Ziad Al Naieb | Arabian Gulf University (original) (raw)
Papers by Ziad Al Naieb
Arab journal of urology, Dec 1, 2014
Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisat... more Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisation of the prostate (LVP) and its modification, diode laser under cold irrigation (LUCI) in patients with symptomatic benign prostatic hyperplasia, as the main disadvantages of LVP are the postoperative pain, dysuria and storage urinary symptoms. Patients and methods: This was a single-centre prospective randomised control trial in which 100 patients were randomised to receive LVP (50) or LUCI (50) from June 2011 until July 2012. LUCI is similar to LVP except that it is done under normal irrigation with saline at 4°C instead of saline at room temperature. The primary outcome measures were the International Prostate Symptom Score (IPSS), IPSS-Dysuria, a pain scale (PS), maximum flow rate (Q max), a quality-of-life (QoL) score and the postvoid residual urine volume (PVR) after 1 month, then the IPSS, Q max , QoL, and PVR at 3 and 12 months. Secondary outcomes included intraoperative surgical variables, e.g., the decline in core temperature, bleeding, peri-and postoperative morbidity. Results: The baseline characteristics of both groups were similar. For the primary outcome measures, there was a statistically significant difference between the groups in all variables except Q max after 1 month, in favour of LUCI. The mean (SD) IPSS at 1 month in the LVP group was 8.97 (1.68), statistically significantly different from that after LUCI, of 6.89 (1.
Oncology Letters, May 22, 2018
In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-ri... more In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-risk PCa patients, with miR-126 being the most downregulated. The expression of the four miRNAs was also significantly and independently associated with PCa. Receiver operating characteristic curve analysis revealed a significant ability of the miRNAs to distinguish patients with PCa from those with BPH, patients with PCa from controls and low-risk PCa from high-risk PCa. These data suggested that expression of these miRNAs in the blood circulation may be promising, non-invasive biomarkers for the early detection of localized PCa, and for PCa risk stratification. Further validations of the clinical implementation of these results are warranted in a larger cohort.
Medical & Surgical Urology, 2013
The cysts of prostate are common but the information regarding classification,diagnosis and treat... more The cysts of prostate are common but the information regarding classification,diagnosis and treatment of prostate cysts are rare in literature. We present the case report of a patient presented with severe lower urinary tract symptoms since 1 year. He was investigated using ultrasound scan to find that he has a simple prostatic cyst close to the bladder neck. The uroflowmetry and post void scan showed indirect evidence of bladder outlet obstruction. He had a cystoscopy and was treated with de-roofing of the prostatic cyst using 980 nm diode laser. He had tremendous symptomatic improvement and good recovery without catheterization. The ejaculatory functions were also preserved after the treatment.We also discuss about the available recent classification of cysts of prostate gland.
Arab journal of urology, Sep 1, 2015
To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calc... more To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calcium-alginate fibre dressing, to reduce bleeding from the frenular vessels, the commonest complication of Plastibell circumcision. Patients and methods: This was a retrospective study of 200 neonates circumcised in the Royal Bahrain Hospital over a 2-year period from 2012 to 2014. They had a standard Plastibell circumcision, but a calcium-alginate fibre dressing (Hypo-sorb, Plastod, Italy) was placed over the glans and under the foreskin, to help control bleeding from the frenular vessels. Results: Circumcision using the calcium-alginate fibre dressing reduced the bleeding complication rate to zero. The delayed separation of the bell was 2.9% when using the new technique and 2.5% from our previous data. There were no cases of urinary retention reported, compared to two in the previous results. Conclusion: A Plastibell circumcision supported by the calcium-alginate fibre dressing was a safe technique to reduce bleeding.
The Canadian journal of urology, 2021
INTRODUCTION The opioid epidemic is a growing problem in the United States. There is a high rate ... more INTRODUCTION The opioid epidemic is a growing problem in the United States. There is a high rate of opioid oversupply for treatment of symptomatic nephrolithiasis, partly due to patients being seen by multiple providers. In Pennsylvania, there are efforts to integrate a prescription drug monitoring program (PDMP) within the electronic medical record (EMR). The objectives of this study were to evaluate prescribing practices for opioids for symptomatic nephrolithiasis and the incidence of prescriptions not documented within the EMR. MATERIALS AND METHODS Adults who presented for treatment of symptomatic nephrolithiasis were sequentially evaluated from May - October 2017 at Penn State Milton S. Hershey Medical Center. With IRB approval, we evaluated opioids prescribed in the EMR, which was compared to the PDMP for each stone episode. We calculated daily morphine milligram equivalents (MME) and total MME available to patients. RESULTS A total of 301 patients were identified (52% male) w...
