A. A. Abdel-Motaleb, H. Z. A. Hafez, H. Gaber, G.S.T. Al-Attar
Purpose: Decrease of sexual function in many chronic diseases has recently attracted attention owing to its impact on quality of life. Many studies focused on erectile dysfunction in other specialties of medicine, but there are only few studies in dermatological diseases. The aim of this study was to evaluate the erectile function in males with psoriasis and vitiligo diseases in Upper Egypt. Methods: A total of 100 male patients with chronic dermatological diseases (psoriasis or vitiligo) and 100 healthy volunteers as control group were enrolled in this case-control study. All subjects completed the validated Arabic version of International Index of Erectile Function (IIEF) questionnaire to assess male sexual function. Results: This study included 100 patients (70 with vitiligo and 30 with psoriasis), their age ranged from 23 to 50 years with mean ± SD 41.2 ± 6.3 and 100 healthy control their age ranged from 20 to 50 years with mean ± SD 38.1 ± 8.6. The mean IIEF score among psoriasis patients was 18.1 ± 5.7, and among vitiligo patients was 20.6 ± 2.8, while it was 22.4 ± 3.04 among controls. By comparing IIEF, there was significant decrease among patients (61%) versus control (22%) (p<0.0001). There was no statistical significant correlation between duration of the disease and IIEF score. Regarding the extent of the dermatological disease, there was significant negative correlation with IIEF score among psoriatic patients (P= 0.046), with no significant correlation among patients suffering from vitiligo. Conclusion: Sexual function is affected in males suffering from vitiligo and psoriasis vulgaris.
{"title":"Influence of Chronic Skin Disease on Male Sexual Function: A Hospital-Based Study in Upper Egypt","authors":"A. A. Abdel-Motaleb, H. Z. A. Hafez, H. Gaber, G.S.T. Al-Attar","doi":"10.21608/HA.2017.3556","DOIUrl":"https://doi.org/10.21608/HA.2017.3556","url":null,"abstract":"Purpose: Decrease of sexual function in many chronic diseases has recently attracted attention owing to its impact on quality of life. Many studies focused on erectile dysfunction in other specialties of medicine, but there are only few studies in dermatological diseases. The aim of this study was to evaluate the erectile function in males with psoriasis and vitiligo diseases in Upper Egypt. Methods: A total of 100 male patients with chronic dermatological diseases (psoriasis or vitiligo) and 100 healthy volunteers as control group were enrolled in this case-control study. All subjects completed the validated Arabic version of International Index of Erectile Function (IIEF) questionnaire to assess male sexual function. Results: This study included 100 patients (70 with vitiligo and 30 with psoriasis), their age ranged from 23 to 50 years with mean ± SD 41.2 ± 6.3 and 100 healthy control their age ranged from 20 to 50 years with mean ± SD 38.1 ± 8.6. The mean IIEF score among psoriasis patients was 18.1 ± 5.7, and among vitiligo patients was 20.6 ± 2.8, while it was 22.4 ± 3.04 among controls. By comparing IIEF, there was significant decrease among patients (61%) versus control (22%) (p<0.0001). There was no statistical significant correlation between duration of the disease and IIEF score. Regarding the extent of the dermatological disease, there was significant negative correlation with IIEF score among psoriatic patients (P= 0.046), with no significant correlation among patients suffering from vitiligo. Conclusion: Sexual function is affected in males suffering from vitiligo and psoriasis vulgaris.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"48 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79932470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Roaiah, S. G. Din, Ahmed Abdul Rasool Khazaali, W. Saleh
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.
