Pub Date : 2016-03-01DOI: 10.1097/01.XHA.0000481474.35401.9d
O. Shaeer, K. Shaeer, Islam F.S. Abdel Rahman, O. Selim, Shady Zaki
IntroductionSupersonic transporter (SST) deformity is a complication of penile prosthesis implantation in which the glans penis does not mount on the anterior tip of the penile prosthesis, resulting in ventral angulation resembling the anterior portion of the supersonic airplane. AimThis work describes a new technique to correct the SST deformity by means of dorsal skin reduction in circumcised patients and a modification to the original technique for uncircumcised ones. Main outcome measuresThe main outcome measure of this study was the resolution of deformity. Patients and methodsSST deformity was detected and repaired intraoperatively in 12 patients. Glanulopexy using the skin reduction technique was performed in circumcised (n=9) patients by excising enough dorsal skin and suturing the wound edges so as to anchor the glans in position. Glanulopexy using an anchoring suture was performed in three patients with SST deformity, one circumcised and two uncircumcised, in which a polyester suture anchors the glans to the dorsal midline. ResultsSST deformity was fully corrected without any recurrence or glans anesthesia throughout the follow-up period. One patient treated using the modified anchoring technique complained of palpable knot. ConclusionSkin reduction glanulopexy is effective and minimally invasive in circumcised patients. In uncircumcised patients, anchoring glanulopexy can be performed using a single midline polyfilament stitch without the need for mobilization of the neurovascular bundle or glans.
{"title":"Supersonic transporter deformity: glanulopexy by means of skin reduction and modification of the original anchoring technique","authors":"O. Shaeer, K. Shaeer, Islam F.S. Abdel Rahman, O. Selim, Shady Zaki","doi":"10.1097/01.XHA.0000481474.35401.9d","DOIUrl":"https://doi.org/10.1097/01.XHA.0000481474.35401.9d","url":null,"abstract":"IntroductionSupersonic transporter (SST) deformity is a complication of penile prosthesis implantation in which the glans penis does not mount on the anterior tip of the penile prosthesis, resulting in ventral angulation resembling the anterior portion of the supersonic airplane. AimThis work describes a new technique to correct the SST deformity by means of dorsal skin reduction in circumcised patients and a modification to the original technique for uncircumcised ones. Main outcome measuresThe main outcome measure of this study was the resolution of deformity. Patients and methodsSST deformity was detected and repaired intraoperatively in 12 patients. Glanulopexy using the skin reduction technique was performed in circumcised (n=9) patients by excising enough dorsal skin and suturing the wound edges so as to anchor the glans in position. Glanulopexy using an anchoring suture was performed in three patients with SST deformity, one circumcised and two uncircumcised, in which a polyester suture anchors the glans to the dorsal midline. ResultsSST deformity was fully corrected without any recurrence or glans anesthesia throughout the follow-up period. One patient treated using the modified anchoring technique complained of palpable knot. ConclusionSkin reduction glanulopexy is effective and minimally invasive in circumcised patients. In uncircumcised patients, anchoring glanulopexy can be performed using a single midline polyfilament stitch without the need for mobilization of the neurovascular bundle or glans.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"18 1","pages":"1–6"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82497117","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 : 2016-03-01DOI: 10.1097/01.XHA.0000481142.54302.08
I. Younis, M. Fattah, Marwa Maamoun
PurposeErogenous zones may be genital or extragenital. Women have a greater variety of erogenous zones on the body compared with men. In the context of this article, it is important to examine this issue in conjunction with problems of sexual dysfunctions. Scientific research in the area of extragenital erogenous zones is scarce. Defining extragenital erogenous zones with the most powerful excitatory effect and how to stimulate them was the aim of this work. Participants and methodsThis work was a cross-sectional cohort study wherein a self-report questionnaire was used. Usable questionnaires were obtained from 150 married women with regular sexual activity. The questions covered epidemiological data, assessment of female sexual functions, and information on extragenital erogenous zones. ResultsExtragenital erogenous zones were found in 95.3% of women. In a descending order, the most powerful erogenous zones were breasts, lips, neck, ears, and buttocks. The best method for stimulation differed according to the area – for example, the best method for the lips was oral stimulation, whereas the best method for the breasts and nipples was both manual and oral stimulation. Orgasm due to the stimulation of extragenital areas was reported by 12% of participants. ConclusionExtragenital erogenous zones are present in a vast majority of women. An overall 12% of women said that they can orgasm following stimulation of these zones. Female patients complaining of difficulty in achieving orgasm may benefit from informing their partners about the extragenital erogenous zones and methods to stimulate them.
