Role of testicular biopsy in the evaluation of azoospermic men

A total of 67 infertile men with azoospermia were studied over 5 years period [February 1997-March 2002]. Their mean age was 33 years and mean duration of infertility was 6 years. They underwent bilateral testicular biopsy under general anaesthesia and the specimens were categorizwd according to histopathological patterns. These included normal spermatgenesis 12 [17.9%]; hypospermatogenesis 4 [5.9%]; spermatogenic arrest 39 [58.2%]; sertoli cell only 7 [10.4%]; and complete tubular hyalinization 5 [7.4%]. This study highlights the role of testicular biopsy as a reliable and useful technique for the investigation of patients with azoospermia

role of cystometry in the evaluation of patients with voiding disorder

To evaluate the role and benefit of cystometry in treating patients with voiding disorder. Eighty patients with voiding disorders, their age [4-78] years, 42 females and 38 males studied between October 1996 and August 2001, were classified into three groups, first group [40] patients with incontinence of urine, second group [32]patients with retention of urine and third group [8] patients with irritative voiding symptoms included [frequency, urgency, and nocturia]. All patients underwent cystometry using [URODYN-DANTEC 5500]. The commonest causes for voiding disorder in the studied patients were diabetes mellitus, post- transurethral resection of prostate and spinal cord injury. In the first group of patients [87.5%] had abnormal cystometric findings while in the second and third group of patients,[62. 5%]had abnormal cystometry. Cystometry alone has a significant role in the evaluation and treatment of patients with voiding disorder

Haematospermia etiology and clinical significance

A prospective study was carried out on 31 patients with hematospermia at Al-Rasheed Military hospital between October 1999 and October 2001. All patients were clinically assessed and subjected to urinalysis and seminal fluid analysis. Other investigations were done according to individual cases. More than 90% of the patients had no prior genitourinary symptoms or significant factors in their history. The etiology of hemtospermia was determined and found to be of inflammatory origin in most men especially the young. In 3 of the 31 patients hematuria occurred with hematospermia and was associated with significant lower urinary tract abnormalities such as bladder tumor, however in none of these a relationship appeared between hematospermia and the disease process. From this study we can conclude that hematospermia is of no importance, does not progress, tend to disappear in the coarse of time 7 rarely is associated with any significant urologic pathology