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Article
Redo Posterior Urethroplasty :Local Experience

Author: Dr. Safaa.A.Mohssin
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2009 Volume: 3 Issue: 1 Pages: 40-48
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Purposes: to assess the different factors responsible for failure of posterior urethroplasty in recurrent stricture methods :- from "February 2000-december 2007" 17 patients (6-60 years)with failed urethroplasties under went redo urethroplasty for post traumatic posterior urethral distraction..Bulbo prostatic anastomosis was done through perincum in "15"patients and by perineo- abdominal transpubic in "2"patients.The operative records of all patients was registered and followed for (6 month-2years).Results: There was failure in "2"cases (8%) ,satisfactory in 6 patients (30%) and successful in 9 patients (62%).Discussion: The causes of failure and satisfactory results was in complete excision of the scared prestatic apex in ability to achieve tension-free- bulbo prostatic anastomosis and inpropper lateral fixation of prostatic mucosa on sides.Conclusions: Redo urethroplasty considered one of obstacls in urology ,that should be done by effecient,experts hands (urologist),that stick to the rules of surgical procedure (complete excision of fibrous tissue,lateral fixation of the prostatic mucosa and tension free-bulbo-prostatic anastomosis).

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Article
TRANSVERSE PREPUTIAL ISLAND PEDICLE FLAP (TPIPF) IN TREATMENT OF FAILED HYPOSPADIAS REPAIR: PERSONAL EXPERIENCE

Author: Safaa A Mohssin
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2011 Volume: 17 Issue: 2 Pages: 75-81
Publisher: Basrah University جامعة البصرة

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Abstract

This is a study to review the local experience with the use of TPIPF in the repair of failed hypospadias in order to improve the results in the future. A total Number of 20 cases of failed Hypospadias was repaired during the period between 2001-2009 done in the public and private hospitals in Tikrit and Basrah. The repair was accomplished via Duckett method (transverse preputial island pedicle flap). The medical and operative records of each patient were registered and followed for 6 months. The success rate was 47% (9 patients). The complication rate was 55% in which urethro-cutaneous fistula was the commonest in 32% of the cases, meatal stenosis in 16%, urethral stricture in 10% and breakdown of the tube in 5%. In conclusion, TPIPF remains a viable option in the management of failed hypospadias especially in the proximal type, the complications can be avoided by using the magnification loupes with perfect surgical technique and mandatory proximal urinary diversion.

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Article
URETHROPLASTY IN POSTERIOR URETHRAL INJURIES

Authors: SAFAA A. Mohssin --- SABAH A. AI-Kadi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 2 Pages: 96-99
Publisher: Basrah University جامعة البصرة

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Abstract

URETHROPLASTY IN POSTERIOR URETHRAL INJURIESSABAH A. AI-Kadi & SAFAA A. MohssinDepartment of Urology, University of Baghdad, Iraq.AbstractTo assess the efficacy of urethroplasy (excision with end to end anastomosis) in posterior urethral injuries. Fifteen patients with complete urethra! disruption were treated by this method and followed with objectives and subjectives parameters for 2 years. The results are graded into 3 grades (excellent, satisfactory and poor) according to continence and flow rate of urine, 80% of cases have stricture (>2 cm) in length. Those patients who are treated with perineal approach result in (92%) excellent, in comparison to those with transpubic urethroplasty who give only (50%) excellent results. Patients with no history of urethral handling give (100%) excellent results, while only (25%) excellent results in patients with previous urethral surgical intervention.Urethroplasty is the best method for repairing completely obliterated strictures. Intraoperative endoscopic checking of posterior urethra is important to avoid fistulous tracts. Dilatation and urethrotomy may be used as complementary procedures to urethroplasty. Pubectomy sometimes necessary in complicated cases.

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Article
Effect of Royal Jelly on male Infertility

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Abstract

Abstract Male infertility may occur due to different causes, therefore , different therapeutic approaches have been applied in order to improve the ability of men to get children . Semen analysis is used to determine the fertility potential in males, but the occurrence of pregnancy is the evidence of sperm ability for fertilization. Although male fertility is affected by food and nutrients, but little attention is paid for the use of Royal Jelly and no previous studies on the use of Royal Jelly in the treatment of male infertility. Eighty – three infertile men were treated with Royal Jelly, twenty – two with 100mg Royal Jelly, twenty –one with 50mg Royal Jelly, twenty with 25mg Royal Jelly and twenty with pure honey. Our study showed that, the treatments were safe and there were no side effects. After three months of treatment , the sperm active motility , testosterone level , Lutelizing hormones level , sluggishly motile sperm and intercourse / week increased significantly in infertile men treated with Royal Jelly , while sperm count and FSH level increased not significantly . On the basis of results, Royal Jelly is safe and effective in the treatment of male infertility.

يحدث العقم لدى الذكور لأسباب عديدة ولذلك فأن مناهج علاجية عديدة تستخدم لتحسين قدرة الرجال على إنجاب الأطفال , إن تحليل المني يجري لتحديد القدرة على الإخصاب في الذكور ولكن حصول الحمل هو الدليل على قدرة الحيامن على الإخصاب ، وبالرغم من ان خصوبة الذكور تتأثر بالغذاء ولكن هناك اهتمام قليل بدراسة تأثير الغذاء الملكي ولا توجد دراسات سابقة على استخدام الغذاء الملكي في علاج العقم عند الرجال لهذا فأن الدراسة الحالية تضمنت علاج الذكور المصابين بالعقم الذين يراجعون عيادة العقم في تكريت 83 ذكر عقيم عولجوا بالغذاء الملكي منهم 22 ذكر عقيم عولج بجرعة 100 ملغم غذاء ملكي ، 21 ذكر عقيم عولج بجرعة 50 ملغم غذاء ملكي ، 20 ذكر عقيم بجرعة 25 ملغم غذاء ملكي و 20 ذكر عقيم عولج بجرعة 10 غم عسل نقي لقد أظهرت دراستنا ان العلاجات كانت أمينة ولم تسجل أي أعراض جانبية مهمة بعد ثلاثة أشهر ، كانت نسبة النطف ذات الحركة الفعالة ومستوى هرمون التستوستيرون الخصوي ومستوى هرمون LH والنطف ذات الحركة البطيئة وعدد مرات الجماع الأسبوعية زادت بشكل ملحوظ إحصائيا في المرضى المعالجين بالغذاء الملكي بينما عدد النطف ومستوى هرمونFSH لم تزيد بشكل ملحوظ إحصائيا وبناءاً على النتائج فأن الغذاء الملكي أمين وفعال في علاج العقم لدى الرجال

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