{"title":"Female hot spots: extragenital erogenous zones","authors":"I. Younis, M. Fattah, Marwa Maamoun","doi":"10.1097/01.XHA.0000481142.54302.08","DOIUrl":"https://doi.org/10.1097/01.XHA.0000481142.54302.08","url":null,"abstract":"PurposeErogenous zones may be genital or extragenital. Women have a greater variety of erogenous zones on the body compared with men. In the context of this article, it is important to examine this issue in conjunction with problems of sexual dysfunctions. Scientific research in the area of extragenital erogenous zones is scarce. Defining extragenital erogenous zones with the most powerful excitatory effect and how to stimulate them was the aim of this work. Participants and methodsThis work was a cross-sectional cohort study wherein a self-report questionnaire was used. Usable questionnaires were obtained from 150 married women with regular sexual activity. The questions covered epidemiological data, assessment of female sexual functions, and information on extragenital erogenous zones. ResultsExtragenital erogenous zones were found in 95.3% of women. In a descending order, the most powerful erogenous zones were breasts, lips, neck, ears, and buttocks. The best method for stimulation differed according to the area – for example, the best method for the lips was oral stimulation, whereas the best method for the breasts and nipples was both manual and oral stimulation. Orgasm due to the stimulation of extragenital areas was reported by 12% of participants. ConclusionExtragenital erogenous zones are present in a vast majority of women. An overall 12% of women said that they can orgasm following stimulation of these zones. Female patients complaining of difficulty in achieving orgasm may benefit from informing their partners about the extragenital erogenous zones and methods to stimulate them.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"26 1","pages":"20–26"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83275390","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 : 2016-03-01DOI: 10.1097/01.XHA.0000479819.16456.ce
N. Agamia, D. Younan, Y. Orief, Salah F. Khalil
ObjectiveIn men with obstructive azoospermia, the chance of successful retrieval of sperm approaches more than 90%, whereas the chances of sperm retrieval in men with nonobstructive azoospermia (NOA) are not as high. The objective of this study was to evaluate some preoperative factors to predict successful sperm retrieval with testicular sperm extraction. Patients and methodsWe evaluated 82 infertile men with NOA. Factors including age, infertility period, surgical history, testicular volume, serum follicle-stimulating hormone (FSH), serum inhibin B, serum luteinizing hormone (LH), and serum total testosterone were assessed in relation to sperm retrieval results. The predictive values of total testicular volume, LH, FSH, and inhibin B for discriminating between successful and unsuccessful testicular sperm extraction were assessed by calculating the corresponding area under the receiver operating characteristic curve. ResultsSperm retrieval was successful in 41 (50%) biopsies. Men with a higher mean testicular volume, a higher serum inhibin B, lower LH, and a lower FSH had successful sperm retrieval. The cutoff points for successful sperm retrieval, using receiver operating characteristic curves, were as follows: 9.5 ml for testicular volume, 12.47 IU/l for serum FSH, 36.33 pg/ml for serum inhibin B, and 6.64 IU/l for LH. Combining inhibin B+FSH+LH had the highest area under the receiver operating characteristic curve (0.954), whereas combining FSH and inhibin B serum levels showed the highest sensitivity (97.56). ConclusionCombinations including serum LH, inhibin B, and FSH levels give the best predictive value for successful sperm retrieval, compared with each alone, in patients with NOA.