{"title":"Prospective Analysis of the Surgical Outcomes after Semirigid Penile Implant and their Impact on the Patients’ and their Partners’ Satisfaction Rate Human Andrology","authors":"M. Roaiah, S. G. Din, Ahmed Abdul Rasool Khazaali, W. Saleh","doi":"10.21608/HA.2017.3553","DOIUrl":"https://doi.org/10.21608/HA.2017.3553","url":null,"abstract":"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.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"26 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89931319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"What Do Women Want: Factors Affecting Female Libido Human Andrology Factors Affecting Female Libido","authors":"I. Younis, F. El-Esawy, R. Salem, H. Eid","doi":"10.21608/HA.2017.3555","DOIUrl":"https://doi.org/10.21608/HA.2017.3555","url":null,"abstract":"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.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"2 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87675446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the Association of the Presence of Subclinical Varicocele with Subfertility in Men","authors":"A. Hassanin, Hamed A. Hamed, M. Arafat","doi":"10.21608/HA.2017.3551","DOIUrl":"https://doi.org/10.21608/HA.2017.3551","url":null,"abstract":"","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78701601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Nerli, Vikas Sharma, S. Ghagane, N. Pingale, A. T. Wagh, Ranjeet A Patil
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.
{"title":"Testicular Prosthesis in Adolescents/Teens – our Experience at Tertiary Hospital","authors":"R. Nerli, Vikas Sharma, S. Ghagane, N. Pingale, A. T. Wagh, Ranjeet A Patil","doi":"10.21608/HA.2017.3557","DOIUrl":"https://doi.org/10.21608/HA.2017.3557","url":null,"abstract":"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.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"11 1","pages":"32-35"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87429442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1097/01.XHA.0000510703.23703.89
A. Mahran, H. Morsy
ObjectivePremature ejaculation (PE) is one of the most common sexual dysfunctions among men. This study was carried out to assess the quality of life and the on-demand effect of two selective serotonin reuptake inhibitors (dapoxetine and sertraline) on vaginal latency and coital frequency in a sample of Egyptian men complaining of PE. Patients and methodsIn the current study we included 64 men attending Andrology Outpatient Clinic, Assiut University Hospitals, Egypt. These participants were evaluated using the Arabic Index of PE questionnaire, measuring the intravaginal ejaculation latency time (IELT) time and coital frequency before and after therapy. ResultsThe mean age was 34.81±7.19 years in the dapoxetine group and 37.47±7.22 years in the sertraline group. The mean IELT in the dapoxetine group was 0.71±0.16 min before therapy, and it increased significantly to 2.51±0.11 min after therapy (P=0.001). The mean IELT for the sertraline group before therapy was 0.65±0.15 min, and it increased significantly to 2.61±0.11 min (P=0.001). Significant correlations were found between Arabic Index Premature Ejaculation (AIPE) scores and coital frequency before and after treatment in both groups. ConclusionPatients with severe PE showed mild-to-moderate improvement in IELT and AIPE. Both groups showed improvement in IELT and AIPE scores. The sertraline group was better compared with the dapoxetine group as regards ejaculation latency, ejaculation control, and patient satisfaction.
{"title":"Comparison between on-demand use of sertraline and dapoxetine for treating patients with premature ejaculation","authors":"A. Mahran, H. Morsy","doi":"10.1097/01.XHA.0000510703.23703.89","DOIUrl":"https://doi.org/10.1097/01.XHA.0000510703.23703.89","url":null,"abstract":"ObjectivePremature ejaculation (PE) is one of the most common sexual dysfunctions among men. This study was carried out to assess the quality of life and the on-demand effect of two selective serotonin reuptake inhibitors (dapoxetine and sertraline) on vaginal latency and coital frequency in a sample of Egyptian men complaining of PE. Patients and methodsIn the current study we included 64 men attending Andrology Outpatient Clinic, Assiut University Hospitals, Egypt. These participants were evaluated using the Arabic Index of PE questionnaire, measuring the intravaginal ejaculation latency time (IELT) time and coital frequency before and after therapy. ResultsThe mean age was 34.81±7.19 years in the dapoxetine group and 37.47±7.22 years in the sertraline group. The mean IELT in the dapoxetine group was 0.71±0.16 min before therapy, and it increased significantly to 2.51±0.11 min after therapy (P=0.001). The mean IELT for the sertraline group before therapy was 0.65±0.15 min, and it increased significantly to 2.61±0.11 min (P=0.001). Significant correlations were found between Arabic Index Premature Ejaculation (AIPE) scores and coital frequency before and after treatment in both groups. ConclusionPatients with severe PE showed mild-to-moderate improvement in IELT and AIPE. Both groups showed improvement in IELT and AIPE scores. The sertraline group was better compared with the dapoxetine group as regards ejaculation latency, ejaculation control, and patient satisfaction.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"23 1","pages":"106–109"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77978347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1097/01.XHA.0000510704.42490.f2
