No abstract

The purpose of this work was to determine penile size in adult normal (group one, 271) and impotent (group two, 109) Jordanian patients. Heights of the patients, the flaccid and fully stretched penile lengths were measured in centimeters in both groups. Midshaft circumference in the flaccid state was recorded in group one. Penile length in the fully erect penis was measured in group two. In group one mean midshaft circumference was 8.9871.4, mean flaccid length was mean 9.371.9, and mean stretched length was 13.572.3. In group two, mean flaccid length was 7.771.3, and mean stretched length was 11.671.4. The mean of fully erect penile length after trimex injection was 11.871.5. In group 1 there was no correlation between height and flaccid length or stretched length, but there was a significant correlation between height and midpoint circumference, flaccid and stretched lengths, and between stretched lengths and midpoint circumference. In group 2 there was no correlation between height and flaccid, stretched, or fully erect lengths. On the other hand, there was a significant correlation between the flaccid, stretched and fully erect lengths. Comparing group 1 and group 2, the patients in group 1 were slightly older than in group 2 (P ¼ 0.035), but there was no significant difference in their height. However, there was a significant difference regarding the mean flaccid length 9.3 vs 7.7 (P ¼ 0.001), and the mean stretched length 13.5 vs 11.6 (P ¼ 0.000). We divided both groups into those who are less than 40 y of age, and over 40 y old. There was no statistical difference in the stretched and flaccid lengths between the younger and older individuals in each group. However, when we compared the stretched and flaccid lengths in those of less than 40 y old in group 1 and 2, a significant difference was noticed. Similarly, a significant difference in the stretched and flaccid lengths in those patients over 40 y of age was also present.

We report the case of a 74-year-old man with a colovesical fistula caused by a gallstone that was lost during a laparoscopic cholecystectomy 7 months earlier. The patient was cured after undergoing colonoscopic removal of the stone. To our knowledge this is the first case report of such a complication in the English literature. The report reviews the outcome and complications of retained intraperitoneal gallstones.

The low prevalence of chlamydial infection in association with urethritis among Jordanian patients might be due to the conservative behavior of the Jordanian society towards free sexuality.

Problem statement: Both M. genitalium and T. vaginalis were recognized as important cause of sexually transmitted infections in developed countries. This study investigated the prevalence of M. genitalium and T. vaginalis in general Jordanian patients and their role of causing genitourinary tract diseases. Approach: A cross sectional study of 383 Jordanian adult patients aged between 19-78 years were investigated for presence of M. genitalium and T. vaginalis at the urology and obstetric-gynecology clinics at the Jordan University Hospital in Amman. First voided urine specimens were tested using urine microscopy, PCR for M. genitalium and T. vaginalis as well as culture for T. vaginalis. Results: The incidence of M. genitalium was higher and statistically significant (17/188, 9%, p = 0.022) than T. vaginalis (3/188; 1.6%) among patients diagnosed with specific urinary symptoms and signs, while this incidence was less but also significant in asymptomatic patients (7/195, 3.6% versus 1/195, 0.5%, p = 0.031), respectively. M. genitalium infection was frequently observed with urinary frequency (76%) and dysuria (59%) among symptomatic patients and more common in men than women (65% versus 35%, p = 0.51) and in married than singles (76% versus 24%, p = 0.59). Dual infection with both organisms was not recognized. Conclusion: Infection caused by M. genitalium and T. vaginalis was associated with higher incidence rate in patients with symptomatic genitourinary disease. Therefore, screening for their occurrence in such patients is important.