Post circumcision clitoridal cyst; the unique sexual phenomenon before and after surgery

In this work, 57 cases of clitoridal cysts were studied for their relation to circumcision and their sexuality. Different pathogenetic factors were identified. Sexuality was assessed by sexual questionnaire sheet. The development of clitoridal cyst was associated with a compensatory increase in all sex scores, so as to reach nearly the total sexuality gain recorded for the uncircumcised controls. The development of clitorolabial orientation after its previous loss by circumcision explains the occurrence of this unique phenomenon of stimulated sex following the formation of such cysts

Chronic anovulation: its phases and the associated hormonal perturbation

A total of 230 cases of infertility due to anovulation was selected for this study. Amenorrhea, PCOs, galactorrhea and hirsutism were clinically associated with these cases. FSH, LH, PRL, E2, free testosterone and DHEA-S04 were assayed in all cases by IRMA and RIA methods. One- and two-gravida was found in 102 cases and nulligravidae in the rest. Anovulation was proved in all cases by endometrial biopsy. All cases were assessed clinically for the progress of the disease and to exclude other causes of infertility. It was concluded that chronic anovulation must be considered a single clinico endocrinal entity with variable phases. Accordingly, hormonal assay is essential to confirm the diagnosis and to determine the state of chronicity or its phase

Urethrocele: a clinical, radiological and Ultrasonographic study

Seventy five patients with urethrocele were selected. They were studied clinically, with full history [gynecological and urological] and were submitted to full general, abdominal and local examination. They were studied by urethrocystography and the recent technique of transvaginal ultrasonography with the urinary bladder half full to visualize the urethrovesical angle and urethra both at rest and during straining with measurement of urethral diameter at different levels in longitudinal and cross sections. Stress urinary incontinence [S.U.I.] was present in 52 patients [69.33%]. 75% of them had urethral cross diameter of more than 8 mm, while 25% had urethral cross diameter of /< 8 mm. This means that urethral diameter is not the only factor causing [S.U.I.] but there are many other factors implicated in etiology of this disease. The urethra of 82.60% of patients with urethrocele and without [S.U.I.], were of normal calibre. While 17.39% of them had dilated urethra. This ultrasonographic finding stresses that the preservation of normal urethral calibre is an important factor in urinary continence in the female. On the other h and, the occurrence of dilated urethra without [S.U.I.] denotes that certainly there are many other factors concerning urinary continence in the female. Ultrasonographic study of women with urethrocele proved that this method of investigation in noninvasive, gives valuable information, causes less patient's discomfort, relatively easy, cheap and with patient's compliance to this new method of investigation