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3- 2002-2005
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Demonstrator
Physiology Department- Faculty of Medicine – Al-Azhar University-Egypt
Duties and expertise
- Teaching the practical physiology lessons to undergraduate medical students.
- Attending the postgraduate lectures in different basic subjects including histology and medical statistics.
- Conducting the master research project to study the effect of sever muscular exercise on some oxidants and antioxidants in adult male smokers.
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حضور اللقاء العلمي لأمراض الكُلى والذي نظمته الجمعية المصرية لأمراض الكُلى بسوهاج في الفترة من 5-6 ديسمبر 2013.
- حضور المؤتمرالثالث للجمعية المصرية للعلوم الفسيولوجية- كلية الطب- جامعة طنطا في 20-3-2014.
- حضور فعاليات مؤتمر كلية الطب التاسع بكلية طب سوهاج في الفترة من 24-25أبريل 2014).
- منسقالمؤتمر السنوي التاسع لكلية طب سوهاج في الفترة من 24-25 أبريل 2014 بجامعة سوهاج.
حضور فعاليات اليوم العلمى الأول لقسم الفسىولوجيا الطبية–جامعة الأزهربالقاهرة– في 23 مارس 2016.
- حضور الدورات التدريبية (حسب الترتيب الزمني):
- البرنامج التدريبي بعنوان (استخدام التكنولوجيا فى التدريس) في الفترة من 7-9 ديسيمبر 2012.
- الورشة العلمية بعنوان (الاشراف العلمي على الرسائل) في الفترة من 30-12-2012الى1- 1 -2013.
- البرنامج التدريبي بعنوان (نظام الساعات المُعتمدة) في الفترة من 15-17 أكتوبر 2016.
- البرنامج التديبي بعنوان النشر العلمى الدولى في الفترة من 22-24أكتوبر 2016.
- الدورة التدريبية لتصميم الرسائل العلمية و الأبحاث باستخدام برنامج ال (Endnote)في الفترة من 29 سبتمبر الى 4 اكتوبر 2016.
الدورة التدريبية الخاصة بمعالجة الرسوم باستخدام برنامج (Graphics Adobe Photoshop) في الفترة من 29 سبتمبر الى 4 أكتوبر 2016
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- Mother tongue
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Arabic language
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UNDERSTANDING
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SPEAKING
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WRITING
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Listening
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Reading
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Spoken production
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· English
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- Job-related skills
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- Communication with colleagues in the research group and teaching practical courses for medical students, Sohag University.
- Team-working during research work
- Presenting and leading scientific seminars.
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- Computer skills
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- Competent user of Microsoft Word, PowerPoint and Excel.
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- Publications
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Featured publications (ordered chronologically):
1- Eman S.H. Abd Allah and Ahmed M. Mahmoud; Melatonin attenuates chronic immobilization stress-induced muscle atrophy in rats: Influence on lactate-to-pyruvate ratios and Na+/K+ ATPase activity, Pathophysiology (2018), in bress .(https://doi.org/10.1016/j.pathophys.06.002)
2- Ahmed Mostafa Mahmoud and Hekmat O. Abdel Aziz; Oxytocin versus Alendronate in Treating Postmenopausal Osteoporotic Female Rats; Which is Better?, Bull. Egypt. Soc. Physiol. Sci.(2018), 38(2),210-222
3- Ahmed Mostafa Mahmoud; Effect of Omega 3 and regular exercise on the muscle performance: Special prevalence of histamine and nitric oxide production , AL- Azhar medical journal (2017),
4- Ahmed Sadek, Abeer Sheneef , Eman A. Sabet, Laila M. Yousef , Amal H. Ali, Amal K. Nor El-Din , Ahmed M. Mahmoud; the Role of Bcl-2 and Bax as Markers of Disease Progression in Hepatitis C Virus Infected Patients, THE EGYPTIAN JOURNAL OF IMMUNOLOGY(2017), Vol. 24 (2) 23-32.
