2024-03-29T04:16:36Z
https://ha.journals.ekb.eg/?_action=export&rf=summon&issue=4342
Human Andrology
2090-6048
2090-6048
2018
8
2
Shaeer’s purse-string closure of inflatable penile implant corporotomies
Osama
Shaeer,
Kamal
Shaeer
Islam
Abdel Rahmann
Introduction: In order to close the corporotomies over an inflatable penile implant, one of the two approaches are utilized, either oversewing with running sutures or tying the stay sutures on either sides of the corporotomies. The former has the advantage of being watertight thereby avoiding hematoma formation, and the disadvantages are the risk of puncturing the implant cylinders and the process is time consuming.ِAim: The technique herein provides watertight closure of the corporotomies with short operative time as an alternative.Patients and Methods: Before insertion of the implant cylinders, a continuous suture line is preplaced in the form of an inverted U around the corporotomies on both corpora, using Vicryl 20/ suture material. Following insertion of the implant, the ends of the suture lines are pulled tight and tied as a purse string. The technique was applied in 18 cases of three-piece inflatable implants.Results:Overall, the purse-string technique closed the corporotomies successfully in 18100%( 18/) cases of the three-piece inflatable penile prostheses. Neither hematomas nor puncturing of the cylinders were encountered.Conclusion: Shaeer’s purse-string closure of penile implant corporotomies provides watertight closure with short operative time as an alternative to oversewing and tying the stay sutures.
Corporotomy
penile implant
penile prosthesis
Sutureless
water-tight purse-string
2018
06
01
31
33
https://ha.journals.ekb.eg/article_23097_16bae65278cb6c6d6510bcc9cc0681c2.pdf
Human Andrology
2090-6048
2090-6048
2018
8
2
Microbiological profiles of semen culture in male infertility
Yasser
Nasrallah
Maha
Anani
Hanan
Omar
Asmaa
Hashem
Background: Primary infertility and secondary infertility of men in the reproductive age represent 1.9 and 10.5%, respectively. Many etiological factors are involved, among which urogenital bacterial infections play an important role.Materials and Methods:Semen analysis, bacteriological culture, and sensitivity analyses were carried out to investigate the effect of genitourinary infections on semen parameters of infertile men.Results: Staphylococcus aureus was the most common isolated pathogen (46.2%) followed by urogenic gram-negative pathogens (24.1%). The isolated microorganisms are highly sensitive to piperacillin/tazobactam, imipenem, meropenem, gentamicin, doxycycline, amikacin, and nitrofurantoin. These antibiotics could be used empirically while awaiting the results of semen culture.Conclusion: Semen culture is an important diagnostic tool in all patients undergoing fertility investigations to detect genitourinary infections, pyospermia, and bacteriospermia. Moreover, early treatment should be considered according to the results of culture whenever possible. Wide range of broad-spectrum antibiotics can be used as an empirical treatment for infertile patients to adjust the seminal parameters and reduce the number of leukocytes in semen ejaculates.
Antibiotic sensitivity
Infertility
semen culture
2018
06
01
34
42
https://ha.journals.ekb.eg/article_23098_bf6e9e08edf7cdb720bfc9c88e30f3d6.pdf
Human Andrology
2090-6048
2090-6048
2018
8
2
Sexual dysfunction in women in the reproductive age with rheumatoid arthritis: A case-control study
Hussein
Ghanem
Ahmed
Ragab
Nashaat
Nabil
Shimaa
Hamdy
Islam
Fathy
Introduction: Rheumatoid arthritis (RA) is a widespread disease that has a profound effect on the patient’s quality of life.ِAim:The aim was to evaluate the rate of sexual dysfunction (SD) in women with RA and to assess the possible association between SD and disease activity, severity of morning stiffness, functional disability and psychological status.Patients and Methods: A case-control study was conducted on 200 sexually active, women in the reproductive age. A total of 100 women with RA attending the rheumatology clinics of two reference hospitals in Upper Egypt and 100 arthritis-free age- and sex-matched healthy controls were compared regarding the scores of Arabic Female Sexual Function Index (ArFSFI) and Hospital anxiety and depression scale (HADS). Additionally, women with RA were evaluated via Health Assessment Questionnaire (HAQ) and Disease Activity Score (DAS-28). Results: The mean ages of patients (35.96.4± years) and controls (34.45.4± years) were insignificantly different (P>0.05). Mean FSFI total and domain scores of patients were significantly lower than controls (P<0.001). Overall, 94% of patients and 30% of controls (P<0.001) reported SD. Among women with RA (n: 100), lower SF scores were reported among those with morning stiffness (n: 14, P<0.05). Women with RA who exhibited SD had higher levels of anxiety, depression, and disease activity (P<0.05) than those without SD. However, both subgroups were not different regarding HAQ. Conclusion: The present study found an SD rate of 94% among sexually active women with RA. RA could have an extensively negative effect on all aspects of female sexuality, particularly on lubrication and orgasm dimensions. Moreover, SD in women with RA is significantly associated with disease activity, severity of morning stiffness, depression, and anxiety levels, but not with functional disability (HAQ).
