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Papers by nooman saeed

Research paper thumbnail of The abnormal urodynamic findings as a predictor of complete response to treatment in patients with complicated nocturnal enuresis

Annals of the College of Medecine, Dec 28, 2011

Objective: Patients with complicated nocturnal enuresis might show poor response to various forms... more Objective: Patients with complicated nocturnal enuresis might show poor response to various forms of treatments, the purpose of this study is to urodynamically assess their bladder function and capacity aiming to predict the underlying cause for their problem and to assess their response to treatment with desmopressin and anticholinergics(oxybutynin). Patients and methods: A retrospective study of 63 patients (50 female and 13 male). Their age ranged between 5-14 years, complaining of complicated nocturnal enuresis. Conducted at the urology clinic in Jordan University Hospital in Amman. All patients underwent urodynamic study, their data were analyzed, and treatment was established accordingly. Response was compared between patients having bladder instability and those with stable bladder, also between those with normal cystometric capacity and those with reduced cystometric capacity. Results: Bladder instability was reported in 55 patients (87.3%) as compared to 8 patients (12.7%) with stable bladder. Also 52 patients (82.5%) had reduced bladder capacity and 11 patients (17.5%) had normal bladder capacity. Of 52 patients with reduced cystometric capacity, 42 patients (80.7%) had partial or no response to treatment. Conclusion: Management of patients with complicated nocturnal enuresis is challenging, and needs an elaborate efforts to settle the cause(s). Bladder instability and reduced bladder capacity represent significant part of the underlying etiologies. The reduced bladder capacity is a reliable predictor of response to treatment with desmopressin and anticholinergics in this group of patients.

Research paper thumbnail of Ureteric stone management: comparison of ureteroscopy using pneumatic lithotripsy with ureterolithotomy results

Annals of the College of Medecine, Jun 28, 2013

Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with ... more Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with open surgery (ureterolithotomy) in treating ureteric stones regarding the success rate, procedures time, need for post-operative analgesia, duration of hospital stay, and complications rate. Patients and methods: A prospective study of 90 patients suffering from ureteric stones, referred to the urology center at Al-Jumhori Teaching Hospital in Mosul city between 1 st of May 2010-31 st of March 2011. Fifty patients were treated by ureteroscopy and 40 patients by ureterolithotomy. Their age and sex distribution was comparable. Results of both treatment modalities were analyzed and compared. Results: The success rate for ureteroscopy was 90% and for ureterolithotomy was 97.5%. The procedure time was significantly shorter for ureteroscopy patients (21 minute versus 67 minute). Mean post-operative analgesia was much less for ureteroscopy (1.1 versus 9.5 analgesic injections). Ninety two percent of ureteroscopy patients were discharged at same day of operation with mean hospital stay of 1.12 days compared to 3.5 days for ureterolithotomy group. Complications were reported in 8% in ureteroscopy and 5% in ureterolithotomy group. Conclusion: The success rate of ureteroscopic procedures using pneumatic lithotripsy is comparable to that of ureterolithotomy, but with significantly shorter procedure time, less need for post-operative analgesia, shorter hospital stay, and with no significant increase in the complications rate. These results mean early return to social life and activities, and make ureteroscopy a preferable option for treating ureteric stone when facilities and surgical skills are available.

Research paper thumbnail of Vesical stones in females

Objective: Vesical stones may be associated with significant urological symptoms and may reflect ... more Objective: Vesical stones may be associated with significant urological symptoms and may reflect more serious underlying urological or systemic problems. The aim of this study is to discuss the trends of vesical stones in women, diagnostic tools, and their management patterns. Patients & methods: A cross-spective study of 25 female patients, presented with vesical stones, from the urology department at AlJumhoori teaching hospital in Mosul. History, physical examination, laboratory & radiological investigations were performed trying to confirm the diagnosis & look for any possible underlying etiology. Then the treatment modality( open surgery versus endoscopic intervention ) was decided with regard to stone(s) size, number, the patients age & facilities available in the center. The results were analyzed accordingly. Results: The mean patients age is 31.2 years. They presented with a mix of symptoms that mainly included irritative voiding symptoms, suprapubic pain, & hematuria. Ultra...