S. Omar, S. Davis, Samar Abd El Hafeez
PurposePreoccupation with body image, particularly the genitals, is a distraction that can induce anxiety and sexual dysfunction. This study was carried out to translate, culturally adapt, and validate the index of male genital image (IMGI) into Arabic to be used for assessment of genital satisfaction, a taboo subject that threatens the solidarity of the cultural believes linking manhood to sexual performance and genital image. MethodsThe study included 200 men aged more than or equal to 18 years. Forward translation, cognitive testing, and backward translations were performed. Internal consistency was estimated using Cronbach’s &agr;. Intercorrelation with the sexual health inventory for men was performed. Discriminant, content, and construct validities were assessed. ResultsThe median age of the participants was 32 years and 64% lived in urban areas; 76% were married, the median duration of marriage was 6 years, and age at marriage was 27 years. All items of IMGI were reliable (Cronbach’s &agr;=0.85). Older, married, or divorced men, those who married after 25 years of age, those with BMI of at least 25 kg/m2, nondiabetics, and normotensives had significantly higher scores (P<0.05). The six factors of the questionnaire correlated significantly with the total IMGI score (P<0.05). The majority of the items were intercorrelated (P<0.05). Principal component analysis showed that 14 items explained 70.2% of variance. The Kaiser–Meyer–Olkin sampling adequacy was 0.73 and Bartlett’s test of sphericity was significant (P<0.001). All communalities (statistic squared variances) were above 0.5. ConclusionThe Arabic version of the IMGI is a reliable and valid tool for the assessment of male genital self-image satisfaction among Egyptian men.
{"title":"Translation, validation, and cultural adaptation of the index of male genital self-image in Egypt","authors":"S. Omar, S. Davis, Samar Abd El Hafeez","doi":"10.1097/01.XHA.0000510704.42490.f2","DOIUrl":"https://doi.org/10.1097/01.XHA.0000510704.42490.f2","url":null,"abstract":"PurposePreoccupation with body image, particularly the genitals, is a distraction that can induce anxiety and sexual dysfunction. This study was carried out to translate, culturally adapt, and validate the index of male genital image (IMGI) into Arabic to be used for assessment of genital satisfaction, a taboo subject that threatens the solidarity of the cultural believes linking manhood to sexual performance and genital image. MethodsThe study included 200 men aged more than or equal to 18 years. Forward translation, cognitive testing, and backward translations were performed. Internal consistency was estimated using Cronbach’s &agr;. Intercorrelation with the sexual health inventory for men was performed. Discriminant, content, and construct validities were assessed. ResultsThe median age of the participants was 32 years and 64% lived in urban areas; 76% were married, the median duration of marriage was 6 years, and age at marriage was 27 years. All items of IMGI were reliable (Cronbach’s &agr;=0.85). Older, married, or divorced men, those who married after 25 years of age, those with BMI of at least 25 kg/m2, nondiabetics, and normotensives had significantly higher scores (P<0.05). The six factors of the questionnaire correlated significantly with the total IMGI score (P<0.05). The majority of the items were intercorrelated (P<0.05). Principal component analysis showed that 14 items explained 70.2% of variance. The Kaiser–Meyer–Olkin sampling adequacy was 0.73 and Bartlett’s test of sphericity was significant (P<0.001). All communalities (statistic squared variances) were above 0.5. ConclusionThe Arabic version of the IMGI is a reliable and valid tool for the assessment of male genital self-image satisfaction among Egyptian men.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"97 1","pages":"110–116"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76974813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1097/01.XHA.0000508139.53000.b9
E. Taha, H. Gaber, M. Fawzy, H. Hasan, Abdelmonem Mohamed, A. Hassan, A. M. Abbas