{"title":"Evaluation of testicular volume and hormonal parameters in the prediction of testicular sperm extraction outcome in patients with nonobstructive azoospermia","authors":"N. Agamia, D. Younan, Y. Orief, Salah F. Khalil","doi":"10.1097/01.XHA.0000479819.16456.ce","DOIUrl":"https://doi.org/10.1097/01.XHA.0000479819.16456.ce","url":null,"abstract":"ObjectiveIn men with obstructive azoospermia, the chance of successful retrieval of sperm approaches more than 90%, whereas the chances of sperm retrieval in men with nonobstructive azoospermia (NOA) are not as high. The objective of this study was to evaluate some preoperative factors to predict successful sperm retrieval with testicular sperm extraction. Patients and methodsWe evaluated 82 infertile men with NOA. Factors including age, infertility period, surgical history, testicular volume, serum follicle-stimulating hormone (FSH), serum inhibin B, serum luteinizing hormone (LH), and serum total testosterone were assessed in relation to sperm retrieval results. The predictive values of total testicular volume, LH, FSH, and inhibin B for discriminating between successful and unsuccessful testicular sperm extraction were assessed by calculating the corresponding area under the receiver operating characteristic curve. ResultsSperm retrieval was successful in 41 (50%) biopsies. Men with a higher mean testicular volume, a higher serum inhibin B, lower LH, and a lower FSH had successful sperm retrieval. The cutoff points for successful sperm retrieval, using receiver operating characteristic curves, were as follows: 9.5 ml for testicular volume, 12.47 IU/l for serum FSH, 36.33 pg/ml for serum inhibin B, and 6.64 IU/l for LH. Combining inhibin B+FSH+LH had the highest area under the receiver operating characteristic curve (0.954), whereas combining FSH and inhibin B serum levels showed the highest sensitivity (97.56). ConclusionCombinations including serum LH, inhibin B, and FSH levels give the best predictive value for successful sperm retrieval, compared with each alone, in patients with NOA.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"378 1","pages":"13–19"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77759671","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 : 2016-03-01DOI: 10.1097/01.XHA.0000480625.35226.8e
A. Elsadat, Ahmed B. Geneidy
PurposeTubularized incised plate (TIP) technique of urethroplasty, adopted by Snodgrass, has proven feasibility and success in the repair of distal hypospadias. However, its versatility in the management of proximal hypospadias needs to be evaluated. Patients and methodsFrom May 2011 to June 2014, 42 patients with proximal hypospadias in the pediatric age group were managed surgically. A total of 32 patients underwent TIP urethroplasty and 10 were candidates for a two-stage repair due to severe ventral curvature or deficient urethral plate, for all of whom the urethral plate was sacrificed. Among those undergoing TIP, 16 patients showed no chordee after the artificial erection test, eight cases presented chordee less than 30°, which was corrected through dorsal plication, and eight cases presented with chordee more than 30°, which was corrected by the elevation of urethral plate from corpora cavernosa and dorsal plication while maintaining the urethral plate. ResultsThe 10 cases with sacrificed urethral late were excluded from the analysis. Mean follow-up for the TIP cases (n=32) was 12 months (2–38 months). Complication rate was 34.3% in the form of fistulae in three (9.375%) cases, meatal stenosis in two (6.25%), glanular dehiscence in one (3.75%), urethral diverticulum in one (3.75%), neourethral stricture in two (6.25%), and meatal recession in two (6.25%) cases. ConclusionSnodgrass (TIP), a definitive technique for the correction of distal hypospadias, has evolved and proven feasible for proximal hypospadias as well. Dorsal plication and dissecting the urethral plate has aided in the preservation of the urethral plate. In some cases it is inevitable to transect the urethral plate either for being deficient or due to severe chordee and ventral curvature.
