Egyptian Society of AndrologyHuman Andrology2090-60488320180901Assessment of the effect of psoriasis on male sexual function69752939310.21608/ha.2018.4550.1032ENMahmoudAbd El-MawlaDepartments of Dermatology, Venereology and Andrology Faculty of Medicine, Zagazig University, Zagazig, EgyptAbdallaKandilDermatology and venereology, Faculty of Medicine, Zagazig University,EgyptAhmed A.HashimDepartments of Dermatology, Venereology and Andrology Zagazig University, Zagazig, EgyptAl-SayedZidanDiagnostic Radiology, Faculty of Medicine, Zagazig University, Zagazig, EgyptJournal Article20180927Background: Only 9% of the patients with psoriasis are satisfied with sexual function, whereas 43% perceive it as insufficient. The etiology of erectile dysfunction (ED) in male patients with psoriasis is likely to be multifactorial. The psychological problems associated with psoriasis highly contribute to ED in patients with psoriasis. Moreover, an increased prevalence of the core components of the metabolic syndrome, including obesity, dyslipidemia, and glucose intolerance, contributes to the ED seen in patients with psoriasis.<br />Aim: To clarify the effect of psoriasis on male sexual function.<br />Patients and methods: This study was conducted on 62 married male individuals aged between 20 and 40 years. They were allocated into two equal groups: 31 male patients with psoriasis in group I, and 31 male apparently healthy controls in group II. All patients were evaluated by the International Index of Erectile Function (IIEF-5). However, only 10 patients with psoriasis accepted to undergo penile duplex ultrasonography, and it was conducted in 10 healthy controls as well.<br />Results: There was a highly significant increase in the prevalence of ED in patients with psoriasis over the control group. There was a highly significant decrease in the values of the IIEF-5 among patients with psoriasis, which was less than the values of the control group. Moreover, there was a highly significant correlation between psoriasis area and severity index scores with the IIEF-5 scores and a significant difference in the results of penile duplex ultrasound among the two studied groups.<br />Conclusion: Male patients with psoriasis have a higher prevalence of ED associated with increased risk of sexual dysfunction in those patientsEgyptian Society of AndrologyHuman Andrology2090-60488320180901Fake it: women pretending orgasms76812939410.21608/ha.2018.5339.1035ENIhabYounisDermatology&andrology, faculty of medicine, Banha University, EgyptHalaMostafDepartment of Dermatology and Andrology,
Faculty of Medicine, Banha University, Qalyoubia, EgyptRehabSalemDepartment of Dermatology and Andrology, Faculty of Medicine, Banha University, Qalyoubia, EgyptOlaHamedDepartment of Dermatology and Andrology, , Faculty of Medicine, Banha University, Qalyoubia, EgyptJournal Article20180909Introduction: During intercourse, a man and a woman send each other signals about their true state of pleasure. Some of these signals may be deceptive. For example, if one of the partners is not in ecstasy, then he or she may decide to fake it.<br />Aim: The current study was carried out to evaluate the prevalence of pretending orgasm and the possible causes of this behavior in a sample of married Egyptian women. Patients and methods: A total of 403 sexually active married women participated in this work. The tool used in this cross-sectional study was a self-report questionnaire designed by the authors and guided by the Female Sexual Function Index. Results: Among our participants, 84.9% admitted that they faked orgasm with different frequencies ranging from ‘usually’ to ‘rarely.’ The most common reasons for faking were to save husband’s self-esteem, distraction by outer causes, to comply with husband’s high libido, and to hasten the end of intercourse owing to fatigue or inability to have orgasm rapidly. Conclusion: Faking orgasm is a common behavior in this sample of Egyptian women. Women do it as a method to retain the interest of their husbands or to try to hasten the end of intercourse out of being tired or in pain or unable to have timely orgasm.Egyptian Society of AndrologyHuman Andrology2090-60488320180901Comparing Fisch’s artery-sparing technique with the microsurgical subinguinal varicocelectomy82862939510.21608/ha.2018.6103.1036ENAmrElahwanyandrology department, cairo universityJournal Article20180611Objective: The aim was to evaluate the reduction of operation time using a new artery-sparing varicocelectomy technique.<br />Patients and methods: This study compares a new surgical technique introduced by Fisch and colleagues, which elevates the testicular artery and ligates the pampiniform plexus in one or more vein groups, with subinguinal microsurgical varicocelectomy. The study was conducted retrospectively on a control group of 51 patients who had conventional microsurgical varicocelectomy (group 1) and the experimental group of 44 patients who underwent the new technique (group 2).<br />Results: We compared the outcome measures including operative time (in minutes), postoperative complications, semen percentage improvement, and pregnancy outcome rate. Both groups had significantly improved semen count, motility, and abnormal form improvements. Group 2 had significantly greater sperm motility and 11.6% less abnormal forms. Both groups had similar pregnancy rates (40% for the microsurgical group vs. 35.7% for the Fisch technique group; P=0.3). Group 1 had an average operating time of 94±6.9 min compared with 44.5±8.4 min for group 2 (P=0.001).<br />Conclusion: The Fisch technique dramatically reduces operative time with similar patient outcomes when compared with the traditional subinguinal microsurgical varicocelectomy.Egyptian Society of AndrologyHuman Andrology2090-60488320180901Efficacy of sildenafil citrate in the treatment of female sexual dysfunction87902939710.21608/ha.2018.4085.1029ENEssamNadaDepartment of Dermatology, Venereology and Andrology, Faculty of Medicine, Sohag University,MoustafaEl-TaiebDepartment of Dermatology, Venereology and Andrology, Faculty of Medicine, Aswan UniversityHassanIbrahimDepartment of Dermatology, Venereology and Andrology, Faculty of Medicine, South Valley University, Egypt0000-0002-7788-3302Journal Article20180608Introduction: Female sexual dysfunction (FSD) defines as disturbances in the female sexual response cycle resulting in marked distress and interpersonal difficulties. Sildenafil citrate was effective in treatment of FSD through increasing blood flow to corpus cavernosum of clitoris, vagina and labia minor.<br />Aim:To evaluate the effect of sildenafil citrate in treatment of female sexual dysfunction.<br />Patients and Methods: An observational study had been done on 43 females complaining of FSD who were fulfilling the inclusion criteria. They were taken oral sildenafil citrate 25mg daily for 6 weeks and were evaluated by 19–items Female Sexual Function Index (FSFI) questionnaire before and after treatment.<br />Results: Our results showed that 34.4% became normal with score of FSFI>26.5; while 65.6% showed some improvement but still have FSD (FSFI<26.5). There was significant improvement in all female sexual domains in FSFI ranged from 21% to 69%. There was significant improvement of total score in both 1st degree circumcision more than 2nd degree circumcisions with 41%- 35%, respectively.<br />Conclusion: We concluded that the treatment of patients with FSD by sildenafil citrate 25mg daily for 6 weeks had significant improvement effect on all domains of FSD with no improvement in pain score and effective in1st degree circumcised female more than 2nd degree according to FSFI questionnaire.