The cysts of prostate are common but the information regarding classification,diagnosis and treat... more The cysts of prostate are common but the information regarding classification,diagnosis and treatment of prostate cysts are rare in literature. We present the case report of a patient presented with severe lower urinary tract symptoms since 1 year. He was investigated using ultrasound scan to find that he has a simple prostatic cyst close to the bladder neck. The uroflowmetry and post void scan showed indirect evidence of bladder outlet obstruction. He had a cystoscopy and was treated with de-roofing of the prostatic cyst using 980 nm diode laser. He had tremendous symptomatic improvement and good recovery without catheterization. The ejaculatory functions were also preserved after the treatment.We also discuss about the available recent classification of cysts of prostate gland.
Oncology Letters, May 22, 2018
In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-ri... more In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-risk PCa patients, with miR-126 being the most downregulated. The expression of the four miRNAs was also significantly and independently associated with PCa. Receiver operating characteristic curve analysis revealed a significant ability of the miRNAs to distinguish patients with PCa from those with BPH, patients with PCa from controls and low-risk PCa from high-risk PCa. These data suggested that expression of these miRNAs in the blood circulation may be promising, non-invasive biomarkers for the early detection of localized PCa, and for PCa risk stratification. Further validations of the clinical implementation of these results are warranted in a larger cohort.
Basrah Journal of Surgery
This is a prospective study designed to compare the outcome of two different lines of medical the... more This is a prospective study designed to compare the outcome of two different lines of medical therapy for Benign Prostatic Hyperplasia (BPH), namely: blockers alone versus blockers and androgen suppressors in combination. One hundred patients were included in the study, which was conducted during the period from September 1998 to March 2001. Detailed history was taken with thorough physical examination and investigations. Patients also underwent ultrasonography and intravenous urography to assess the upper tract function and postvoiding residual volume. The American Uorological Association (AUA) Symptom Score, urinary flow rate and the volume of residual urine were assessed in all patients and were used for comparison. The patients were randomized into two equal groups, each consisting of 50 patients. Those in group I were given Doxazosin (4 mg/day) alone while those in group II were given a combination of Doxazosin (4 mg/day) and Finasteride (5 mg/day). It is concluded that the results obtained with combination therapy are more promising and significantly better than those obtained with a single agent. All the parameters of comparison, i.e. the AUA score, urinary flow rate and volume of residual urine, improve with both methods but to a much greater extent in group II, the combination therapy group.
Oncology letters, 2018
Prostate cancer (PCa) is the second most diagnosed malignancy, and the leading cause of cancer-as... more Prostate cancer (PCa) is the second most diagnosed malignancy, and the leading cause of cancer-associated mortality among males. Prostate-specific antigen (PSA) has long been used for the detection of PCa. However, PSA levels increase in PCa and benign prostatic hyperplasia (BPH), and are associated with a poor disease outcome. Circulating microRNAs (miRNAs) have been determined to be highly stable in the circulation, and could be utilized as biomarkers to improve disease diagnosis and management. In the present study, the effectiveness of four PCa-associated miRNAs in the discrimination of PCa from BPH and the risk-stratification of PCa was assessed. The study included 100 participants: 35 patients with localized PCa, 35 patients with BPH and 30 healthy subjects. Patients with PCa were categorized based on their tumor stage (T), PSA level and Gleason score (GS) into low-(T 1/2, PSA <10 ng/ml or GS ≤7) and high-risk groups (T 3/4, PSA >20 ng/ml or GS ≥8). Reverse transcription...