{"title":"Tubularized incised plate urethroplasty (Snodgrass technique) has versatility in proximal hypospadias?","authors":"A. Elsadat, Ahmed B. Geneidy","doi":"10.1097/01.XHA.0000480625.35226.8e","DOIUrl":"https://doi.org/10.1097/01.XHA.0000480625.35226.8e","url":null,"abstract":"PurposeTubularized incised plate (TIP) technique of urethroplasty, adopted by Snodgrass, has proven feasibility and success in the repair of distal hypospadias. However, its versatility in the management of proximal hypospadias needs to be evaluated. Patients and methodsFrom May 2011 to June 2014, 42 patients with proximal hypospadias in the pediatric age group were managed surgically. A total of 32 patients underwent TIP urethroplasty and 10 were candidates for a two-stage repair due to severe ventral curvature or deficient urethral plate, for all of whom the urethral plate was sacrificed. Among those undergoing TIP, 16 patients showed no chordee after the artificial erection test, eight cases presented chordee less than 30°, which was corrected through dorsal plication, and eight cases presented with chordee more than 30°, which was corrected by the elevation of urethral plate from corpora cavernosa and dorsal plication while maintaining the urethral plate. ResultsThe 10 cases with sacrificed urethral late were excluded from the analysis. Mean follow-up for the TIP cases (n=32) was 12 months (2–38 months). Complication rate was 34.3% in the form of fistulae in three (9.375%) cases, meatal stenosis in two (6.25%), glanular dehiscence in one (3.75%), urethral diverticulum in one (3.75%), neourethral stricture in two (6.25%), and meatal recession in two (6.25%) cases. ConclusionSnodgrass (TIP), a definitive technique for the correction of distal hypospadias, has evolved and proven feasible for proximal hypospadias as well. Dorsal plication and dissecting the urethral plate has aided in the preservation of the urethral plate. In some cases it is inevitable to transect the urethral plate either for being deficient or due to severe chordee and ventral curvature.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"116 1","pages":"7–12"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89579602","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 : 2015-12-01DOI: 10.1097/01.XHA.0000475198.30247.53
Yasmin Magdi, E. Darwish, S. Elbashir, Mona Ahmed Elawady
PurposeThis study aimed to examine the relationship between sperm morphology and sperm DNA fragmentation in infertile teratozoospermic men and fertile normozoospermic men. Materials and methodsSemen samples were collected from 69 patients classified as infertile teratozoospermic men and 65 healthy fertile normozoospermic men (control). Semen parameters were assessed using WHO 2010 guidelines. Spermatozoa DNA integrity was assessed using the method of the sperm chromatin dispersion test. ResultsSperm DNA fragmentation was statistically higher in infertile teratozoospermic men compared with fertile men (P=0.001) and the percentage of fragmented sperm had significant positive correlations with morphologically abnormal sperm (P=0.001). ConclusionOn the basis of these findings, it is important to assess sperm DNA damage in the diagnosis of male infertility. Our data also showed a negative correlation between the degree of DNA fragmentation and the morphology of sperm in semen samples.
