Introduction and hypothesis The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) on a Saudi population. Methods The translation and cultural adaptation was performed in 854 women over 18 and not pregnant who agreed to answer the Arabic version of the questionnaire. The content/face validity, internal consistency (reliability), and construct validity (factor analysis) were assessed. Statistical analysis was carried out using SPSS 24.0 statistical software. Results The Cronbach’s alpha results were above 0.8 for the questionnaire’s overall reliability (bladder function: 0.877, bowel function: 0.834, prolapse symptoms: 0.784, sexual function: 0.762) showing adequate internal consistency reliability and high statistical significance. A statistically significant correlation was observed among the 40 items of the questionnaire. The issue of multicollinearity was not found, and the determinant of the correlation matrix was 0.001. A value of > 0.5 was achieved when the Kaiser–Meyer–Olkin and Bartlett’s tests measured 0.806 and the Bartlett’s test of sphericity was statistically significant χ2 (780) = 4150.46 (p < 0.001). The values of loading indicate that all 4 factors (bladder function, bowel function, prolapse symptoms, sexual function) contributed to each of their items. Conclusions This study provides the Arabic version of the self-administered APFQ as a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor dysfunction on the quality of life of Arabic women. It also will enable the researchers from Arab countries to use this instrument to assess pelvic floor dysfunction prevalence in their settings.

Objective: Pelvic floor dysfunction has a high prevalence among women worldwide. However, in the Kingdom of Saudi Arabia, it is underreported. Thus, we aimed to estimate the prevalence and risk factors of pelvic floor dysfunction in women in the Kingdom of Saudi Arabia. Methods: We conducted a cross-sectional study on literate non-pregnant women aged ⩾18 years who agreed to participate in our survey. We used the validated and translated Australian pelvic floor questionnaire and conducted a multivariate logistic regression analysis to assess the risk factors of pelvic floor dysfunction. Results: A total of 824 participants completed the questionnaire. While 60.2% of the participants had pelvic floor dysfunction, 67.7% reported signs of bowel dysfunction. Urinary dysfunction, prolapse, and sexual dysfunction were present in 44.1%, 67.7%, and 55.4% of the participants, respectively. Age, high body mass index, chronic medical illness, heavy weight lifting, and multiparity were found as the risk factors of bladder function problems. Meanwhile, chronic medical illness, heavy weight lifting, and multiparity were found as the risk factors of bowel dysfunction and prolapse. Age group and marital status were the independent factors associated with sexual dysfunction. Conclusion: We noted a high rate of pelvic floor dysfunction in the Kingdom of Saudi Arabia, which calls for the need to provide holistic approaches for the prevention and management of pelvic floor dysfunction among women.

Bladder leiomyomas are relatively rare benign tumors of the bladder. They represent &lt;0.5% of all urinary bladder tumor. In the literature, only about 250 cases reported worldwide. They are commonly found in middle-aged females. Patients present with variety of clinical presentations with predominance of obstructive urinary symptoms. Ultrasound bladder is the first preferable diagnostic tool. Definitive diagnosis is made by histopathological examination. Surgical excision is almost highly effective, leaving a low recurrence rate. We report a 34-year-old male who presented with complaints of dysuria and incomplete voiding. Ultrasound showed a cystic fluid-filled bladder mass (ureterocele), which was excised through a transurethral resection. The histopathologic diagnosis was bladder leiomyoma.

This study sought to the statement of the relationship between blood pressure  and ,its impact on the level of homocysteine in the patient's blood plasma, which is a sulfur amino acid is non-essential produced compound medial during the normal process of metabolism amino acid methionine . It took patients samples of blood pressure of patients admitted in the Tikrit Teaching Hospital of (20) satisfactory sample and (10) a sample control and measured its level of homocysteine in the blood plasma, where he showed statistical analysis of the samples by comparing the samples sick with control samples very high rise significantly (P<0.001) the level of homocysteine in patients compared with healthy