PurposeThe current study aims to evaluate the prognostic indicators of testicular fine-needle aspiration (TFNA) findings on the outcome of varicocele (Vx) surgery. Patients and methodsThe study was a multicentric prospective cohort study carried out in Ibnsina, Sohag and Banon, Assiut ICSI centers, Egypt. We included all infertile men with nonobstructive azoospermia diagnosed with grade II bilateral Vx. TFNA was done for all men, and according to the presence or absence of sperms in TFNA smears they were divided into two groups: group I, Vx patients with positive TFNA, and group II, Vx patients with negative TFNA. Next, patients were subjected to inguinal-loupe-assisted Vx ligation. The primary outcome of the study was the rate of improvement in semen parameters within 1 year after surgery. ResultsPostoperative semen analyses in both groups revealed that 18/33 (54.5%) patients in group I versus 10/48 (20.8%) in group II had positive sperms in their ejaculates with statistically significant difference (P=0.001). In addition, semen parameters in group I had significantly higher results than group II. There were significant positive correlations between the number of recovered sperms by TFNA preoperatively and the total testicular volume on one hand and postoperative semen parameters on the other hand (P<0.001), whereas significant negative correlations were found between serum follicle-stimulating hormone (FSH) and postoperative semen parameters (P<0.001). ConclusionTaking prognostic parameters into consideration is important before counseling nonobstructive azoospermia patients with Vx to undergo varicocelectomy. The findings of sperms preoperatively through performing TFNA could be a good prognostic indicator to varicocelectomy.
{"title":"Testicular fine-needle aspiration as a prognostic indicator in azoospermia associated with grade II varicocele","authors":"E. Taha, H. Gaber, M. Fawzy, H. Hasan, Abdelmonem Mohamed, A. Hassan, A. M. Abbas","doi":"10.1097/01.XHA.0000508139.53000.b9","DOIUrl":"https://doi.org/10.1097/01.XHA.0000508139.53000.b9","url":null,"abstract":"PurposeThe current study aims to evaluate the prognostic indicators of testicular fine-needle aspiration (TFNA) findings on the outcome of varicocele (Vx) surgery. Patients and methodsThe study was a multicentric prospective cohort study carried out in Ibnsina, Sohag and Banon, Assiut ICSI centers, Egypt. We included all infertile men with nonobstructive azoospermia diagnosed with grade II bilateral Vx. TFNA was done for all men, and according to the presence or absence of sperms in TFNA smears they were divided into two groups: group I, Vx patients with positive TFNA, and group II, Vx patients with negative TFNA. Next, patients were subjected to inguinal-loupe-assisted Vx ligation. The primary outcome of the study was the rate of improvement in semen parameters within 1 year after surgery. ResultsPostoperative semen analyses in both groups revealed that 18/33 (54.5%) patients in group I versus 10/48 (20.8%) in group II had positive sperms in their ejaculates with statistically significant difference (P=0.001). In addition, semen parameters in group I had significantly higher results than group II. There were significant positive correlations between the number of recovered sperms by TFNA preoperatively and the total testicular volume on one hand and postoperative semen parameters on the other hand (P<0.001), whereas significant negative correlations were found between serum follicle-stimulating hormone (FSH) and postoperative semen parameters (P<0.001). ConclusionTaking prognostic parameters into consideration is important before counseling nonobstructive azoospermia patients with Vx to undergo varicocelectomy. The findings of sperms preoperatively through performing TFNA could be a good prognostic indicator to varicocelectomy.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"79 1","pages":"100–105"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77339646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1097/01.XHA.0000483139.66840.42
O. Shaeer, K. Shaeer, I. Rahman
PurposeBoth the true and the visible penile lengths decrease following penile prosthesis implantation, leading to dissatisfaction in some patients. This study describes ‘Shaeer’s dorsal phalloplasty’ for increasing the visible length of the penis upon implantation. Patients and methodsPenile prosthesis was implanted in two patients with refractory erectile dysfunction and buried penis. During the procedure, a tacking suture was placed to approximate the pubic skin to the symphysis pubis, defining the penopubic junction. The video for the technique is available at the Video Journal of Prosthetic Urology. ResultsIntraoperatively, dorsal phalloplasty produced a 19% increase in the visible length of the erect penis in one patient (from 10.5 to 12.5 cm) and 12% increase in the other patient (from 12.5 to 14 cm). Postoperatively, both patients reported no change in length compared with before erectile dysfunction had set in and reported full satisfaction as measured on a five-point rating scale. ConclusionShaeer’s dorsal phalloplasty is a minimally invasive and effective method for revealing the penis and preserving length upon penile prosthesis implantation, as well as preserving self-impression of length. The initial results prove efficacy and warrant further evaluation in a larger case series.