Research paper thumbnail of Isolation of Enterobius Vermicularis from Urine of Urinary Tract Infected Girl: A Case Report and Review of Literatures

Enterobius vermicularis (pinworm) is one of the most prevalent intestinal parasites in children w... more Enterobius vermicularis (pinworm) is one of the most prevalent intestinal parasites in children worldwide. Pinworms generally live in the gastrointestinal tract but ectopic sites are sometimes mentioned for these nematodes. The female Enterobius vermicularis migrates to the perianal area at night to deposit its eggs, but some worms find their way into adjacent orifices, most commonly the female genitourinary tract. These extraintestinal manifestations of Enterobius vermicularis are very rare. Infections in the pelvic area, genital and urinary tract are of these rare ectopic sites. We report a case of a 7 years old girl complaining of urinary tract infection with voiding difficulties, urgency, frequency, dysuria, nocturia, nocturnal enuresis, low back pain and perineal discomfort. On investigations, she was found to have vesical Enterobius vermicularis.

Research paper thumbnail of The abnormal urodynamic findings as a predictor of complete response to treatment in patients with complicated nocturnal enuresis

Annals of the College of Medicine, Mosul

Objective: Patients with complicated nocturnal enuresis might show poor response to various forms... more Objective: Patients with complicated nocturnal enuresis might show poor response to various forms of treatments, the purpose of this study is to urodynamically assess their bladder function and capacity aiming to predict the underlying cause for their problem and to assess their response to treatment with desmopressin and anticholinergics(oxybutynin). Patients and methods: A retrospective study of 63 patients (50 female and 13 male). Their age ranged between 5-14 years, complaining of complicated nocturnal enuresis. Conducted at the urology clinic in Jordan University Hospital in Amman. All patients underwent urodynamic study, their data were analyzed, and treatment was established accordingly. Response was compared between patients having bladder instability and those with stable bladder, also between those with normal cystometric capacity and those with reduced cystometric capacity. Results: Bladder instability was reported in 55 patients (87.3%) as compared to 8 patients (12.7%) with stable bladder. Also 52 patients (82.5%) had reduced bladder capacity and 11 patients (17.5%) had normal bladder capacity. Of 52 patients with reduced cystometric capacity, 42 patients (80.7%) had partial or no response to treatment. Conclusion: Management of patients with complicated nocturnal enuresis is challenging, and needs an elaborate efforts to settle the cause(s). Bladder instability and reduced bladder capacity represent significant part of the underlying etiologies. The reduced bladder capacity is a reliable predictor of response to treatment with desmopressin and anticholinergics in this group of patients.

Research paper thumbnail of Ureteric stone management: comparison of ureteroscopy using pneumatic lithotripsy with ureterolithotomy results

Annals of the College of Medicine, Mosul

Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with ... more Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with open surgery (ureterolithotomy) in treating ureteric stones regarding the success rate, procedures time, need for post-operative analgesia, duration of hospital stay, and complications rate. Patients and methods: A prospective study of 90 patients suffering from ureteric stones, referred to the urology center at Al-Jumhori Teaching Hospital in Mosul city between 1 st of May 2010-31 st of March 2011. Fifty patients were treated by ureteroscopy and 40 patients by ureterolithotomy. Their age and sex distribution was comparable. Results of both treatment modalities were analyzed and compared. Results: The success rate for ureteroscopy was 90% and for ureterolithotomy was 97.5%. The procedure time was significantly shorter for ureteroscopy patients (21 minute versus 67 minute). Mean post-operative analgesia was much less for ureteroscopy (1.1 versus 9.5 analgesic injections). Ninety two percent of ureteroscopy patients were discharged at same day of operation with mean hospital stay of 1.12 days compared to 3.5 days for ureterolithotomy group. Complications were reported in 8% in ureteroscopy and 5% in ureterolithotomy group. Conclusion: The success rate of ureteroscopic procedures using pneumatic lithotripsy is comparable to that of ureterolithotomy, but with significantly shorter procedure time, less need for post-operative analgesia, shorter hospital stay, and with no significant increase in the complications rate. These results mean early return to social life and activities, and make ureteroscopy a preferable option for treating ureteric stone when facilities and surgical skills are available.

