ABSTRACT
Background: Until now most of the references adopt a sixty-minute liquefaction time as a guideline for normality in general semen analysis. During the last twenty years of interest in these patients, we found that there is a correlation between primary hypofertility, prolonged liquefaction time and therefore delayed conception worthy for this study. This study represent a clinical biometric case series on [284] patients consulting an outpatient urology clinic with primary hypofertility during the last ten years in Mosul
Objective: To signify the impact of prolonged liquefaction time of semen on fertility potential of primary hypofertile men, including its relation with the delay of conception and other semen parameters
Patients and Methods: Married males who are sexually healthy supposed to have healthy partners with no pregnancy who were not using any method of contraception. Patients should give their semen for analysis in the laboratory by masturbation. All patients should have at least two separate samples to be analyzed, with not less than 7 days apart. Collected data included age in years and duration of delayed conception in months. Semen parameters collected were: volume in milliliters [ml], liquefaction time in minutes, concentration [density] in millions/milliliters, motility in percentage, and morphology in percentage
Results: The mean age of people in our sample was 29.7 years, mean volume of semen was 2.9 ml, mean liquefaction time was 26 minutes, the mean sperm density was 32.9 millions/ml, while the mean activity percentage was 31.2%, the mean percentage of the normal sperms was 61.9% and the mean duration of delay in conception was 33.7 months. There was a very highly significant correlation of prolonged liquefaction time with impaired motility, and morphology, and a significant correlation with sperm concentration. Also there was a linear positive relationship between prolonged LT in minutes and delayed conception in months, but it was more prominent in those hypofertile men who failed to conceive for >/= 36 months
Conclusion: The prolonged liquefaction time has a possible role as a cause of delay in conception in hypofertile men, and has a significant relationship to defects in other semen parameters
ABSTRACT
Laparoscopy offers a safe and efficacious means of ablating symptomatic simple renal cysts with the benefits of shorter hospital stay, quicker convalescence, and reduced postoperative pain. We evaluated the safety and efficacy of laparoscopic cyst deroofing during our early experience in laparoscopic urology work. To present the outcome of laparoscopic management of symptomatic simple renal cysts in Mosul Urologic Center. Between April 2010 and September 2013, 16 patients [had 19 cysts], with male to female ratio of 1:1.6, were underwent laparoscopic deroofing of symptomatic simple renal cysts at urologic theatre in Al-Jumhoori Teaching Hospital in Mosul and their data were collected and analyzed. All procedures were carried out by transperit-oneal approach. Patients underwent clinical review and radiological follow up with ultrasonography +/- computerized tomography. Success rate was defined as no recurrence of the cyst and significant pain relief. All 16 procedures were completed laparoscopically, without major complications or conversion to open surgery. Estimated mean blood loss during and after surgery was about 119.6 ml and the mean operating time was 48.8 minutes. Patients were hospitalized for a mean of 1.4 days. Five patients developed postoperative fever, and one had incomplete clearance of all cysts. After a mean radiological and clinical follow up of 12 and 23 months respectively, one patient had symptomatic and one had radiologic failure [6.25% and 5.3% respectively]. Cytological and pathological findings for malignancy or any other abnormalities were negative in all patients. Laparoscopic transperitoneal deroofing of simple renal cysts represents an effective and safe method of treatment with minimal morbidity