case report of testicular sparing surgery in a patient with dermoid cyst of testis

Dermoid cyst of testis is very rare in post-pubertal age which testicular sparing surgery can be done. There are different methods of treatment [radical orchiectomy, partial orchiectomy] for these cases. In this study, we present a case of dermoid cyst of testis which responded to partial orchiectomy. An 18 year old man referred to hospital with a painless left testicular mass [1.5 to 2 cm nontender firm mass in center of left testis] since one year prior to admission. Sonography showed a 1.5 to 2 cm hypoechoie mass in left testis and blood tumor markers [alpha.F. protein and beta H.C.G] were normal. Patient was operated by a left inguinal incision and there was a thick wall encapsulated, whitish keratin filled cyst, which only cyst was enucleated and testis was saved. Pathology report was dermoid cyst and up to 2 years after surgery patient had no recurrence. In patients with tumor of testis and all work-ups are in favor of benign lesion, testicular sparing surgery can be done

Evaluation of sperm parameters in patients with varicocele before and after sperm processing

Varicocele is one of the causes of male infertility. It changes with temperature and drainage of testicular veins that due to spermatogenesis disturbance and decrease of fertility in these patients. However varicocelectomy is a treatment for varicocele, but there are other methods of treating this disease including assisted reproductive technology [ART], Sperm processing and swim up. This interventional study was performed on 155 cases in fertility and infertility Center of Babol University of medical sciences in 2004. Sperm parameters in varicocele patients was assessed before and after sperm processing. The mean age of patients was 31.8 years. Sperm motility before sperm processing in grade III and IV was 53.9% and 12.9%, respectively but after sperm processing in grade III and IV changed to 78.7% and 56.8%, respectively. Total motility before sperm processing was 40% and changed after processing to 80%. The results show that with sperm processing and collection of appropriate sperms, we are able to increase fertility

Study of major trauma of genitourinary system in patients referred to emergency center of Babol Shahid Beheshti Hospital [1998-2003]

Trauma is a dynamic process and involves different systems of body according to its severity. Genitourinary system injury is seen in trauma process. This study was done to evaluate the major trauma of genitourinary system with special attention to multiple trauma patients. This descriptive and cross-sectional study was performed on records of 293 patients with genitourinary system trauma who referred to emergency center of Shahid Beheshti hospital from 1998-2004. One hundred and two patients suffering from major trauma of genitourinary system who operated were included in this study. Then necessary information such as sex, age, pattern of trauma, type and mechanism of trauma, involved organ, clinical findings, associated lesions, surgical procedure, laboratory findings, duration of hospitalization and year of admission were obtained and studied. From 102 patients, 92.2% were male and 7.8% were female with mean age of 29.4 +/- 13 years. 33.3% of patients had multiple trauma and 98% of them had blunt trauma. Mean duration of hospitalization was 6.2 +/- 4.4 days. From 13 patients [12.7%] with major kidney trauma, 5 cases had shattered kidney that went under nephrectomy. Only 1 patient [1%] had ureter trauma with final diagnosis of left middle ureter transection. Five patients [4.9%] had intraperitoneal rupture of bladder in which 3 cases had rupture in dome area. Five patients [49%] had urethral injury with clinical findings such as blood at meatus and inability to void. In 50 patients [49%] with penile trauma, 49 patients had penis Fx and 1 case had total amputation of penis and left testis. Fifteen patients [16.7%] had testis trauma in which clinical findings were pain, swelling and ecchymosis. Eleven patients [10.8%] had major trauma of scrotum. According to the results of this study, the most common organ involved in major trauma of genitourinary system was penis. Accurate history and complete physical examination should be considered in patients with multiple trauma

Effect of xylocaine on human normal sperm motility

Infertility as an obvious problem causes different social problems in family. One of the most common methods to solve the problem of infertile couples with azoospermia is capture via testis or epididymo biopsy. Use of anesthetic drugs is unavoidable for pain relief. Since these drugs can cause the reduction of sperm motility so it is necessary to determine the concentration of drugs that used for topical anesthetic. In this experimental study, semen samples of 30 men were studied. Post swim up samples [65ml] in Ham's F10 culture were put in six separated tubes and 10% of semen was mixed with xylocaine [20%, 40%, 60%, 80% and 100%]. Sample one was considered as control group and sperm motility and grading at 3 different times [0, 2, and 24 hours] were recorded. Data was statistically analyzed. Mean of sperm motility in control group was 63.20 +/- 5.31 and in test group decreased from 45.50 +/- 11.54 [xylocaine 20%] to 4.9 +/- 5.72 [xylocaine 100%] [p= 0.000]. Prolonged contact causes more decrease in motility and grading of sperm [p=0.001]. Increase of xylocaine concentration caused a decrease in sperm motility, so the effect of xylocaine on sperm parameters depends on dosage and duration of contact