{"title":"Evaluation of DNA fragmentation in teratozoospermic infertile men compared with normozoospermic fertile men and its correlation with sperm morphology","authors":"Yasmin Magdi, E. Darwish, S. Elbashir, Mona Ahmed Elawady","doi":"10.1097/01.XHA.0000475198.30247.53","DOIUrl":"https://doi.org/10.1097/01.XHA.0000475198.30247.53","url":null,"abstract":"PurposeThis study aimed to examine the relationship between sperm morphology and sperm DNA fragmentation in infertile teratozoospermic men and fertile normozoospermic men. Materials and methodsSemen samples were collected from 69 patients classified as infertile teratozoospermic men and 65 healthy fertile normozoospermic men (control). Semen parameters were assessed using WHO 2010 guidelines. Spermatozoa DNA integrity was assessed using the method of the sperm chromatin dispersion test. ResultsSperm DNA fragmentation was statistically higher in infertile teratozoospermic men compared with fertile men (P=0.001) and the percentage of fragmented sperm had significant positive correlations with morphologically abnormal sperm (P=0.001). ConclusionOn the basis of these findings, it is important to assess sperm DNA damage in the diagnosis of male infertility. Our data also showed a negative correlation between the degree of DNA fragmentation and the morphology of sperm in semen samples.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"300 1","pages":"82–85"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73591250","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 : 2015-12-01DOI: 10.1097/01.XHA.0000472591.62576.f8
E. Sakhaee, L. Emadi, H. Siahkouhi
BackgroundThis study aimed to evaluate the supportive effects of Rosa damascene essential oil on epididymal sperm quality following long-term administration of copper sulfate in mice. Materials and methodsThe study included four different groups of six mice as follows: group Cu, which received 0.1 ml copper sulfate solution at a dose of 100 mg/kg, group R, which received 0.1 ml R. damascene essential oil at a dose of 1 mg/kg, treatment group (T), which received copper sulfate solution (100 mg/kg) and treatment with R. damascene essential oil (1 mg/kg), and control group (C), which received the same volume of normal saline. The supplements were gavaged in all animals every other day during the experimental period. All animals were killed 6 weeks after the beginning of the experiment. ResultsSperm concentration, motility, and viability in group Cu were significantly decreased after 6 weeks and improved in the treatment group in comparison with the Cu group. ConclusionAdministration of the essential oil of R. damascene can protect the testis and epididymal sperm from the adverse effects of copper poisoning in mice.
{"title":"Supportive effects of Rosa damascene essential oil on epididymal sperm quality following long-term administration of copper sulfate in mice","authors":"E. Sakhaee, L. Emadi, H. Siahkouhi","doi":"10.1097/01.XHA.0000472591.62576.f8","DOIUrl":"https://doi.org/10.1097/01.XHA.0000472591.62576.f8","url":null,"abstract":"BackgroundThis study aimed to evaluate the supportive effects of Rosa damascene essential oil on epididymal sperm quality following long-term administration of copper sulfate in mice. Materials and methodsThe study included four different groups of six mice as follows: group Cu, which received 0.1 ml copper sulfate solution at a dose of 100 mg/kg, group R, which received 0.1 ml R. damascene essential oil at a dose of 1 mg/kg, treatment group (T), which received copper sulfate solution (100 mg/kg) and treatment with R. damascene essential oil (1 mg/kg), and control group (C), which received the same volume of normal saline. The supplements were gavaged in all animals every other day during the experimental period. All animals were killed 6 weeks after the beginning of the experiment. ResultsSperm concentration, motility, and viability in group Cu were significantly decreased after 6 weeks and improved in the treatment group in comparison with the Cu group. ConclusionAdministration of the essential oil of R. damascene can protect the testis and epididymal sperm from the adverse effects of copper poisoning in mice.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"1 1","pages":"68–70"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88715540","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 : 2015-12-01DOI: 10.1097/01.XHA.0000475309.56142.c6
Ihab Younis, Ahmed H. Hamed
About 4.6–16.2% of male adolescents may be affected by varicocele. The most important damaging effect of varicocele in adolescents is testicular growth arrest (hypotrophy). Ultrasound is more accurate compared with orchidometry in detecting hypotrophy. Histopathologically, the testis of adolescent boys affected by varicocele shows Leydig cell hyperplasia, decreased number of spermatogonia per tubule, spermatogenesis arrest, and sloughing of the germinal epithelium. Varicocele in adolescents negatively affects sperm density and motility, and this seems to be related to testicular volume. To treat or not to treat adolescent varicocele is a controversial question. This is due to conflicting reports about the effectiveness of varicocelectomy. On one hand, some studies demonstrated a significant catch-up growth of the testis but found that prophylactic varicocele repair might expose many individuals to the unnecessary risks of surgery. Furthermore, this catch up of testicular volume could be due to edema secondary to severing of lymphatics during the procedure. On the other hand, other studies found that varicocele correction in adolescents not only improved testicular hypotrophy but also improved semen quality. Complications of varicocelectomy, such as recurrence or hydrocele incidence, are less common in open varicocelectomy than in laparoscopic or percutaneous embolization when treating varicocele in adolescents.
