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Article
Chronic testicular pain a clinico-pathological study

Author: Abdul Salaam Al-Masri عبد السلام المصري
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2006 Volume: 32 Issue: 1&2 Pages: 41-45
Publisher: Mosul University جامعة الموصل

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Abstract

Objective: To evaluate the clinico-pathological spectrum and treatment of chronic testicular pain patients.
Methods: A prospective and descriptive case series study, conducted at the out-patient clinic of the department of urology at Al Jumhoury teaching hospital in Mosul, between Jan2000 and Dec 2005. The parameters analyzed include; character of the pain, onset, and duration, patient’s age, occupation, past surgical and medical history, the clinical examination, the investigations and treatment.
Results: Forty five patients were studied, their age ranged from (16 – 68) years, twenty (44%) patients were under the age of 30 years, ten (22%) patients were between (31 - 45) years, and fifteen (34%) patients were above (46) years of age.
The presenting symptom was chronic scrotal pain for more than three months, which is differing in its onset, duration and description. The pain was mainly at the left side, eight (18%) patients had positive clinical findings, 17(38%) patients had positive ultrasonographic pathological findings.
The treatment ranged from psychological (reassurance), physical (antibiotic with chronic analgesia) to surgical intervention for those with positive lesion proved by physical examination and investigations.
Conclusion: Chronic testicular pain patients remain as dilemma to the general practitioners and frustrating clinical problem for urologists.

Key words: Chronic testicular pain, ultrasonography, Varicocele.


Article
Case report: Vesical stone on partially migrated intrauterine contraceptive device

Author: Abdul Salaam Al-Masri عبد السلام المصري
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2006 Volume: 32 Issue: 1&2 Pages: 72-73
Publisher: Mosul University جامعة الموصل

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Abstract

الخلاصـــة
المقدمة: لقد تم تسجيل عدة حالات لتكوين حصاة مثانة على جهاز منع الحمل ، إلا أن هذه الحالة لامرأة في الثامنة و العشرين من العمر تشكو من أعراض تكرار و حرقة في التبول و بينت التحاليل التصويرية و فحص تنظير المثانة عبر الاحليل أن الحصاة قد تكونت على جهاز منع الحمل مهاجر جزئياً من الرحم .
الاستنتاج: إن الإصابة بحصاة المثانة يجب أن يكون إحدى الاحتمالات في حالة معالجة المرضى من النساء ( الحاملات لجهاز منع الحمل داخل الرحم) اللاتي يشكين من أعراض التهابات الجهاز البولي السفلي خصوصا عندما تكون الاستجابة للأدوية غير ذات جدوى.

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Article
Scrotal Doppler ultrasound during evaluation for infertility

Authors: Abdul Salaam Al-Masri عبد السلام المصري --- Hazim H. Al Salih حازم حميد
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2006 Volume: 32 Issue: 1&2 Pages: 46-50
Publisher: Mosul University جامعة الموصل

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Abstract

Aim: the aim of the study is to clarify the incidental intra scrotal pathological findings during evaluation of infertile males depending on the clinical examination and Doppler ultrasonic scanning.
Patients and methods: A prospective case series study conducted in the radiology department of Al Batool teaching hospital from Feb. 2000 – Feb. 2003, where most of the patients referred from the infertility unit of the same hospital and evaluated by Doppler ultrasonographic scanning with (SIEMENS, SONOLINE Versa Pro, 7.5 MHz Linear array transducer) in supine and some times in erect position.
Results: The data of 1660 patients analyzed to different pathologies, their ages ranged from (18-60) years with mean of 23 years. One thousand and four hundreds sixty patients (88%) were primarily infertile and two hundreds patients (12%) were secondarily infertile, seven hundreds and sixty six patients (46%) had abnormal findings on clinical and ultrasonic examinations of their genitalia, while nine hundreds and sixteen patients (54%) were normal. The distribution and the frequency of different discovered abnormalities were studied; varicocele was found in (42.7%) of the patients and followed by testicular atrophy in (33.8%).
Conclusion: Varicocele and testicular atrophy are the most common causes of primary as well as secondary male infertility and the color Doppler US is superior to physical examination in evaluating patients with infertility.