5- Ahmed Mostafa Mahmoud; Peptide tyrosine tyrosine (PYY) as a new strategy for treating obesity. AL –Azhar assuit medical journal (2016) 14:101–108
6- Hanan Sayed M. Farghaly, Ahmed Mostafa Mahmoud and Khaled A. Abdel-Sater; Effect of dexmedetomidine and cold stress in a rat model of neuropathic pain: Role of interleukin-6 and tumor necrosis factor-α. European Journal of Pharmacology (2016),(776) 139–145
7- Emad A. Taha, Hisham D. Gaber, Mohamed Fawzy, Hosam A. Hasan, Abdelmonem A. Mohamed, Ahmed M. Hassan and Ahmed M. Abbas; Testicular fine-needle aspiration as a prognostic indicator in azoospermia associated with grade II varicocele. Human andrology(2016)
8- Saad Kamal Taha, Merhan Mamdouh Ragy and Ahmed Moustafa Mahmoud; Effects of Post Exercise Meal Timing on Glucose Homeostasis in Trained Obese and Non-Obese Rats. Bull. Egypt. Soc. Physiol. Sci(2015), 35(1), 16-28 .
9- Adel Shalaby, Khaled A Abdel-Sater Eliwa, Ahmed M Hassan and Mohamed El-Fiky; Sex Differences in Some Physiological Effects of Cold Season or Short-Term Cold Exposure in Adult Albino Rat. Endocrinol Metab Synd 2015, 4:1 http://dx.doi.org/10.4172/2161-1017.1000159
10- Khaled A Abdel-Sater and Ahmed Mostafa M. Hassan; Effects of Combination of Carvedilol and Melatonin on Induced Metabolic Syndrome in Rats. Biochem Physiol (2014), 3:3 http://dx.doi.org/10.4172/2168-9652.1000137.
.L 14 N VOL 14 NO 3 JULY-SEPTEMBER 2016 O 3 JULY-SEPTEMBER 2016
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Melatonin attenuates chronic immobilization stress-induced muscle atrophy in rats: Influence on lactate-to-pyruvate ratios and Na+/K+ ATPase activity Eman S.H. Abd Allah a,∗, Ahmed M. Mahmoud b a Medical Physiology Department, Faculty of Medicine, Assiut University, Assiut, Egypt b Medical Physiology Department, Faculty of Medicine, Sohag University, Sohag, Egypt a r t i c l e i n f o Article history: Received 7 January 2018 Received in revised form 13 June 2018 Accepted 14 June 2018 Available online xxx Keywords: Chronic immobilization stress Lactate-to-pyruvate ratio Melatonin Na+/K+ATPase activity a b s t r a c t This study assessed the protective effect of melatonin against muscle atrophy provoked by chronic immobilization stress (CIS). CIS was induced in rats by limiting their trunk movement for 90 min daily for 6 weeks. Rats subjected to the CIS procedure demonstrated a substantial decrease in body weight, an increase in serum corticosterone, muscle atrophy, and an increase in atrogin-1 mRNA levels. An increase in the serum lactate-to-pyruvate ratio and the oxidative stress accompanied by a reduction of Na+/K+ ATPase activity could be responsible for these changes. Melatonin efficiently attenuated CIS-induced deleterious effects on the muscle by reducing corticosterone levels, the lactate-to-pyruvate ratio, and oxidative stress, thereby improving Na+/K+ ATPase activity and muscle condition. We conclude that melatonin can contribute to the prevention of CIS-induced muscle atrophy via its anti-stress, anti-oxidant propertiesand its effect on Na+/K+ ATPase activity.
Role of Bcl-2 and Bax as Markers of Disease Progression in Hepatitis C Virus Infected Patients Ahmed Sadek1, Abeer Sheneef2, Eman A. Sabet3, Laila M. Yousef4, Amal H. Ali2, Amal K. Nor El-Din3, Ahmed M. Mahmoud5 Departments of ¹Medical Microbiology & Immunology, Faculty of Medicine, Assiut University, ²Medical Microbiology & Immunology, ³Internal Medicine, 4Clinical Pathology, 5Physiology, Faculty of Medicine, Sohag University, Egypt. Many apoptotic markers have been linked to hepatic cell injury in HCV-related liver diseases, and hence could be used as potential markers for early detection of the disease. The present study aimed to assess the role of apoptotic markers Bcl-2 and Bax in the pathogenesis of chronic HCV-related liver diseases. A total of 85 participants were enrolled into the study; 70 chronic HCV patients (35 non-cirrhotic and 35 cirrhotic), and 15 healthy controls. The serum levels of Bcl-2 and Bax were assayed in all participants by ELISA. Bcl-2 and Bcl-2/Bax ratio were significantly higher in non-cirrhotic patients than the cirrhotic and controls (P < 0.001). Bax was significantly higher in cirrhotic patients compared to the other groups (P < 0.001). Positive and negative correlations were found between serum Bcl-2, Bax, Bcl-2/Bax ratio and HCV viral load in non-cirrhotic and cirrhotic patients respectively. These findings provide an evidence thatapoptosis is dysregulated in patients with chronic HCV.