Research paper thumbnail of The abnormal urodynamic findings as a predictor of complete response to treatment in patients with complicated nocturnal enuresis

Annals of the College of Medecine, Dec 28, 2011

Objective: Patients with complicated nocturnal enuresis might show poor response to various forms... more Objective: Patients with complicated nocturnal enuresis might show poor response to various forms of treatments, the purpose of this study is to urodynamically assess their bladder function and capacity aiming to predict the underlying cause for their problem and to assess their response to treatment with desmopressin and anticholinergics(oxybutynin). Patients and methods: A retrospective study of 63 patients (50 female and 13 male). Their age ranged between 5-14 years, complaining of complicated nocturnal enuresis. Conducted at the urology clinic in Jordan University Hospital in Amman. All patients underwent urodynamic study, their data were analyzed, and treatment was established accordingly. Response was compared between patients having bladder instability and those with stable bladder, also between those with normal cystometric capacity and those with reduced cystometric capacity. Results: Bladder instability was reported in 55 patients (87.3%) as compared to 8 patients (12.7%) with stable bladder. Also 52 patients (82.5%) had reduced bladder capacity and 11 patients (17.5%) had normal bladder capacity. Of 52 patients with reduced cystometric capacity, 42 patients (80.7%) had partial or no response to treatment. Conclusion: Management of patients with complicated nocturnal enuresis is challenging, and needs an elaborate efforts to settle the cause(s). Bladder instability and reduced bladder capacity represent significant part of the underlying etiologies. The reduced bladder capacity is a reliable predictor of response to treatment with desmopressin and anticholinergics in this group of patients.

Research paper thumbnail of Ureteric stone management: comparison of ureteroscopy using pneumatic lithotripsy with ureterolithotomy results

Annals of the College of Medecine, Jun 28, 2013

Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with ... more Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with open surgery (ureterolithotomy) in treating ureteric stones regarding the success rate, procedures time, need for post-operative analgesia, duration of hospital stay, and complications rate. Patients and methods: A prospective study of 90 patients suffering from ureteric stones, referred to the urology center at Al-Jumhori Teaching Hospital in Mosul city between 1 st of May 2010-31 st of March 2011. Fifty patients were treated by ureteroscopy and 40 patients by ureterolithotomy. Their age and sex distribution was comparable. Results of both treatment modalities were analyzed and compared. Results: The success rate for ureteroscopy was 90% and for ureterolithotomy was 97.5%. The procedure time was significantly shorter for ureteroscopy patients (21 minute versus 67 minute). Mean post-operative analgesia was much less for ureteroscopy (1.1 versus 9.5 analgesic injections). Ninety two percent of ureteroscopy patients were discharged at same day of operation with mean hospital stay of 1.12 days compared to 3.5 days for ureterolithotomy group. Complications were reported in 8% in ureteroscopy and 5% in ureterolithotomy group. Conclusion: The success rate of ureteroscopic procedures using pneumatic lithotripsy is comparable to that of ureterolithotomy, but with significantly shorter procedure time, less need for post-operative analgesia, shorter hospital stay, and with no significant increase in the complications rate. These results mean early return to social life and activities, and make ureteroscopy a preferable option for treating ureteric stone when facilities and surgical skills are available.

Research paper thumbnail of Vesical stones in females

Objective: Vesical stones may be associated with significant urological symptoms and may reflect ... more Objective: Vesical stones may be associated with significant urological symptoms and may reflect more serious underlying urological or systemic problems. The aim of this study is to discuss the trends of vesical stones in women, diagnostic tools, and their management patterns. Patients & methods: A cross-spective study of 25 female patients, presented with vesical stones, from the urology department at AlJumhoori teaching hospital in Mosul. History, physical examination, laboratory & radiological investigations were performed trying to confirm the diagnosis & look for any possible underlying etiology. Then the treatment modality( open surgery versus endoscopic intervention ) was decided with regard to stone(s) size, number, the patients age & facilities available in the center. The results were analyzed accordingly. Results: The mean patients age is 31.2 years. They presented with a mix of symptoms that mainly included irritative voiding symptoms, suprapubic pain, & hematuria. Ultra...