Key words: infertility, testicular atrophy, varicocele, color Doppler ultrasound


Article
Prevalence of surgical inguino-genital conditions among male kindergartens and primary school children in Mosul city

Authors: Khalaf R. Jadoa خلف رشيد جدوع --- Bassam A. Al-Ne`ema بسام عبد المبدي النعمة --- Abdul Salaam Al-Masri عبد السلام المصري
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2009 Volume: 35 Issue: 2 Pages: 134-139
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACT
Context: Inguino-genital surgical disorders are common problems seen in daily surgical practice. The aim of this study is to determine the main surgical inguino-genital disorders among kindergartens and primary school boys less than 10 years of age in Mosul city.
Methods: A random sample of kindergartens and primary school boys from both sides of Mosul city underwent a cross-sectional study between 1st of Oct. 2004 and 31st of Jan 2005. All boys were examined by specialized surgeons for the presence of surgical disorders in their inguino-genital region. The pathological findings were recorded and diagnosed disorders were further assessed by suitable investigative tools. The parents were informed about their children's disorders and accordingly, a suitable management for each single disorder was discussed with them.
Results: During the study period, 950 children were examined and (125) children were having various inguino-genital disorders. The prevalence of these conditions was (13.2%). The present study showed (7.7%) of the screened children were uncircumcised, (3.2%) were having undescended testes and (1.2%) has inguinal hernia. The surgical conditions were (54.4%) among the age of 6-7 years, (20.0%) among the age of (5-6) years and (1.6%) among the age of (9-10) years. The study revealed that 60% of the undescended testes were on the right side, and (36.7%) on the left side. Moreover (63.67%) of the hernias were right sided and (27.3%) were left sided.
Conclusion and recommendations: Studying male children in schools for any surgical abnormalities, at the inguino-genital areas provides the opportunity for detection of the early conditions, further management of the main surgical cases that need correction and the prevention of any risk of complications.
Keywords: Inguinal, screening, undescended, hernias, uncircumcised.

تهدف الدراسة الحالية إلى دراسة انتشار الحالات الجراحية الرئيسة في المنطقة المغبنية والأعضاء التناسلية بين الأطفال الذكور الذين تبلغ أعمارهم أقل من 10 سنوات في رياض الأطفال والمدارس الابتدائية في مدينة الموصل. أجريت الدراسة في الفترة مابين الأول من تشرين أول 2004 إلى الأول من كانون الثاني 2005. لقد تم اختيار طريقة الدراسة المقطعية في هذا البحث الاستكشافي، وأخذت عينة عشوائية من رياض الأطفال وطلاب المدارس الابتدائية من جانبي مدينة الموصل على ضفتي نهر دجلة. وتم فحص جميع الأطفال في عينة الدراسة من قبل جراحين أخصائيين وسجلت النتائج حسب ما تم اكتشافها بعد استخدام الفحوصات السريرية الدقيقة العامة والموضعية لكل طفل. الأطفال الذين تم اكتشاف الحالات لديهم اجري لهم فحوص تشخيصية مناسبة للتأكد من التشخيص، وتم إخبار ذويهم ومناقشة الحالة معهم لغرض إجراء التدابير المناسبة للأطفال المصابين. خلال فترة الدراسة تم فحص 950 طفلا، وظهر أن 125 طفلا منهم كانوا مصابين بحالات جراحية مختلفة ومعدل الانتشار الكلي (13,2%). وأظهرت الدراسة أن 7,7% من الأطفال في عينة الدراسة كانوا غير مختونين و 3,2% لديهم خصية هاجرة و 1,2% لديهم فتق مغبني. وكانت نسب الحالات ضمن العدد الكلي للحالات الجراحية كالآتي: (58,4%) غير مختون، (24,0%) خصية هاجرة، (8,8%) فتق مغبني، (4,8%) خصية راجعة، (2,4%) قيلة مائية و(1,6%) مبال تحتاني. وظهر من الدراسة أن 54,4% من الحالات هي بين الأطفال 6-7 سنوات و 20% بين من هم 5-6 سنوات و 1,6% بين الأطفال 9-10 سنوات. ومن نتائج الدراسة ظهر أن 60% من الخصية غير النازلة كانت في الجهة اليمنى و 36,7% كانت في الجهة اليسرى. وكذلك كان 63% من حالات الفتق كانت في الجهة اليمنى و 27% منها كانت في الجهة اليسرى. الاستنتاج والتوصيات: إن فحص أطفال المدارس ورياض الأطفال يوفر فرصة لتشخيص الحالات ومن ثم الإصلاح المبكر لبعض تلك الحالات ومنع المضاعفات المحتملة ويوفر العلاج للحالات التي تحتاج تداخلا جراحيا مناسبا.

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