{"title":"A challenging ‘bag of worms’: adolescent varicocele","authors":"Ihab Younis, Ahmed H. Hamed","doi":"10.1097/01.XHA.0000475309.56142.c6","DOIUrl":"https://doi.org/10.1097/01.XHA.0000475309.56142.c6","url":null,"abstract":"About 4.6–16.2% of male adolescents may be affected by varicocele. The most important damaging effect of varicocele in adolescents is testicular growth arrest (hypotrophy). Ultrasound is more accurate compared with orchidometry in detecting hypotrophy. Histopathologically, the testis of adolescent boys affected by varicocele shows Leydig cell hyperplasia, decreased number of spermatogonia per tubule, spermatogenesis arrest, and sloughing of the germinal epithelium. Varicocele in adolescents negatively affects sperm density and motility, and this seems to be related to testicular volume. To treat or not to treat adolescent varicocele is a controversial question. This is due to conflicting reports about the effectiveness of varicocelectomy. On one hand, some studies demonstrated a significant catch-up growth of the testis but found that prophylactic varicocele repair might expose many individuals to the unnecessary risks of surgery. Furthermore, this catch up of testicular volume could be due to edema secondary to severing of lymphatics during the procedure. On the other hand, other studies found that varicocele correction in adolescents not only improved testicular hypotrophy but also improved semen quality. Complications of varicocelectomy, such as recurrence or hydrocele incidence, are less common in open varicocelectomy than in laparoscopic or percutaneous embolization when treating varicocele in adolescents.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"46 1","pages":"61–67"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86024488","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 : 2015-12-01DOI: 10.1097/01.XHA.0000473454.99288.99
N. Sahay, A. Chatterjee
We wish to highlight the case of a 24-year-old man of ASA grade I weighing 54 kg who underwent hypospadias repair under general anesthesia. This patient was a farmer by profession with good exercise tolerance. On preanesthesia examination, a heart rate of 50–55/min was observed and cardiology opinion ruled out cardiac abnormalities. Inj. midazolam 1 mg, inj. fentanyl 110 mcg, inj. propofol 100 mg, and inj. rocuronium 30 mg were administered to induce anesthesia and maintained with isoflurane at 1 MAC.
{"title":"Penile erection: a problem that persisted as an anesthetic complication","authors":"N. Sahay, A. Chatterjee","doi":"10.1097/01.XHA.0000473454.99288.99","DOIUrl":"https://doi.org/10.1097/01.XHA.0000473454.99288.99","url":null,"abstract":"We wish to highlight the case of a 24-year-old man of ASA grade I weighing 54 kg who underwent hypospadias repair under general anesthesia. This patient was a farmer by profession with good exercise tolerance. On preanesthesia examination, a heart rate of 50–55/min was observed and cardiology opinion ruled out cardiac abnormalities. Inj. midazolam 1 mg, inj. fentanyl 110 mcg, inj. propofol 100 mg, and inj. rocuronium 30 mg were administered to induce anesthesia and maintained with isoflurane at 1 MAC.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"42 1","pages":"86"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85471237","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 : 2015-12-01DOI: 10.1097/01.XHA.0000475197.51922.f5
Samy Hanafy, F. El-Esawy
BackgroundSexuality is an important part of women’s health, quality of life, and general well-being. During the postpartum period, women encounter numerous physical, psychological, and sociocultural factors. These factors negatively affect both the sexual function and the quality of life of women. ObjectiveThere are no adequate data in the medical literature as regards the occurrence of sexual dysfunction during the postpartum period in our Arabic countries. On the basis of this assertion, this cross-sectional study proposed to assess female sexual dysfunction (FSD) among married women for the duration of the postpartum period. Patients and methodsIn this study, 150 healthy married women in the first postpartum year with established marital relationships were incorporated. A questionnaire form developed by authors was applied for the participants. ResultsThe mean female age was 25.95 years. The desire and orgasm domains were the most affected, with 74.7% of the participants having sexual dysfunction with a total Female Sexual Function Index score of 20.3±5. FSD was found to be correlated with age, presence of sexual problems during pregnancy, number of pregnancies, and number of children. ConclusionFSD is a common problem during the postpartum period among Egyptian women; therefore, women and their partners can be invited to discuss their sexual life and learn about bodily and emotional changes during the postpartum period.