Oxytocin versus Alendronate in Treating Postmenopausal Osteoporotic Female Rats; Which is Better? |
aAhmed Mostafa Mahmoud, bHekmat O. Abdel Aziz aPhysiology Department, Faculty of Medicine, Sohag University, Sohag, Egypt. bHistology Department, Faculty of Medicine, Sohag University, Sohag, Egypt. |
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Abstract Background: post menopausal period is a critical period for each female. How to minimize the complications of this period is a matter of major concern. Materials and Methods: 40 females' albino rates were included in this study; they were divided into four equal groups. G1: Sham ovariectomized group, G2: ovariectomized group receiving vehicle (Ve) 1mg/kg/day for 7 weeks intraperitoneal injection (Ip) after 7 weeks from ovariectomy. G3: ovariectomized group receiving alendronat 0.1mg/kg/day for 7 weeks (Ip) after 7 weeks from ovariectomy.G4: ovariectomized group receiving Oxytocin 0.1mg/kg/day for 7 weeks (Ip) after 7 weeks from ovariectomy. Serum level of (Alkaline phosphatase, Oxytocin) was determined, Body Mass Density (BMD) was measured by (DEXA), also a histological examination of the femur and tibia was done. Results: Marked increase in serum levels of ALP and marked decrease of serum Oxytocin in G2 compared to G1 associated with picture of osteoporosis. Marked decrease of serum ALP with improvement in osteoporotic picture in both G3 and G4.Conclusion: Treatment by either alendronat or oxytocin (G3 and G4) improves the osteoporotic condition withbetter improvement by Oxytocin.
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Effect of Omega 3 and regular exercise on the muscle performance: Special prevalence of histamine and nitric oxide production Ahmed Mostafa Mahmoud Department of Physiology, Faculty of Medicine, Sohag University, Sohag, Egypt ABSTRACT Background: Skeletal muscle fatigue due to unaccustomed hard and/or prolonged physical exercise may be caused by increase of lactic acid, inflammatory mediators and oxidative stress. Stimulation of H1 receptors by histamine and the ensuing production of nitric oxide trigger the vasodilating effect of histamine on arterioles in exercise to supply O2 and nutrients and removal of CO2 and waste products. Objective: Investigating the effect of omega 3 alone or with regular exercise on improving muscle performance and delaying muscle fatigue. Subjects and methods: Forty apparently healthy subjects were studied. Depending on their previous physical conditioning status, subjects were divided into four equal groups: Two sedentary groups (group 1a without omega 3 therapy, and group 1b with omega 3), and two athletes groups (group 2a without omega 3 therapy, and group 2b with omega 3). Exercise tolerance was evaluated for each subject by using a free swimming competition (100 meters). Pulmonary ventilation, vital capacity, respiratory rate and heart rate were estimated before and after competition. Total antioxidant, lipid peroxides, total nitrate and nitrites, lactic acid and histamine levels were determined Results: Omega-treated and/or regular exercise volunteers showed significantly increase of pulmonary ventilation, vital capacity, total antioxidant, nitric oxide (NO) and histamine levels, and significantly decrease of qualifying time competition, respiratory, resting and maximal heart rates, plasma lipid peroxides, and lactic acid compared with corresponding values of volunteers without Omega 3 or regular exercise. The combination of omega 3 plus regular exercise was more effective than each one alone. Conclusions: The results obtained in the present study provided an evidence that daily administration of omega 3 and/or regular exercise improved muscle performance and delayed fatigue through release of histamine and NO during exercise. Keywords: Omega 3- regular exercise - muscle performance - fatigue - histamine -NO.