Research paper thumbnail of Isolation of Enterobius Vermicularis from Urine of Urinary Tract Infected Girl: A Case Report and Review of Literatures

Enterobius vermicularis (pinworm) is one of the most prevalent intestinal parasites in children w... more Enterobius vermicularis (pinworm) is one of the most prevalent intestinal parasites in children worldwide. Pinworms generally live in the gastrointestinal tract but ectopic sites are sometimes mentioned for these nematodes. The female Enterobius vermicularis migrates to the perianal area at night to deposit its eggs, but some worms find their way into adjacent orifices, most commonly the female genitourinary tract. These extraintestinal manifestations of Enterobius vermicularis are very rare. Infections in the pelvic area, genital and urinary tract are of these rare ectopic sites. We report a case of a 7 years old girl complaining of urinary tract infection with voiding difficulties, urgency, frequency, dysuria, nocturia, nocturnal enuresis, low back pain and perineal discomfort. On investigations, she was found to have vesical Enterobius vermicularis.

Research paper thumbnail of The abnormal urodynamic findings as a predictor of complete response to treatment in patients with complicated nocturnal enuresis

Annals of the College of Medicine, Mosul

Objective: Patients with complicated nocturnal enuresis might show poor response to various forms... more Objective: Patients with complicated nocturnal enuresis might show poor response to various forms of treatments, the purpose of this study is to urodynamically assess their bladder function and capacity aiming to predict the underlying cause for their problem and to assess their response to treatment with desmopressin and anticholinergics(oxybutynin). Patients and methods: A retrospective study of 63 patients (50 female and 13 male). Their age ranged between 5-14 years, complaining of complicated nocturnal enuresis. Conducted at the urology clinic in Jordan University Hospital in Amman. All patients underwent urodynamic study, their data were analyzed, and treatment was established accordingly. Response was compared between patients having bladder instability and those with stable bladder, also between those with normal cystometric capacity and those with reduced cystometric capacity. Results: Bladder instability was reported in 55 patients (87.3%) as compared to 8 patients (12.7%) with stable bladder. Also 52 patients (82.5%) had reduced bladder capacity and 11 patients (17.5%) had normal bladder capacity. Of 52 patients with reduced cystometric capacity, 42 patients (80.7%) had partial or no response to treatment. Conclusion: Management of patients with complicated nocturnal enuresis is challenging, and needs an elaborate efforts to settle the cause(s). Bladder instability and reduced bladder capacity represent significant part of the underlying etiologies. The reduced bladder capacity is a reliable predictor of response to treatment with desmopressin and anticholinergics in this group of patients.

Research paper thumbnail of Ureteric stone management: comparison of ureteroscopy using pneumatic lithotripsy with ureterolithotomy results

Annals of the College of Medicine, Mosul

Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with ... more Objective: The purpose of this study is to compare ureteroscopy using pneumatic lithotripsy with open surgery (ureterolithotomy) in treating ureteric stones regarding the success rate, procedures time, need for post-operative analgesia, duration of hospital stay, and complications rate. Patients and methods: A prospective study of 90 patients suffering from ureteric stones, referred to the urology center at Al-Jumhori Teaching Hospital in Mosul city between 1 st of May 2010-31 st of March 2011. Fifty patients were treated by ureteroscopy and 40 patients by ureterolithotomy. Their age and sex distribution was comparable. Results of both treatment modalities were analyzed and compared. Results: The success rate for ureteroscopy was 90% and for ureterolithotomy was 97.5%. The procedure time was significantly shorter for ureteroscopy patients (21 minute versus 67 minute). Mean post-operative analgesia was much less for ureteroscopy (1.1 versus 9.5 analgesic injections). Ninety two percent of ureteroscopy patients were discharged at same day of operation with mean hospital stay of 1.12 days compared to 3.5 days for ureterolithotomy group. Complications were reported in 8% in ureteroscopy and 5% in ureterolithotomy group. Conclusion: The success rate of ureteroscopic procedures using pneumatic lithotripsy is comparable to that of ureterolithotomy, but with significantly shorter procedure time, less need for post-operative analgesia, shorter hospital stay, and with no significant increase in the complications rate. These results mean early return to social life and activities, and make ureteroscopy a preferable option for treating ureteric stone when facilities and surgical skills are available.