{"title":"Supersizing the penis upon penile prosthesis implantation by Shaeer’s dorsal phalloplasty","authors":"O. Shaeer, K. Shaeer, I. Rahman","doi":"10.1097/01.XHA.0000483139.66840.42","DOIUrl":"https://doi.org/10.1097/01.XHA.0000483139.66840.42","url":null,"abstract":"PurposeBoth the true and the visible penile lengths decrease following penile prosthesis implantation, leading to dissatisfaction in some patients. This study describes ‘Shaeer’s dorsal phalloplasty’ for increasing the visible length of the penis upon implantation. Patients and methodsPenile prosthesis was implanted in two patients with refractory erectile dysfunction and buried penis. During the procedure, a tacking suture was placed to approximate the pubic skin to the symphysis pubis, defining the penopubic junction. The video for the technique is available at the Video Journal of Prosthetic Urology. ResultsIntraoperatively, dorsal phalloplasty produced a 19% increase in the visible length of the erect penis in one patient (from 10.5 to 12.5 cm) and 12% increase in the other patient (from 12.5 to 14 cm). Postoperatively, both patients reported no change in length compared with before erectile dysfunction had set in and reported full satisfaction as measured on a five-point rating scale. ConclusionShaeer’s dorsal phalloplasty is a minimally invasive and effective method for revealing the penis and preserving length upon penile prosthesis implantation, as well as preserving self-impression of length. The initial results prove efficacy and warrant further evaluation in a larger case series.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"6 1","pages":"97–99"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87262247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.1097/01.XHA.0000496449.53293.3d
K. Shaeer, O. Shaeer, M. W. Ragab
Testicular torsion is one of the common causes of acute scrotum in adolescents. Early diagnosis and proper surgical management is crucial for testicular salvage. Although testicular torsion was first described in 1840, it is one of the most common reasons for malpractice lawsuits among adolescent boys. This review article aimed to highlight all clinical, diagnostic, and management aspects of testicular torsion, emphasizing on recent updates and experimental studies in that field. We reviewed already published articles in this context using PubMed, Medical Subject Headings database, Cochrane Central Register of Controlled Trials, and Google Scholar until April 2015. We used testicular torsion and acute scrotum as keywords. Most studies on this subject were correlated to management, differential diagnosis, surgical interventions, and experimental studies in the field of minimizing ischemia–reperfusion injury. Recent publications focused on providing highly sensitive and specific diagnostic methods and on improving the testicular salvage rate.
{"title":"Testicular torsion in adolescents","authors":"K. Shaeer, O. Shaeer, M. W. Ragab","doi":"10.1097/01.XHA.0000496449.53293.3d","DOIUrl":"https://doi.org/10.1097/01.XHA.0000496449.53293.3d","url":null,"abstract":"Testicular torsion is one of the common causes of acute scrotum in adolescents. Early diagnosis and proper surgical management is crucial for testicular salvage. Although testicular torsion was first described in 1840, it is one of the most common reasons for malpractice lawsuits among adolescent boys. This review article aimed to highlight all clinical, diagnostic, and management aspects of testicular torsion, emphasizing on recent updates and experimental studies in that field. We reviewed already published articles in this context using PubMed, Medical Subject Headings database, Cochrane Central Register of Controlled Trials, and Google Scholar until April 2015. We used testicular torsion and acute scrotum as keywords. Most studies on this subject were correlated to management, differential diagnosis, surgical interventions, and experimental studies in the field of minimizing ischemia–reperfusion injury. Recent publications focused on providing highly sensitive and specific diagnostic methods and on improving the testicular salvage rate.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"9 1","pages":"79–85"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76588439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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