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Biomedical subjects

A Morsy

Publications and source records attributed to A Morsy.

3 recordsLinked to original sources

Continence after radical prostatectomy with bladder neck preservation.

PURPOSE: Bladder neck preservation during radical prostatectomy has been advocated for improving urinary continence. We evaluate bladder neck preservation looking at continence rates, surgical cancer control and bladder neck contracture. MATERIALS AND METHODS: A total of 40 patients underwent retropubic radical prostatectomy for clinically localized carcinoma of the prostate. The prostatic urethra was dissected in continuity with the bladder away from the lumen of the prostate, which allows for a true urethra-to-urethra anastomosis. RESULTS: Continence was noted immediately in 26 patients, within 2 weeks in 9 and within 6 weeks in 3. Only 2 patients required pads 3 months postoperatively. Microscopic positive surgical margins were noted in 2 of 40 patients. In 1 patient the urethral margins were not involved with carcinoma. In the other patient the urethra was not the sole positive margin and microscopic positive margins were noted elsewhere. Early results of cancer control were good. CONCLUSIONS: Early follow-up of this technique of radical retropubic prostatectomy suggest that preservation of the continence mechanism at the level of the bladder neck and prostatic urethra results in significantly improved postoperative urinary continence without adversely affecting cancer control.

Aged↗

Modified technique for dilatation of difficult nephrostomy tracts.

Dilatation of a percutaneous nephrostomy tract often is a difficult step, especially in patients who had previous renal surgery. Initial use of the central rod of a telescoping metal dilator set with the backloaded first dilator allows us to avoid using the fascial dilators, which are not rigid enough to dilate the tough perirenal fibrous tissue. It also permits one-stage placement of the "safety" guidewire. This technique has proved so advantageous and convenient that we now use it routinely in all cases whether they are recent or recurrent.

Dilatation↗

Ecto and endoparasites in two primary schools in Qualyob City, Egypt.

Ecto and endoparasites are still one of the public health problems in Egypt. This is particularly true among school students who are exposed to the parasitic infections or infestations by autoinfection or by contagious. In this paper, two primary schools were selected in Qualyob City, Qualyobia Governorate (in the Nile Delta). Examination of 486 school children (6-12 years old) revealed pediculosis (16.04), schistosomiasis (8.8%), amoebiasis (7.81%), giardiasis (9.05%), taeniasis saginata (0.41%), ascariasis (9.05%), enterobiasis (0.9%) and hymenolepiasis nana (9.87%). It was found that ectoparasites (lice) represented 17.8% of the total parasites detected in the children. Endoparasites transmitted by autoinfection represented 43.02%, those transmitted by skin penetration represented 9.84%, those transmitted by meat consumption represented 0.45% and by other modes of infection represented 28.8%. It was concluded that school children are the group of individuals at risk. They spend long time outside their homes in a crowd area. Besides, they convey the parasites, particularly those transmitted by contagious and autoinfection to their family members.

Child↗