Effect of dexmedetomidine and cold stress in a rat model of neuropathic pain: Role of interleukin-6 and tumor necrosis factor-α Hanan Sayed M. Farghaly a,n, Ahmed Mostafa Mahmoud b, Khaled A. Abdel-Sater c a Department of Pharmacology, Faculty of Medicine, Assiut University, Assiut, Egypt b Department of Physiology, Faculty of Medicine, Sohag University, Sohag, Egypt c Physiology Unit, Faculty of Pharmacy, Deraya University, El-Minia, Egypt a r t i c l e i n f o Article history: Received 16 August 2015 Received in revised form 12 February 2016 Accepted 15 February 2016 Available online 16 February 2016 Keywords: Cold stress Dexmedetomidine IL-6 Neuropathic pain TNF-α a b s t r a c t Dexmedetomidine (Dex) is a novel Alpha 2-adrenoceptor agonist. It decreases sympathetic tone and attenuates the stress responses to anesthesia and surgery. People exposed to cold suffer unpleasant thermal pain, which is experienced as stress and causes the release of noradrenaline from the sympathetic terminals. The present study investigated the effects of cold stress and dexmedetomidine on chronic constriction injury (CCI) model of the sciatic nerve in rats. Sixty four male Wistar rats were divided into seven groups of eight rats each: repeated cold stress (RCS) group, sham RCS group, CCI group, sham CCI group, Dex-treated group received a single dose of Dex (5 μg/kg), CCIþDex group, CCIþRCS group. Interleukin-6 (IL-6) and tumor necrosis factor- alpha (TNF-α) levels in the serum were measured by enzyme-linked immunosorbent assay. The mean body weight of CCI, RCS, CCIþRCS, CCIþDex and RCSþDex groups decreased significantly compared with pre-values. Dexmedetomidine and CCI caused significant changes of the systolic, diastolic and mean blood pressure. Both RCS and CCI groups showed significant decreased of reaction time in the hot plate test. The RCS and CCI groups demonstrated a significant mechanical hyperalgesia, while pain threshold was increased in the RCSþDex group. A significant decrease of serum IL-6 and TNF-α was demonstrated in CCIþRCS and CCIþDex groups. The therapeutic effectiveness of dexmedetomidine in neuropathic pain may be through inhibition of proinflammatory cytokines, primarily IL-6 and TNF-α. Moreover, cold stress may result in increased resistance to neuropathic pain.
Effects of Post Exercise Meal Timing on Glucose Homeostasis in Trained Obese and Non-Obese Rats |
| Saad Kamal Taha, Merhan Mamdouh Ragy*and Ahmed Moustafa Mahmoud** |
| Departments of Physiology, Al-Azhar, El-Minia* and Sohag** Faculties of Medicine |
Abstract Background: Obesity is a risk factor for obesity-related disorders such as type 2 diabetes mellitus. That obesity could hinder the individual work capacity and the cost for managing obesity complications. Aim of Work: was to study the effect of diet induced obesity and swimming on the plasma glucose, insulin, insulin resistance, body mass index (BMI), muscle mass and muscle glycogen, and fat tissue weight according to meal timing. Materials and Methods: Sixty Sprague dawely adult rats were randomized into two equal groups control group and obese group. The first was exposed for induction of obesity by hyper caloric diet and the other completes the standard one. At the end of the 12th week of age, rats started the exercise program for three months. The immediate group receives their meals immediately after exercise and the delayed one receive their meals three hours later. Then after receiving their meal, free access to food was allowed. Samples of blood were taken from all animals at the beginning and at the end of experiment and examined for plasma glucose and plasma insulin. Insulin resistance was estimated by HOMA-IR formula. Results: Immediate feeding after the exercise bout produced greater increase in muscle bulk and muscle glycogen, with decreased fat tissue weight in comparison with that of the corresponding delayed feeding either on obese and control groups Conclusion: Immediate meal timing was a powerful strategy to improve glucose homeostasis. Data of the present study showed that muscle bulk was greater with lower fat tissue weight in the immediate feeding group versus the delayed one. |
Peptide tyrosine tyrosine (PYY) as a new strategy for treating obesity Ahmed Mostafa Mahmoud Department of Physiology, Faculty of Medicine, Sohag University, Sohag, Egypt Correspondence to Ahmed Mostafa Mahmoud, Lecturer of Medical Physiology, Faculty of Medicine, Sohag University, Sohag, Egypt; Tel: 01060423663; e-mail: ahmed_physiology@yahoo.com Received 4 April 2016 Accepted 2 August 2016 Al Azhar Assiut Medical Journal 2016, 14:101–108 Background Obesity is a risk factor for obesity-related disorders such as type 2 diabetes mellitus, vascular disease, osteoarthritis, sleep apnea, and malignancy. Obesity cohinder the individual work capacity, and the cost for managing obesity complications is high. Objective The objective of this research was to study the role of pancreatic polypeptide family including neuropeptide Y and peptide tyrosine tyrosine (PYY) in obesity development and its metabolic changes. Materials and methods Twenty-seven adult female albino rats of a local strain were randomized into three equal groups for 5 weeks: sham-operated group, ovariectomized nontreated group, and ovariectomized treated group received PYY3–36 at a dose of 50 μg/kg, by intraperitoneal injection twice daily during the fifth week. Results Peripheral PYY3–36 administration reduces food intake, body weight gain, and serum glucose in ovariectomized obese female rats. Conclusion PYY system may offer a new therapeutic strategy for obesity management and its metabolic abnormalities. Keywords: metabolic disease, obesity, ovariectomized rats, pancreatic polypeptides, peptide tyrosine tyrosine