Oncology Letters, 2015
MicroRNAs have been demonstrated to be stably detectable in peripheral blood, thus representing i... more MicroRNAs have been demonstrated to be stably detectable in peripheral blood, thus representing important sources of non-invasive biomarkers of various diseases, including cancer. Recently, microRNA-18a (miR-18a) has been revealed to be highly expressed in prostate cancer (PC) tissues, acting as an oncogenic miRNA. The present study evaluated miR-18a expression in the peripheral blood of patients with PC, patients with benign prostatic hyperplasia (BPH), and healthy individuals, to assess the feasibility of using peripheral blood miR-18a as a potential non-invasive biomarker for PC. Total RNA was extracted from peripheral whole blood samples from 24 PC patients, 24 BPH patients and 23 healthy control individuals. The expression of miR-18a was assessed by reverse transcription quantitative polymerase chain reaction. The results revealed that miR-18a expression was significantly higher in PC patients than in BPH patients and healthy controls [fold change (mean ± standard deviation), 5.5±1.4 for PC, 1.5±0.5 for BPH and 1.2±0.6 for controls; P<0.005]. Higher miR-18a expression was strongly associated with PC [odds ratio (OR), 4.602; 95% confidence interval (CI), 2.194-9.654; P=0.001], but was not significantly associated with BPH (OR, 1.2; 95% CI, 0.7-2.02; P=0.332). Despite the small number of patients, which limits the statistical power of the study, higher miR-18a expression was observed to be significantly correlated with certain clinicopathological parameters, including Gleason score >7 and pathological tumor stage 3/4 (P<0.005). A receiver operating characteristic (ROC) analysis revealed that miR-18a discriminated PC patients from BPH patients and healthy controls [area under the curve (AUC), 0.805; 95% CI, 0.704-0.906). Furthermore, use of the ROC curve to discriminate PC from BPH patients yielded an AUC of 0.878 (95% CI, 0.783-0.972). In summary, the present results indicate that miR-18a expression is significantly increased in peripheral blood of patients with PC compared with that of BPH patients and healthy individuals, and that higher miR-18a expression is associated with progression of PC. Peripheral blood oncogenic miR-18a may serve as a potential novel non-invasive biomarker for PC that also facilitates discrimination between PC and BPH.
Arab Journal of Urology, 2015
To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calc... more To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calcium-alginate fibre dressing, to reduce bleeding from the frenular vessels, the commonest complication of Plastibell circumcision. Patients and methods: This was a retrospective study of 200 neonates circumcised in the Royal Bahrain Hospital over a 2-year period from 2012 to 2014. They had a standard Plastibell circumcision, but a calcium-alginate fibre dressing (Hypo-sorb, Plastod, Italy) was placed over the glans and under the foreskin, to help control bleeding from the frenular vessels. Results: Circumcision using the calcium-alginate fibre dressing reduced the bleeding complication rate to zero. The delayed separation of the bell was 2.9% when using the new technique and 2.5% from our previous data. There were no cases of urinary retention reported, compared to two in the previous results. Conclusion: A Plastibell circumcision supported by the calcium-alginate fibre dressing was a safe technique to reduce bleeding.
![Research paper thumbnail of Erratum to “Diode laser vaporization of prostate versus laser under cold irrigation: A randomized control trial” [Arab. J. Urol. 12(4) (2014) 245–250]](https://attachments.academia-assets.com/73125182/thumbnails/1.jpg)
](Arab Journal of Urology, 2015
It has been brought to our attention that there is an error in the article title and in the secti... more It has been brought to our attention that there is an error in the article title and in the section ''Introduction''. The correct title should read as ''Diode laser vaporization of prostate versus laser under cold irrigation: A randomized control trial'' instead of ''Diode laser vaporization of prostate versus laser under cold irrigation: A randomized controlled trial''.
Arab Journal of Urology, 2014
Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisat... more Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisation of the prostate (LVP) and its modification, diode laser under cold irrigation (LUCI) in patients with symptomatic benign prostatic hyperplasia, as the main disadvantages of LVP are the postoperative pain, dysuria and storage urinary symptoms. Patients and methods: This was a single-centre prospective randomised control trial in which 100 patients were randomised to receive LVP (50) or LUCI (50) from June 2011 until July 2012. LUCI is similar to LVP except that it is done under normal irrigation with saline at 4°C instead of saline at room temperature. The primary outcome measures were the International Prostate Symptom Score (IPSS), IPSS-Dysuria, a pain scale (PS), maximum flow rate (Q max), a quality-of-life (QoL) score and the postvoid residual urine volume (PVR) after 1 month, then the IPSS, Q max , QoL, and PVR at 3 and 12 months. Secondary outcomes included intraoperative surgical variables, e.g., the decline in core temperature, bleeding, peri-and postoperative morbidity. Results: The baseline characteristics of both groups were similar. For the primary outcome measures, there was a statistically significant difference between the groups in all variables except Q max after 1 month, in favour of LUCI. The mean (SD) IPSS at 1 month in the LVP group was 8.97 (1.68), statistically significantly different from that after LUCI, of 6.89 (1.
