ABSTRACT
Rupture of the cavernous bodies is a serious penile trauma which may result in severe long-term consequences. Standard suturing of the cavernous body is accompanied with posttraumatic complications: erectile dysfunction and distortion of the penis. The results of examination and treatment of 38 patients with rupture of the tunica albuginea of the penile cavernous bodies are presented. The technique of the cavernous body wound suturing was perfected. Long-term sequences of fracture of the penis in conservative policy and different methods of cavernous body wound suturing are compared.
Subject(s)
Penis/injuries , Penis/surgery , Urologic Surgical Procedures, Male/methods , Adolescent , Adult , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Penis/diagnostic imaging , Rupture/diagnosis , Rupture/diagnostic imaging , Rupture/surgery , Treatment Outcome , UltrasonographyABSTRACT
OBJECTIVE: This study aimed to determine the seroprevalence of herpes simplex virus types 1 and 2 antibodies in Syrian populations. Serum samples collected between 1995-1998 from a total of 1293 healthy persons, neonates, pregnant women, labial herpes patients, kidney transplantation patients, atherosclerosis patients, cervical cancer patients, patients with suspected herpetic keratitis, viral encephalitis patients, patients with sexually transmitted diseases, AIDS patients, female prostitutes and bar girls. METHODS: Serum samples were studied by enzyme immunosorbent assay using herpes simplex virus type-specific antigen, glycoprotein (gG). RESULTS: In the healthy group, herpes simplex virus type 1 infections correlated mostly with age and was prevalent among subjects >30 years (approximately 95% of persons in our country have herpes simplex virus type 1 antibodies by 30 years of age), while they varied moderately among other groups. Herpes simplex virus type 2 prevalence varied greatly among the groups defined by sexual activity and was associated with risk behavior for prostitution. Herpes simplex virus type 2 seroprevalence was highest among prostitutes (34%) and bar girls (20%); lowest in healthy persons (0.15%); and intermediate in sexually transmitted disease patients (9.5%), cervical cancer patients (8%) and AIDS patients (4%). CONCLUSION: It can be concluded that infection of herpes simplex virus type 2 is very rare in persons in our country.
Subject(s)
Herpes Simplex/epidemiology , Herpes Simplex/virology , Herpesvirus 1, Human , Herpesvirus 2, Human , Adolescent , Adult , Age Distribution , Antibodies, Viral/blood , Child , Child, Preschool , Enzyme-Linked Immunosorbent Assay , Female , Herpes Simplex/blood , Herpes Simplex/immunology , Herpesvirus 1, Human/immunology , Herpesvirus 2, Human/immunology , Humans , Male , Population Surveillance , Pregnancy , Risk Factors , Seroepidemiologic Studies , Sexual Behavior , Syria/epidemiologyABSTRACT
The clinical picture and the final outcome of 30 patients with heat stroke during the Mekkah pilgrimage 1404 (September 1984) were analysed. Rapid cooling by the 'evaporative method' was achieved in a mean time of 59 min (range 15-135). An initial temperature above 42 degrees C and a cooling time of more than 1 h indicated a poor prognosis. Acute hepatic failure, 'adult respiratory distress syndrome' and decerebrate convulsions were among the fatal complications occurring in three patients. In the final outcome three patients (10 per cent) died, two patients (7 per cent) recovered but developed myocardial infarction and cerebellar ataxia respectively. Twenty-five patients (83 per cent) made an uncomplicated recovery.