Effects of Combination of Carvedilol and Melatonin on Induced Metabolic Syndrome in Rats Khaled A Abdel-Sater1* and Ahmed Mostafa M. Hassan2 1Department of Physiology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt 2Physiology Department, Faculty of Medicine, Sohag University- Sohag -Egypt *Corresponding author: Khaled Ahmed Abdel-Sater, Department of Physiology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt, Tel: +20167970804; E-mail: Khaled_71111@yahoo.com Rec date: April 21, 2014, Acc date: June 16, 2014, Pub date: June 23, 2014 Copyright: © 2014 Abdel Sater KA et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Background: The prevalence of metabolic syndrome is increasing and it is considered one of the main threats to human health worldwide. Fructose feeding induces hyper-insulinemia, insulin resistance and hyper-triglyceridemia. The main objective of the present study is to evaluate the pharmacological effects of the single and combined administration of carvedilol and melatonin on fructose-induced metabolic syndrome in rats. Methods: Male albino rats were fed a high fructose diet for ten weeks to induce metabolic syndrome. Oral administration of carvedilol (20 mg/kg/day), melatonin (10 mg/kg/day), carvedilol and melatonin (20 mg +10 mg/kg/ day) or vehicle was conducted for six weeks after stopping the high fructose feeding.Indices of systolic blood pressure (SBP), Fasting Blood Glucose (FBG), Fasting Serum Insulin (FSI), serum lipid profiles, serum Nitric Oxide (NO), serum lipid peroxides as well as levels of total antioxidants were determined. Insulin resistance index were calculated from FBG and FSI using HOMA-IR (Homeostasis Model Assessment). Results: A high-fructose diet was associated with hypertension, dyslipidemia, insulin resistance, decreased nitrite and increased oxidative stress. Carvedilol, melatonin or combination of carvedilol and melatonin was able to reverse features of metabolic syndrome in the six weeks. The intensity of changes produced by melatonin was of greater extent in insulin resistance and lipid profiles than produced by carvedilol but the effect of carvedilol was higher in hypertension. The combination of carvedilol plus melatonin was superior of the others. Conclusion: A combination of both carvedilol (20 mg/kg/ day orally) and melatonin (10 mg/kg/ day orally) for 6 weeks revealed a statistical significant results in comparison to carvedilol (20 mg/kg/ day orally) or melatonin (10 mg/kg/ day orally) alone. A combination of carvedilol and melatonin may give an additive effect better than each of them alone. Keywords: Metabolic syndrome; Dyslipidemia; Insulin resistance; Carvedilol; Melatonin; Oxidative stress
Sex Differences in Some Physiological Effects of Cold Season or Short-Term Cold Exposure in Adult Albino Rat Adel Shalaby1, Khaled A Abdel-Sater Eliwa1*, Ahmed M Hassan2 and Mohamed El-Fiky1 1Department of Medical Physiology, Faculty of Medicine, Al-Azhar University, Cairo & Assiut, Egypt 2Department of Medical Physiology, Faculty of Medicine Sohag University, Egypt Abstract Background: Cold exposure is a permanent part of human life. Response to cold varies according to different factors and individual differences. The main factors potentially differentiating thermoregulation in men and women are the properties of female physiology, anthropometric characteristics, body composition, social behavior and physical working capacity. Aim of the study: Detecting the effect of short term cold exposure or cold season on body weight, food consumption, and levels of TSH, T3, T4, insulin, glucagon, adrenaline, cortisol, testosterone, progesterone and estrogen. Material and methods: This study was carried out on 96 adult albino rats of local strain, half of them were males and the other half were females. The animals were divided equally into two control groups (males and females), and four experimental groups (two males and two females). Each group was divided into two equal sub-groups (one for morning experiment where blood samples were collected at 7:00 a.m to 8:00 a.m., and one for night experiment where blood samples were collected at 700 p.m to 8:00 p.m.). Blood samples were taken at the end of experimental period (7 days) for determination of