Medical & Surgical Urology, 2014
Arab journal of urology, Dec 1, 2014
Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisat... more Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisation of the prostate (LVP) and its modification, diode laser under cold irrigation (LUCI) in patients with symptomatic benign prostatic hyperplasia, as the main disadvantages of LVP are the postoperative pain, dysuria and storage urinary symptoms. Patients and methods: This was a single-centre prospective randomised control trial in which 100 patients were randomised to receive LVP (50) or LUCI (50) from June 2011 until July 2012. LUCI is similar to LVP except that it is done under normal irrigation with saline at 4°C instead of saline at room temperature. The primary outcome measures were the International Prostate Symptom Score (IPSS), IPSS-Dysuria, a pain scale (PS), maximum flow rate (Q max), a quality-of-life (QoL) score and the postvoid residual urine volume (PVR) after 1 month, then the IPSS, Q max , QoL, and PVR at 3 and 12 months. Secondary outcomes included intraoperative surgical variables, e.g., the decline in core temperature, bleeding, peri-and postoperative morbidity. Results: The baseline characteristics of both groups were similar. For the primary outcome measures, there was a statistically significant difference between the groups in all variables except Q max after 1 month, in favour of LUCI. The mean (SD) IPSS at 1 month in the LVP group was 8.97 (1.68), statistically significantly different from that after LUCI, of 6.89 (1.
Oncology Letters, May 22, 2018
In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-ri... more In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-risk PCa patients, with miR-126 being the most downregulated. The expression of the four miRNAs was also significantly and independently associated with PCa. Receiver operating characteristic curve analysis revealed a significant ability of the miRNAs to distinguish patients with PCa from those with BPH, patients with PCa from controls and low-risk PCa from high-risk PCa. These data suggested that expression of these miRNAs in the blood circulation may be promising, non-invasive biomarkers for the early detection of localized PCa, and for PCa risk stratification. Further validations of the clinical implementation of these results are warranted in a larger cohort.
Medical & Surgical Urology, 2013
The cysts of prostate are common but the information regarding classification,diagnosis and treat... more The cysts of prostate are common but the information regarding classification,diagnosis and treatment of prostate cysts are rare in literature. We present the case report of a patient presented with severe lower urinary tract symptoms since 1 year. He was investigated using ultrasound scan to find that he has a simple prostatic cyst close to the bladder neck. The uroflowmetry and post void scan showed indirect evidence of bladder outlet obstruction. He had a cystoscopy and was treated with de-roofing of the prostatic cyst using 980 nm diode laser. He had tremendous symptomatic improvement and good recovery without catheterization. The ejaculatory functions were also preserved after the treatment.We also discuss about the available recent classification of cysts of prostate gland.
Arab journal of urology, Sep 1, 2015
To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calc... more To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calcium-alginate fibre dressing, to reduce bleeding from the frenular vessels, the commonest complication of Plastibell circumcision. Patients and methods: This was a retrospective study of 200 neonates circumcised in the Royal Bahrain Hospital over a 2-year period from 2012 to 2014. They had a standard Plastibell circumcision, but a calcium-alginate fibre dressing (Hypo-sorb, Plastod, Italy) was placed over the glans and under the foreskin, to help control bleeding from the frenular vessels. Results: Circumcision using the calcium-alginate fibre dressing reduced the bleeding complication rate to zero. The delayed separation of the bell was 2.9% when using the new technique and 2.5% from our previous data. There were no cases of urinary retention reported, compared to two in the previous results. Conclusion: A Plastibell circumcision supported by the calcium-alginate fibre dressing was a safe technique to reduce bleeding.
The Canadian journal of urology, 2021
INTRODUCTION The opioid epidemic is a growing problem in the United States. There is a high rate ... more INTRODUCTION The opioid epidemic is a growing problem in the United States. There is a high rate of opioid oversupply for treatment of symptomatic nephrolithiasis, partly due to patients being seen by multiple providers. In Pennsylvania, there are efforts to integrate a prescription drug monitoring program (PDMP) within the electronic medical record (EMR). The objectives of this study were to evaluate prescribing practices for opioids for symptomatic nephrolithiasis and the incidence of prescriptions not documented within the EMR. MATERIALS AND METHODS Adults who presented for treatment of symptomatic nephrolithiasis were sequentially evaluated from May - October 2017 at Penn State Milton S. Hershey Medical Center. With IRB approval, we evaluated opioids prescribed in the EMR, which was compared to the PDMP for each stone episode. We calculated daily morphine milligram equivalents (MME) and total MME available to patients. RESULTS A total of 301 patients were identified (52% male) w...