depression
disease activity
Female Sexual Function Index
Rheumatoid Arthritis
sexual dysfunction
2018
06
01
43
52
https://ha.journals.ekb.eg/article_23099_09ee9b74908b8ac0ae98728c4a0e9ca9.pdf
Human Andrology
2090-6048
2090-6048
2018
8
2
Prevalence of low androgen levels among middle and old age men attending Outpatient Clinics
Taha
Abdelnaser
Dina
El Gayar
Islam
Fathy
Ramy
Taher
Introduction: Tiredness is a common symptom of hypogonadism, which can be profound, but there are many medical practitioners who do not include the assessment of testosterone levels in the clinical workup of this symptom. Although male hypogonadism is an established clinical condition, which can be treated, many men experiencing it are undiagnosed.ِAim:The aim was to assess the prevalence of low androgen level among middle and old age men in a cohort of patients attending Kasr Elaini hospital outpatient clinics.Patients and Methods: A total of 265 male patients older than 40 years attending the outpatient clinics in different specialty were included. All included men were subjected to full history taking and complete general and local examinations. All participants were interviewed personally face to face using Arabic generic version of full aging male scale (AMS) questionnaire. Venous blood samples were withdrawn between 8 and 10 a.m. after a 12-h overnight fast for measurements of total and free testosterone levels.Results: The mean total testosterone level was 4.0 ± 2.6 ng/ml, ranging from 0.4 to 16.4 ng/ml. The mean free testosterone level was 6.9 ± 2.4 pg/ml, with range between 1.4 and 18.5 pg/ml. Low androgen level was founded in 19.2% of the participants based on total testosterone and in 36.2% when adding the participants with low free testosterone levels. AMS score showed statistically significant difference between age groups (P<0.001). Age is negatively correlated with total and free testosterone levels (r=-0.226 and -0.242, respectively), but the correlation is weak. Total testosterone level shows strong positive correlation with free testosterone level and weak negative correlation with AMS score (r=0.732 and -0.240, respectively).Conclusion: The prevalence of hypogonadism among middle and old age males seeking medical consultation in different specialties may be high.
Hypogonadism
low androgen
middle and old age
testosterone
2018
06
01
53
59
https://ha.journals.ekb.eg/article_23100_827227896a092f460576a20460d90ba4.pdf
Human Andrology
2090-6048
2090-6048
2018
8
2
Association between testicular microlithiasis and varicocele in infertile men: A comparative study
Mohamed
Farid
Ahmed
Ragab
Ahmed
Abdel Baset
Dalia
Ramadan
Sameh
GamalEl Din
patients with varicocele.Patients and Methods: A total of 60 patients with infertility and clinical varicocele were assessed in comparison with 60 healthy fertile controls. The two groups were evaluated by history taking, clinical examination as well as semen analysis (WHO, 2010). Color Doppler ultrasonography was performed to assess the rate of TM in both groups. Finally, hormonal profile was studied for those with infertility and sperm concentration less than 10 million/ml.Results: Sonographic features of TM were revealed in 4/ 60 (6.7%) of cases with varicocele. However, this finding was of statistical insignificance (P=0.081). Of those cases, three had left varicocele associated with ipsilateral TM and one had bilateral varicocele and bilateral TM, whereas there was no sonographic evidence of TM in controls. Cases with TM were associated with primary infertility. Conclusion: In brief, this study demonstrated that only four of the 60 patients revealed intratesticular calcifications, and this was statistically insignificant. Moreover, there were also 23 healthy controls with subclinical varicoceles that were detected by scrotal duplex. However, TM was not detected in them. Thus, association of TM with varicocele is controversial. Finally, we recommend further studies to replicate this finding and to perform studies that compare fertile men and infertile patients with varicoceles to replicate this finding.
Color Doppler ultrasonography
Infertility
Testicular microlithiasis
Varicocele
2018
06
01
60
68
https://ha.journals.ekb.eg/article_23101_39bbbb9637842b8deca1bc5f40f75053.pdf