{"title":"Female sexual dysfunction during the postpartum period: an Egyptian study","authors":"Samy Hanafy, F. El-Esawy","doi":"10.1097/01.XHA.0000475197.51922.f5","DOIUrl":"https://doi.org/10.1097/01.XHA.0000475197.51922.f5","url":null,"abstract":"BackgroundSexuality is an important part of women’s health, quality of life, and general well-being. During the postpartum period, women encounter numerous physical, psychological, and sociocultural factors. These factors negatively affect both the sexual function and the quality of life of women. ObjectiveThere are no adequate data in the medical literature as regards the occurrence of sexual dysfunction during the postpartum period in our Arabic countries. On the basis of this assertion, this cross-sectional study proposed to assess female sexual dysfunction (FSD) among married women for the duration of the postpartum period. Patients and methodsIn this study, 150 healthy married women in the first postpartum year with established marital relationships were incorporated. A questionnaire form developed by authors was applied for the participants. ResultsThe mean female age was 25.95 years. The desire and orgasm domains were the most affected, with 74.7% of the participants having sexual dysfunction with a total Female Sexual Function Index score of 20.3±5. FSD was found to be correlated with age, presence of sexual problems during pregnancy, number of pregnancies, and number of children. ConclusionFSD is a common problem during the postpartum period among Egyptian women; therefore, women and their partners can be invited to discuss their sexual life and learn about bodily and emotional changes during the postpartum period.","PeriodicalId":13018,"journal":{"name":"Human Andrology","volume":"34 1","pages":"71–81"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84801800","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 : 2015-09-01DOI: 10.1097/01.XHA.0000466924.71680.f4
I. Younis, F. El-Esawy, Riham Abdel-Mohsen
BackgroundOrgasm problems in women are the second most frequently reported female sexual dysfunctions. The mechanisms triggering female orgasm are still unclear. Many non-physical factors, as culture and religion, can affect the incidence and characters of orgasm. The current study was conducted with the purpose of obtaining some information about orgasm in a sample of Egyptian women to fill the gap in this respect. Patients and MethodsA self-report questionnaire was used in this study that included 164 women attending the outpatient clinic of Benha University Hospital. All participants were sexually active and their ages range was 20 to 60 years. Anonymity of participants was secured. ResultsThe time needed to reach orgasm was >5 min but <10 min in 42.2% of participants. When they fail to obtain an orgasm, 32.9% of women fake it. Adescription of orgasm as a combination of shuddering all over the body and a nice feeling localized to the genitals was given by 42.2% of women. Female ejaculation was experienced by 40.2% of the participants and half of them were multiorgasmic. Most women (54.9%) consider not reaching orgasm is not a failure. The usual method of reaching was penile thrusting for 51.2%, while 48.8% could reach orgasm via manual stimulation only. ConclusionMost women can reach orgasm in more than 50% of sexual encounters even if they were exposed to FGC. Women fake orgasm to accelerate finishing ofintercourse. Coital position has an effect on ability to attain an orgasm. Advance in age causes a decrease in both frequency and time needed to reach orgasm.
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