The cysts of prostate are common but the information regarding classification,diagnosis and treat... more The cysts of prostate are common but the information regarding classification,diagnosis and treatment of prostate cysts are rare in literature. We present the case report of a patient presented with severe lower urinary tract symptoms since 1 year. He was investigated using ultrasound scan to find that he has a simple prostatic cyst close to the bladder neck. The uroflowmetry and post void scan showed indirect evidence of bladder outlet obstruction. He had a cystoscopy and was treated with de-roofing of the prostatic cyst using 980 nm diode laser. He had tremendous symptomatic improvement and good recovery without catheterization. The ejaculatory functions were also preserved after the treatment.We also discuss about the available recent classification of cysts of prostate gland.
Oncology Letters, May 22, 2018
In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-ri... more In addition, the expression of the four miRNAs was lower in high-risk PCa patients than in low-risk PCa patients, with miR-126 being the most downregulated. The expression of the four miRNAs was also significantly and independently associated with PCa. Receiver operating characteristic curve analysis revealed a significant ability of the miRNAs to distinguish patients with PCa from those with BPH, patients with PCa from controls and low-risk PCa from high-risk PCa. These data suggested that expression of these miRNAs in the blood circulation may be promising, non-invasive biomarkers for the early detection of localized PCa, and for PCa risk stratification. Further validations of the clinical implementation of these results are warranted in a larger cohort.
Basrah Journal of Surgery
This is a prospective study designed to compare the outcome of two different lines of medical the... more This is a prospective study designed to compare the outcome of two different lines of medical therapy for Benign Prostatic Hyperplasia (BPH), namely: blockers alone versus blockers and androgen suppressors in combination. One hundred patients were included in the study, which was conducted during the period from September 1998 to March 2001. Detailed history was taken with thorough physical examination and investigations. Patients also underwent ultrasonography and intravenous urography to assess the upper tract function and postvoiding residual volume. The American Uorological Association (AUA) Symptom Score, urinary flow rate and the volume of residual urine were assessed in all patients and were used for comparison. The patients were randomized into two equal groups, each consisting of 50 patients. Those in group I were given Doxazosin (4 mg/day) alone while those in group II were given a combination of Doxazosin (4 mg/day) and Finasteride (5 mg/day). It is concluded that the results obtained with combination therapy are more promising and significantly better than those obtained with a single agent. All the parameters of comparison, i.e. the AUA score, urinary flow rate and volume of residual urine, improve with both methods but to a much greater extent in group II, the combination therapy group.
Oncology letters, 2018
Prostate cancer (PCa) is the second most diagnosed malignancy, and the leading cause of cancer-as... more Prostate cancer (PCa) is the second most diagnosed malignancy, and the leading cause of cancer-associated mortality among males. Prostate-specific antigen (PSA) has long been used for the detection of PCa. However, PSA levels increase in PCa and benign prostatic hyperplasia (BPH), and are associated with a poor disease outcome. Circulating microRNAs (miRNAs) have been determined to be highly stable in the circulation, and could be utilized as biomarkers to improve disease diagnosis and management. In the present study, the effectiveness of four PCa-associated miRNAs in the discrimination of PCa from BPH and the risk-stratification of PCa was assessed. The study included 100 participants: 35 patients with localized PCa, 35 patients with BPH and 30 healthy subjects. Patients with PCa were categorized based on their tumor stage (T), PSA level and Gleason score (GS) into low-(T 1/2, PSA <10 ng/ml or GS ≤7) and high-risk groups (T 3/4, PSA >20 ng/ml or GS ≥8). Reverse transcription...
