the world. Participants and Methods: A self-report questionnaire was given to 200 women attending the andrology and gynecology outpatient clinics, Benha University, Egypt. The questionnaire covered demographic data and some factors that may affect female libido.Results: Most women reported no change in libido related to menstruation timing, obesity, menopause, diabetes or use of hormonal contraceptives. Pregnancy had a negative effect on libido. Stress either in work or within the family or with husband resulted in a decrease in libido. Sea foods followed by eggs were the most commonly reported foods producing an increase in libido (93.7%, 71%). On the other hand, liquorice followed by garlic were the most common types of foods that produced a decrease in libido (85.7%, 64.9%). Almost 70% of genitally cut women reported either a medium or a high libido.Conclusion: Libido in most studied women seems to be negatively affected by pregnancy but bot by menstruation or hormonal contraceptive agents. The effect of food needs further study.
https://ha.journals.ekb.eg/article_3605_4266b6174ec11a9cedc9e5ca55c42f18.pdf
libido
sexual desire
Women
eng
Egyptian Society of Andrology
Human Andrology
2090-6048
2090-6056
2017-03-01
7
1
24
31
10.21608/HA.2017.3556
3606
Original Article
Influence of Chronic Skin Disease on Male Sexual Function: A Hospital-Based Study in Upper Egypt
Amira Abdel-Motaleb
amiraali21@yahoo.com
1
Hatem Abdel Hafez
2
Hisham Gaber
3
Ghada Al-Attar
4
Department of Dermatology, Venereology And Andrology, Faculty of Medicine, Assiut University, Assiut, Egypt
Department of Dermatology, Venereology and Andrology Faculty of Medicine, Assiut University, Assiut, Egypt
Department of Dermatology, Venereology and Andrology Faculty of Medicine, Assiut University, Assiut, Egypt
Department of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt
https://ha.journals.ekb.eg/article_3606_f30a8e980cbd07a18f26b46ef59e271e.pdf
Erectile dysfunction
Skin diseases
Psoriasis
Vitiligo
eng
Egyptian Society of Andrology
Human Andrology
2090-6048
2090-6056
2017-03-01
7
1
32
35
10.21608/HA.2017.3557
3607
Original Article
Testicular Prosthesis in Adolescents/Teens – our Experience at Tertiary Hospital
Rajendra Nerli,
rbnerli@gmail.com
1
Vikas Sharma
2
Shridhar Ghagane
3
Nitin Pingale
4
Ameya Wagh
5
Ranjeet Patil
6
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Department of Urology, KLE Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belagavi, India
Introduction: The presence of normal testes bilaterally plays an important role in the normal psychological development of young males. Absence of an intrascrotal testis can be found in adolescents/teens caused by agenesis, failure of normal testicular descent, or surgical removal following trauma, torsion, infection and testicular cancers. Testicular prosthesis insertion (TPI) may be offered for cosmetic or psychological purposes to such patients. We retrospectively reviewed our series of young males who had undergone testicular prosthesis insertion.Materials & Methods: This retrospective study was based on a cohort of adolescent/teen males who underwent insertion of testicular prosthesis (TPI) at our hospital. Data on the age, indication, pre-operative history, size of prosthesis, operative details, and post-operative complications were extracted from case records and OPD (Out Patient Department) cards.Results: In all a total of 27 adolescents/teens underwent insertion of testicular prosthesis. The “wink” incision (supra-scrotal) was used for placement of prosthesis in 18 (66.6%) patients. and the inguinal incision in 9 (33.3%). Extra small sized saline filled prosthesis was used in 6 patients, small size in 19 patients and medium sized in 2 patients. 85.18% felt that it would have been better if the implant was offered at the time of the initial surgery. Twenty five (92.5%) patients thought that having the appearance of two testes in the scrotum was important to them. The results of the questionnaire showed that 81.4% (22) of those who received a prosthesis felt they had an excellent or good result.Conclusions: Testicular prostheses insertion is technically a simple procedure using either a supra-scrotal or inguinal incision and is associated with low complication rates. Adolescents/teens would like the procedure to be offered at the time of orchidectomy. Most ±patients felt they had an excellent or good result.
https://ha.journals.ekb.eg/article_3607_0149a9d30bed7aa89e1f798395f85a46.pdf
Orchidectomy, undescended testes, Torsion
Testicular prosthesis