Keywords : timing
Basrah Journal of Surgery,
2020, Volume 26, Issue 2, Pages 67-70
Premature ejaculation (PE) is the most common sexual dysfunction compliant in about 35 to 45% of men younger than 40 years.
In this study, the efficacy of two drugs (Fluoxetine and Citalopram) which are selective serotonin reuptake inhibitors (SSRI) used for treatment of patients suffering from PE is evaluated. The effectiveness of both drugs in PE patients was studied with different protocol to find out the most effective drugs with least side effect.
A total of 93 patients were referred to the Urology Clinic in Basrah Teaching Hospital for the treatment of PE. Patients were randomly divided into two groups; Patients in group 1 (N=49) received 40mg (2 capsules of 20mg) fluoxetine daily for 4 weeks, and patients in group 2 (N=44) received 40mg citalopram daily for 4 weeks.
The mean intravaginal ejaculation latency time (IVELT) before treatment in patient of group 1 was 65.81±27.63 seconds, while after treatment it raised to 311.47± 43.29 seconds. In group 2, the mean IVELT before treatment was 61.42±32.65 seconds, while after treatment it raised to 293.15± 51.72 seconds.
In conclusion, both drugs (Fluoxetine and Citalopram) improved ejaculation duration significantly.
Key words: Fluoxetine, Citalopram, premature, ejaculation, timing.
Basrah Journal of Surgery,
2020, Volume 26, Issue 2, Pages 27-31
The increased incidence of caesarean section has got an important issue in the recent researches in obstetrics. The evaluation of the condition and factors that make a decision for an operation still a main challenge to both doctors and patients in evaluating benefits and risk factors both pre and post-operative to the mother and the baby. Continuous studies all over the world are still in run focusing on this problem. World Health Organization reported an incidence lower than 15% to be accepted. Almost all countries still recording higher rates, both in developed and developing countries.
This study has aimed to spotlight the problem in the main teaching obstetrics and gynecology hospital in Basrah, calculating the rate and risk factors associated with caesarean section which, similar to other countries, the rate is growing up.
A retrospective study was conducted to review the statistical data during the last ten years calculating the incidence rate of caesarean operations, reviewing the data of 700 first caesarean operations in year 2019 to assess the main causes for an operation.
It was clear that the rate of caesarean section has increased during the period from 2010 to 2019 from 24.2% to 38.5% with a study increment in both the total number of birth and the operation rate. The main reasons for operation were; repeated caesarean after a previous one in nearly 50%, while for a first caesarean, the causes were; failure to progress in 35%, infertility in 20.4%, breech presentation in 14.4%, meconium in 8.2%, cephalopelvic disproportion in 7%, and elevated blood pressure in 4%.
In conclusion, the decision for an operation is still a challenge to both doctors and patients, the included reasons for an operation are; patient background, fear of labor pain, advances in anesthesia, private sectors and family economic situations, all interacts with the obstetrical, gynecological and medical risk factors for an operation leading to an increasing rate of caesarean operations. Clear criteria are still in need with more expanded studies to reduce the rate, taking in account all the possible post-operative complications.
Key words: Spondylodiscitis, Surgery, Caesarean, Causes, Timing, Risks, Literature review