Medicine and Health Sciences Commons^™

Efficacy Of Adding Sildenafil To Dapoxetine In Treatment Of Dapoxetine Non-Responding Mono-Symptomatic Premature Ejaculation, Ahmed Galal Shaaban Ramadan, Ayman Kotb Mohammed Koritenah, Mohamed Ibrahim Almetwally Algammal, Yasser Ali Ahmed Badran

Al-Azhar International Medical Journal

Background: Primary premature ejaculation has been treated with selective serotonin reuptake inhibitors (SSRIs), however these medications have a low success rate, Aim: is to evaluate the efficacy and safety of adding sildenafil to dapoxetine for patients with premature, symptomatic ejaculation who did not respond to dapoxetine alone, Methods: This RCT was conducted at the urology outpatient centers of Al-Azhar University, Al-Hussein Hospital, and Sayed Galal Hospital. This research included 200 male patients with PE who were placed into two groups. For 8 weeks, 110 patients in Group A got sildenafil 50mg as an additional treatment to dapoxetine 30 mg. Group …

Autologous Trans-Obturator Rectus Fascia Sling For Treatment Of Stress Urinary Incontinence In Women: Long-Term Outcomes, Ibrahim Alaa-Eldin Tagreda, Ahmed Sedik Elasy, Mohamed Fawzy Salman, Hassan Ismael Mohamed

Al-Azhar International Medical Journal

Background: treatment of stress urinary incontinence (SUI ) via autologus trans-obturator rectus fascia sling was first described by Linder and Elliott in 2014. However the long term efficacy of thesis technique have been rarely addressed.

The aim of the study: To assess the long-term results of the therapy of female SUI using an autologous transobturat (ATO) rectus fascia sling.

Patients and methods: The study included all female patients who underwent ATO rectus fascia sling for SUI treatment at Al-Azhar University Hospitals, Cairo, Egypt. between 2017 & 2021. Patients with complete medical records and at least one year post operative follow …

Does The Hypothetical Aetiology Affect The Response To Serotonin Reuptake Inhibitors And Local Anesthetics Therapies In Patients With Primary Premature Ejaculation? A Prospective, Placebo-Controlled, Crossover Study, Abdulhakeem Bayomy Abdulnaeem Shahat, Hasan Ismail Mohammed, Mohammed Abdallah Hindawy

Al-Azhar International Medical Journal

Introduction: Premature ejaculation (PE), which has a 30% prevalence rate among the population, is one of the most prevalent male sexual dysfunctions. Aim of work: To evaluate the effectiveness of Selective Serotonin Re-uptake Inhibitors (SSRI) and local anesthetics treatments in patients with primary life-long PE induced by tactile stimulation and those induced by non-tactile stimuli. Patients and methods: Fifty patients who were presented to Al-Hussein and Sayed Galal, Al-Azhar University Hospitals, Cairo, Egypt, were enrolled in a prospective, interventional, cross-over study in Dec 2021, randomized into double-blinded groups. The first group involved 25 patients with premature ejaculation not evoked by …

Factors Predicting The Outcome Of Retrograde Flexible Ureterorenoscopy For The Treatment Of Renal Stones, Mahmoud J Ibrahim. Azhar, Mohamed F Salman Azhar, Ibrahim A Abdel-Maksoud Azhar, Ali G Eid Azhar

Al-Azhar International Medical Journal

Background: Flexible ureterorenoscopy (FURS) is widely used in surgical treatment of renal stones, due to the tendency toward minimally invasive options. This study conducted to evaluate factors affecting outcomes of FURS.

Patients and methods: A retrospective analysis of patients with renal stones who underwent FURS at Al-Azhar University Hospitals (Al-Hussein and Sayed Galal), Cairo, Egypt. This analysis involved patients who underwent FURS in period between October 2020 to June 2022, only patients with complete data were involved in this study.

Results: Out of 187 patients underwent FURS for renal stone in the aforementioned period, 152 had complete data. The mean …

Efficacy And Safety Of Silodosin, Mirabegron, And Tadalafil As Medical Expulsive Therapy For Lower Ureteric Stones: A Prospective, Randomized, Comparative Study, Ahmed O. Ahmed, Mohammed A. Elsalhy, Yasser A. Ahmed

Al-Azhar International Medical Journal

Purpose: We aim to evaluate and compare the efficacy and safety of Silodosin, Mirabegron, and Tadalafil as a medical expulsive therapy (MET) for lower ureteric stones in adults.

Material and Methods:
A total number of 150 cases who had unilateral single lower ureteric stone between December 2021 and August 2022 were incorporated in this prospective randomized comparative study. The patients were randomly divided into 3 equal groups. The first group received Silodosin medication, the second group received Mirabegron medication, and the third group received Tadalafil medication. The medications would be continued until the expulsion of the stone, for a maximum …

Dextranomer/Hyalouronic Acid Copolymer Injection For Treatment Of Children With Primary Vesicoureteral Reflux: Long-Term Follow-Up, Osama M Ahmed, Hany A El-Damanhory, Esayed M Salih

Al-Azhar International Medical Journal

Purpose: We aim to present our 5 years results with Dextranomer/Hyalouronic Acid (Dx/HA) sub-ureteral injection for treatment of children with primary vesico ureteric reflux (VUR). PATIENTS AND METHODS: The retrospective cohort study which was performed at tertiary referral center in Cairo. Children underwent Dx/HA injection for treatment of the primary VUR were reviewed. Only those he had full medical record dating 5 years or earlier included into the study. Results: Sixty patients, 25 boys and 35 girls in total 82 ureters had refluxed underwent DX/HA injections. The patients' average age was 5.70 years. Eight (9.7%) of the 82 ureters that …

Recovery Of Detrusor Function After Transurethral Prostatectomy In Patients With Benign Prostatic Hyperplasia And Underactive Detrusor: A Systematic Review And Meta-Analysis, Mahmoud Ismael, Mahmoud Mohammed Ali, Hasan Abdelazim Mohammed

Al-Azhar International Medical Journal

Purpose: To determine the recovery potential of detrusor function in patients with symptomatic Benign Prostatic Hyperplasia (BPH) and Detrusor Underactivity (DU) who underwent transurethral prostatectomy.

Materials and Methods:

We systematically performed an online search via Pub Med, Embase, Google scholar and databases of Cochrane Library for articles published till June 2022 ,the selected studies included Patients with symptomatic BPH with urodynamically confirmed DU who underwent transurethral prostatectomy , these studies are original articles published in English languish, randomized or non-randomized, retrospective or prospective. Research that couldn't meet the aforementioned inclusion criteria, review articles, letters, experimental studies, and studies with inadequate …