TSH, T3, T4, insulin, glucagon, adrenaline, cortisol, testosterone, and progesterone and estrogen levels. Results: Exposure of the body to cold produced the physiological responses according to the degree of cooling. The more severe the exposure to cold, the more marked were the effects that can be observed in body heat balance. Thyroid hormones increased through release of hypothalamus to TRH which led to release of TSH from the pituitary gland. Cortisol increased through stimulation of HPA axis. Adrenaline increased through stimulation of sympathetic nervous system and led to vasoconstriction and increased the release of fatty acids from adipose tissue to be used as energy substrates for heat production. Increased activity of the sympathetic nervous system during cold exposure led to decreased insulin secretion to increase blood glucose level which was used as a fuel for heat production. Activation of HPA was associated with increased progesterone hormone which has a role in thermogenesis. The increased needs for heat production in cold situations to keep body temperature constant led to increased food consumption, and the body weight showed no changes. This was because energy intake was used for heat production. Conclusion: Exposure to 4°C for 60 minutes for seven days cause signifcant increase in cortisol, adrenaline, estrogen, progesterone, insulin, T 3 and TSH, while testosterone signifcantly decreased. Also, exposure to 15-17°C for seven days caused signifcant increase in cortisol, adrenaline, estrogen and progesterone, while testosterone hormone signifcantly decreased. No signifcant changes occurred in T4 and glucagon. *Corresponding author: AKhaled A Abdel-Sater Eliwa, Department of Physiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt, E-mail: Khaled_71111@yahoo.com. Received December 23, 2014; Accepted February 09, 2015; Published February 16, 2015 Citation: Shalaby A, Eliwa KAA, Hassan AM, El-Fiky M (2015) Sex Differences in Some Physiological Effects of Cold Season or Short-Term Cold Exposure in Adult Albino Rat. Endocrinol Metab Synd 4: 159. doi: 10.4172/2161-1017.1000159 Copyright: © 2015 Shalaby A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords: Cold exposure; Sex difference; Physiological and biochemical effects of cold
Testicular fine-needle aspiration as a prognostic indicator in azoospermia associated with grade II varicocele Emad A. Tahaa, Hisham D. Gabera, Mohamed Fawzyf, Hosam A. Hasanb, Abdelmonem A. Mohamedd, Ahmed M. Hassane and Ahmed M. Abbasc Departments of aDermatology, Venereology and Andrology, bDiagnostic Radiology, cObstetrics and Gynecology, Faculty of Medicine, Assiut University, dDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assiut, eDepartment of Physiology, Faculty of Medicine, Sohag University, Sohag, Egypt and fEbn Sina and Banon ICSI Centers, Sohag, Egypt Correspondence to Ahmed M. Abbas, MD, Department of Obstetrics and Gynecology, Woman’s Health Hospital, Assiut University, 71511 Assiut, Egypt Tel: + 20 88 241 4616; fax: + 20 88 2414631; e-mail: bmr90@hotmail.com Received 9 August 2016 Accepted 25 September 2016 Human Andrology 2016, 00:000–000 Purpose The current study aims to evaluate the prognostic indicators of testicular fine-needle aspiration (TFNA) findings on the outcome of varicocele (Vx) surgery. Patients and methods The study was a multicentric prospective cohort study carried out in Ibnsina, Sohag and Banon, Assiut ICSI centers, Egypt. We included all infertile men with nonobstructive azoospermia diagnosed with grade II bilateral Vx. TFNA was done for all men, and according to the presence or absence of sperms in TFNA smears they were divided into two groups: group I, Vx patients with positive TFNA, and group II, Vx patients with negative TFNA. Next, patients were subjected to inguinal-loupe-assisted Vx ligation. The primary outcome of the study was the rate of improvement in semen parameters within 1 year after surgery. Results Postoperative semen analyses in both groups revealed that 18/33 (54.5%) patients in group I versus 10/48 (20.8%) in group II had positive sperms in their ejaculates with statistically significant difference (P = 0.001). In addition, semen parameters in group I had significantly higher results than group II. There were significant positive correlations between the number of recovered sperms by TFNA preoperatively and the total testicular volume on one hand and postoperative semen parameters on the other hand (Po0.001), whereas significant negative correlations were found between serum follicle-stimulating hormone (FSH) and postoperative semen parameters (Po0.001). Conclusion Taking prognostic parameters into consideration is important before counseling nonobstructive azoospermia patients with Vx to undergo varicocelectomy. The findings of sperms preoperatively through performing TFNA could be a good prognostic indicator to varicocelectomy. Keywords: azoospermia, infertility, testicular fine needle, varicocele
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