Oncology Letters, 2015
MicroRNAs have been demonstrated to be stably detectable in peripheral blood, thus representing i... more MicroRNAs have been demonstrated to be stably detectable in peripheral blood, thus representing important sources of non-invasive biomarkers of various diseases, including cancer. Recently, microRNA-18a (miR-18a) has been revealed to be highly expressed in prostate cancer (PC) tissues, acting as an oncogenic miRNA. The present study evaluated miR-18a expression in the peripheral blood of patients with PC, patients with benign prostatic hyperplasia (BPH), and healthy individuals, to assess the feasibility of using peripheral blood miR-18a as a potential non-invasive biomarker for PC. Total RNA was extracted from peripheral whole blood samples from 24 PC patients, 24 BPH patients and 23 healthy control individuals. The expression of miR-18a was assessed by reverse transcription quantitative polymerase chain reaction. The results revealed that miR-18a expression was significantly higher in PC patients than in BPH patients and healthy controls [fold change (mean ± standard deviation), 5.5±1.4 for PC, 1.5±0.5 for BPH and 1.2±0.6 for controls; P<0.005]. Higher miR-18a expression was strongly associated with PC [odds ratio (OR), 4.602; 95% confidence interval (CI), 2.194-9.654; P=0.001], but was not significantly associated with BPH (OR, 1.2; 95% CI, 0.7-2.02; P=0.332). Despite the small number of patients, which limits the statistical power of the study, higher miR-18a expression was observed to be significantly correlated with certain clinicopathological parameters, including Gleason score >7 and pathological tumor stage 3/4 (P<0.005). A receiver operating characteristic (ROC) analysis revealed that miR-18a discriminated PC patients from BPH patients and healthy controls [area under the curve (AUC), 0.805; 95% CI, 0.704-0.906). Furthermore, use of the ROC curve to discriminate PC from BPH patients yielded an AUC of 0.878 (95% CI, 0.783-0.972). In summary, the present results indicate that miR-18a expression is significantly increased in peripheral blood of patients with PC compared with that of BPH patients and healthy individuals, and that higher miR-18a expression is associated with progression of PC. Peripheral blood oncogenic miR-18a may serve as a potential novel non-invasive biomarker for PC that also facilitates discrimination between PC and BPH.
Arab Journal of Urology, 2015
To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calc... more To assess the benefit of a new technique of a Plastibell circumcision supported by a ventral calcium-alginate fibre dressing, to reduce bleeding from the frenular vessels, the commonest complication of Plastibell circumcision. Patients and methods: This was a retrospective study of 200 neonates circumcised in the Royal Bahrain Hospital over a 2-year period from 2012 to 2014. They had a standard Plastibell circumcision, but a calcium-alginate fibre dressing (Hypo-sorb, Plastod, Italy) was placed over the glans and under the foreskin, to help control bleeding from the frenular vessels. Results: Circumcision using the calcium-alginate fibre dressing reduced the bleeding complication rate to zero. The delayed separation of the bell was 2.9% when using the new technique and 2.5% from our previous data. There were no cases of urinary retention reported, compared to two in the previous results. Conclusion: A Plastibell circumcision supported by the calcium-alginate fibre dressing was a safe technique to reduce bleeding.
Arab Journal of Urology, 2015
It has been brought to our attention that there is an error in the article title and in the secti... more It has been brought to our attention that there is an error in the article title and in the section ''Introduction''. The correct title should read as ''Diode laser vaporization of prostate versus laser under cold irrigation: A randomized control trial'' instead of ''Diode laser vaporization of prostate versus laser under cold irrigation: A randomized controlled trial''.
Arab Journal of Urology, 2014
Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisat... more Objective: To compare the perioperative morbidity and early follow-up after diode laser vaporisation of the prostate (LVP) and its modification, diode laser under cold irrigation (LUCI) in patients with symptomatic benign prostatic hyperplasia, as the main disadvantages of LVP are the postoperative pain, dysuria and storage urinary symptoms. Patients and methods: This was a single-centre prospective randomised control trial in which 100 patients were randomised to receive LVP (50) or LUCI (50) from June 2011 until July 2012. LUCI is similar to LVP except that it is done under normal irrigation with saline at 4°C instead of saline at room temperature. The primary outcome measures were the International Prostate Symptom Score (IPSS), IPSS-Dysuria, a pain scale (PS), maximum flow rate (Q max), a quality-of-life (QoL) score and the postvoid residual urine volume (PVR) after 1 month, then the IPSS, Q max , QoL, and PVR at 3 and 12 months. Secondary outcomes included intraoperative surgical variables, e.g., the decline in core temperature, bleeding, peri-and postoperative morbidity. Results: The baseline characteristics of both groups were similar. For the primary outcome measures, there was a statistically significant difference between the groups in all variables except Q max after 1 month, in favour of LUCI. The mean (SD) IPSS at 1 month in the LVP group was 8.97 (1.68), statistically significantly different from that after LUCI, of 6.89 (1.
Medical & Surgical Urology, 2014