Objectives: To assess the role of varicocele grade on seminal fluid parameters improvement post varicocelectomy. Methods: This retrospective study was conducted at Prince Hussein Urology and Organ Transplant Center from the period of January 2011 to December 2014. Two hundred and seventy five male patients with clinical varicocele who underwent varicocele surgery for abnormal seminal fluid parameters were involved in the study. Forty five patients had grade I varicocele, 132 patients had grade II varicocele and 98 patients had grade III varicocele. Two seminal fluids analysis tests were obtained from each patient preoperatively and another two (3-6) months postoperatively to assess the improvement in both sperm count and total sperm motility postvaricocelectomy. Results: The sperm count improved in all three grades of varicocele postoperatively. Grade III varicocele patients had the highest improvement from (21.5± 13.8 million/ml) to (39.8 ± 10.2million/ml), P value <0.05 in 81% of patients. The mean sperm count improvement for grade I , II and III varicocele was 10.1, 12.3 and 13.5 million/ml respectively. Also the total sperm motility improvement was the highest in patients with grade III varicocele from (34.5± 13.6 %) to (55.3 ± 11.9 %), P value <0.05 in 83% of patients. The mean sperm motility improvement postvaricocelectomy was 14.2% , 18.1% and 23.6% for grade I, II and III varicocele respectively. Conclusion: The grade of varicocele has a direct impact on sperm parameters improvements post varicocelectomy with grade III varicoceles had the greatest improvement.
Objective: To assess different histopathological types of superficial urinary bladder cancer, their recurrence incidence and correlation with upper urinary tract urothelial cancer. Methods: This retrospective study included 84 patients, of both genders; of different age groups and with histpathological diagnosis of superficial urothelial carcinoma at Prince Hussein bin Abdullah the second center for urology and organ transplant and at Prince Iman center for laboratory research, King Hussein medical centre, Amman, Jordan, during the period March 2010-May 2014. Transurethral resection of tumor was performed in all subjects with tumor grading and staging. Cystoscopic follow up was performed to record incidence of recurrence in all subjects. Results: The mean age of patients was 61 years; with male percentage (84.5%).Successful transurethral resection of tumor in first trial was achievable in 68 patients (80.95%). Multiple tumors were recorded in 35 patients (41.7%).Total recurrence incidence was recorded in 75% of patients. Subjects with TaG3 experienced delayed recurrence frequency of 22.2% with good recurrence-free period, while T1G3 subjects had less and early recurrence incidence of 15.9%. Conclusion: Early recurrence was recorded with tumor limited to sub epithelium (T1), while late recurrence was recorded with urothelium confined disease (Ta).
Objective: To investigate the clinical and histopathological characteristics of testicular germ cell tumours in a sample at Jordanian population, and to compare it with worldwide findings. Methods: The data of 75 patients who had undergone radical orchiectomy for the germ cell tumor at Prince Hussein Urological Center between 2010 and 2014 were collected. They were retrospectively analyzed according to clinical and histopathological parameters. Results: 62% of the cases,(47 patients), were found to be seminomas, with the mean age being 36 years (22-80) with most of the cases were of classical seminoma. 38% of the cases (28 patients) had Non-Seminomatous Germ Cell Tumor (NSGCT). Although only 14% (4 patients) of the cases were of pure form, the rest were of mixed NSGCT. Yolksac and teratoma were found to be the most common histological types among Mixed NSGCT and the median age was 32 years (range 20-48). Overall, the average period that patients stayed before seeking medical attention was about 4 months, which ranged from 3 weeks to one year. Conclusion: The age at presentation and the histopathological type of testicular germ cell among Jordanian patients are similar to those currently published in the world records. However, the diagnosis is delayed; this implies that the concerned stakeholders should emphasize the need of patient education and physician awareness.
Background: percutaneous nephrolithotomy (PCNL) is a gold widespread minimally invasive technique for the remedy of huge renal stones > 2 cm. Our intention is to review the versions among the Balloon and Amplatz dilatation of percutaneous nephrolithotomy (PCNL) tract exploitation peri- and postoperative variables and make clear which technique is efficient.Methods: 600 sufferers who underwent PCNLs among (1-April 2012 and 20-September 2018) in our Urology Center had been listed all through this retrospective look at, and divided into 2 groups: (group1) balloon tract dilatation (300 sufferers) and (group2) Amplatz serial fascial (ASF) dilatation (300 sufferers). Therefore, the demographic and categorical statistics were compared between each team.Statistical evaluation used: SPSS software version twenty-four, T-test.Results: operative time (balloon vs. Amplatz group: (85 ± 32 vs. 86.5 ± 31) mins; P= zero.073), preoperative Hematocrit value (41.5 ± 8.2 vs. 40.three ± 9.4; P= 0.088), postoperative Hematocrit cost (36.1 ± 2.2 vs. 34.6 ± three.4; P= 0.023), blood transfusion levels (10.6% vs. 12.1%; P= 0.002), tract dilatation trials (20.4% vs. 22.6%; P= 0.051), stone clearance price (78.three% vs. 77.8%; P= 0.083), and therefore, the versions regarding the price have been higher slightly in balloon cluster while within the opportunity variables had been statistically insignificant besides blood transfusion rate and postoperative hospital live.Conclusion: The balloon dilatation is price effective than amplatz method in manner of postoperative hospital live length and blood transfusion, whereas most of the other diverse factors like safety, operative period, achievement rate, and stone clearance price; they gave comparable consequences.
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