Bilharzial stricture ureter in Egypt: surgico-pathological study

Although bilharzial ureteric strictures were the subject of intensive studies in Egypt since the days of Makar [1955], their exact clinicopathological features and proper management were adequately established rather quite recently. This study based on twenty cases [nineteen males and one female aged between twenty and sixty years]. They were presented by renal aching, ureteric colic or symptoms of complications which proved to be due to ureteric strictures by IVU, cystoscopy and sometimes ultrasonography.Most strictures involved the terminal ureter, 50% being intramural, 15% juxtavesical and 15% combined; while pelviureteric and supravesical were rare [5% for each] and multiple strictures were present in 10% of cases.The techniques used in the surgical treatment of these patients depended on the site and extent ofthestricture. Theyincluded ureterocystostomy[ten cases], resection anastomosis [four cases], boari flap ureteroplasty[three cases], pyeloplasty [one case], coloureteroplasty[onecase], ileoureteroplasty [one case] and anderson-hynes pyeloplasty [one case].The relation between the anatomicopathological features of the stricture and the type of surgery adopted was illustrative enough to deserve presentation in this paper

Effect of varicocelectomy on spermatogenesis in infertile men due to varicocele

Varicocelectomy has been performed for twenty infertile men with varicocele and without any other cause that may contribute to infertility. The results point out that patients with preoperative spermatic count above 1 million/cc have a good prognosis, while patients with preopcrativc count below 1 million/cc are not expected to improve. Factors that may contribute to this result are discussed