Adnan Odhafa Almayyahi; Firas Shakir Attar; Abdullah Yousif Altimari; Amro Usama
Abstract
Premature ejaculation (PE) is the most common sexual dysfunction in men with a prevalence rate reaching up to 75%. Varicocele is defined as elongated, dilated, and tortuous veins of the testicular pampiniform plexus. The link between PE and varicocele was demonstrated in many studies. This study ...
Read More ...
Premature ejaculation (PE) is the most common sexual dysfunction in men with a prevalence rate reaching up to 75%. Varicocele is defined as elongated, dilated, and tortuous veins of the testicular pampiniform plexus. The link between PE and varicocele was demonstrated in many studies. This study aimed to evaluate the effect of varicocelectomy in improving PE in men with both PE and varicocele.
This prospective study was conducted on sixty patients (age range 19-40 years) who had clinical varicocele and premature ejaculation. The study period was from January 2018 to January 2020 and was performed in Basrah Teaching Hospital. Forty patients met the inclusion criteria of this study. All patients had varicocelectomy and were followed up for the improvement of their PE.
The study showed that majority of patients with concomitant PE and varicocele (26 patients, 65%) had improvement of PE after varicocelectomy with an ability to delay ejaculation.
The development of PE in patients with varicocele may be related to the occurrence of prostatitis due to the backflow of blood from the varicocele to the prostatic venous plexus. The study concluded that improvement of PE in patient with concomitant varicocele could be achieved by performing varicocelectomy.
Key words: Varicocele, premature, ejaculation, improvement, varicocelectomy.
Majed Asgar Mohammad; Firas Shakir Attar; Khaldon Sadek Alkhateep
Abstract
Patients with penoscrotal, proximal shaft and mid shaft hypospadias who were previously circumcised or patients with insufficient urethral plate such as those with severe chordee that cannot be corrected just by simple degloving, or failure of previous hypospadias repair, such patients represent ...
Read More ...
Patients with penoscrotal, proximal shaft and mid shaft hypospadias who were previously circumcised or patients with insufficient urethral plate such as those with severe chordee that cannot be corrected just by simple degloving, or failure of previous hypospadias repair, such patients represent a challenge for subsequent repair and appropriate procedure choice.
The aim of this study is to assess the outcome of longitudinal dorsal island flap (LDIF) by both onlay and tubularized repair for patients with hypospadias who were previously circumcised or had poorly developed urethral plate.
This prospective study was done on 36 patients who had penoscrotal, proximal and mid shaft hypospadias and were previously circumcised or had poorly developed urethral plate. Twenty four of them were operated upon by using onlay LDIF and 12 patients by using tubularized LDIF. Patients were followed-up for 12 months to look for any complication for these 2 types of surgeries and for assessing the functional outcome of the repair.
The success rate for onlay LIDF was 75% and for tubularized LIDF was 58.33%. Overall complications occurred in 11 (30.55%) children.
In conclusion, LDIF can be used successfully for repair of hypospadias in circumcised children or those with failed previous repair.
Keywords: Hypospadias, LDIF, failed repair, tabularized incised plate urethroplasty
Firas Shakir Attar; Adnan Odhafa Almayyahi; Ibrahim Mahjar Tuama Flayyih
Abstract
The role of Tamsulosin in the treatment of ureteral stent related symptoms in Basrah General Hospital Firas Shakir Attar@, Adnan Odhafa Almayyahi# & Ibrahim Mahjar Tuama Flayyih* @MB,ChB, FIBMS, Assistant Professor at Basrah College of Medicine, Department of Surgery, Consultant ...
Read More ...
The role of Tamsulosin in the treatment of ureteral stent related symptoms in Basrah General Hospital Firas Shakir Attar@, Adnan Odhafa Almayyahi# & Ibrahim Mahjar Tuama Flayyih* @MB,ChB, FIBMS, Assistant Professor at Basrah College of Medicine, Department of Surgery, Consultant Urologist at Basrah Teaching Hospital. #MB,ChB, FIBMS, Consultant Urologist at Basrah Teaching Hospital. *MB,ChB, FIBMS, Specialist Urologist at Basrah Teaching Hospital, Basrah, IRAQ. Abstract This study aimed to evaluate the efficacy of tamsulosin which is an α1-blocker as a therapeutic agent to alleviate ureteral stent related symptoms. Seventy-two patients were included in this prospective study from August 2018 to August 2019 in Basrah Teaching Hospital. All patients underwent ureteroscopic management of ureteral stones and ureteral stent had been inserted for about one month period. Patients were divided into two groups; a tamsulosin group, and a control group. Then the International Prostatic Symptoms Scores (IPSS) & Quality of life (QoL) were compared after one-month period. This study shows a significant decrease in the total IPSS, irritative IPSS, obstructive IPSS and the QoL scores with the administration of tamsulosin. In conclusion: The administration of tamsulosin in patients with ureteral stent is useful in decreasing the ureteral stent related symptoms.