Publications by authors named "Moayid Fallatah"

6 Publications

  • Page 1 of 1

Bilateral persistent sinus tracts formation post bilateral microsurgical inguinal varicocelectomy: A case report.

Urol Case Rep 2020 Nov 28;33:101395. Epub 2020 Aug 28.

King Faisal Specialized Hospital and Research Center, Riyadh, Saudi Arabia.

Varicocele is a common case encountered in urology practice accounting for 15-20% of the general population. We are reporting a rare case of infected inguinal wounds post bilateral microsurgical varicocelectomy which led to persistent bilateral wound sinus formation. After multiple bedside wound debridement and sinus tract excision in operation theater, the patient's wounds were healed. We advise managing post-operative subcutaneous collections very closely to avoid such complications. When it happens and wound debridement is planned, we advise not to leave any dead space behind via using fat flaps.
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http://dx.doi.org/10.1016/j.eucr.2020.101395DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574156PMC
November 2020

Efficacy of follicle-stimulating hormone as a treatment of severe idiopathic oligospermia: A retrospective study.

Urol Ann 2020 Jan-Mar;12(1):69-72. Epub 2020 Jan 13.

Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Introduction: About 15% of couples are infertile, with the male factor being responsible for about 50% of these cases of infertility. Idiopathic oligospermia (IO) is a dilemma that faces every andrologist and yet is one of the most common causes of male infertility. Although studies have shed some light on multiple treatment modalities and their effectiveness, one of the most fascinating ones is follicle-stimulating hormone (FSH).

Methodology: This is a single tertiary center retrospective study; all patients with severe IO (sperm count of <5 million/ml) from January 2016 till January 2018 were included in the study. We divided our retrospective population into 2 groups, Group 1 who received FSH 75 IU (Menogon) twice a week and Group 2 who received FSH 150 IU (Menogon) twice a week. Semen parameters were recorded pretreatment and posttreatment.

Results: Number of the patients included in the study was 32. Group 1 included 16 patients who received FSH 75 IU. Group 2 included 16 patients who received FSH 150 IU. After 4 months of treatment, the mean sperm count in Group 1 increased to 4.745 million/ml (pretreatment was 1.235 million/ml), while in Group 2, it was 1.516 million/ml (pretreatment was 0.578 million/ml). The mean total motility in Group 1 was 20.3%, while Group 2 mean total motility was 27.5%.

Conclusion: In conclusion, our study elicited that a dose of FSH as low as 75 IU can improve sperm count significantly in patients with severe IO.
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http://dx.doi.org/10.4103/UA.UA_37_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978963PMC
January 2020

Infertility secondary to an infected hydrocele: A case report.

Urol Case Rep 2020 Jan 8;28:101071. Epub 2019 Nov 8.

King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Hydroceles are one of the most common causes of scrotal swelling affecting around 1% of the adult population. While hydroceles are usually asymptomatic, some hydroceles can lead to infertility. We will present a case of a 34-year-old man who was referred to our center as a case of primary infertility (sever oligospermia 1.1 million/ml) for 4 years and was found to have bilateral hydroceles (infected right hydrocele). At 18 months post bilateral hydrocelectomy, the patient's total sperm count improved to 43 Million/ml. Therefore, we highly recommend considering hydrocele as an etiology in any patient with idiopathic infertility.
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http://dx.doi.org/10.1016/j.eucr.2019.101071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909161PMC
January 2020

A 3-piece penile prosthesis salvage in the presence of late-onset infected hematoma: Clinical, radiological and intraoperative findings-A case report.

Int J Surg Case Rep 2019 6;65:309-312. Epub 2019 Nov 6.

Department of Urology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. Electronic address:

Introduction: Erectile dysfunction (ED) is a common health problem affecting 30% of young men worldwide. Despite the availability of non-invasive lines of management, penile prosthesis insertion is considered as a definite solution for ED. Despite strict perioperative measures, infection still complicates around 3% of penile prosthesis surgeries.

Presentation Of Case: This is a case of a 36-year-old male who had an infected scrotal hematoma that led to prosthesis malfunction due to the inability to locate the pump to activate and deactivate the device. Intraoperatively, the prosthesis was salvaged after hematoma evacuation and ensuring a good device functionality.

Discussion And Conclusion: Infected penile prostheses are usually either removed completely with a new device insertion a few months later or exchanged at the same setting with vigorous wound washout. We suggest salvaging penile implants which are surrounded by infected hematomas in selected patients who don't manifest systemic signs of infection. This approach will help in cost reduction and avoiding further intraoperative complications.
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http://dx.doi.org/10.1016/j.ijscr.2019.10.084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883338PMC
November 2019

Giant mixed Sertoli-Leydig-Granulosa sex cord tumor of the testis; clinical, histopathological, and radiological features: a case report.

Pan Afr Med J 2017 19;27:51. Epub 2017 May 19.

College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Sex cord tumors of the testis in post pubertal men are rare. Mixed leydig-Sertoli-Granulosa sex cord tumors are exceptionally rare. To the best of our knowledge there are only three reported similar cases in the literature. We reported a case of a 27-year-old male who presented with huge left scrotal mass of 6-years duration. The gross tumor specimen after resection measured 11 cm in diameter. Histological examination revealed mixed sex cord stromal tumor. This case demonstrates the limited ability of accurate diagnostic determination preoperatively, with pathologic examination and immune-histochemical staining post-orchiectomy representing the only definitive means of diagnosis. It also highlights the unique radiological appearances of this tumor, which were not previously reported in literature.
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http://dx.doi.org/10.11604/pamj.2017.27.51.10571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554693PMC
September 2017

Upward migration of a ureteric stone in a military trainer: a case report.

Res Rep Urol 2017 19;9:15-17. Epub 2017 Jan 19.

College of Medicine, Umm Al-Qura University.

Retrograde ureteric stone migration is an extremely rare phenomenon with only one previously reported case in the literature. We report on a case of upward spontaneous migration of a ureteric stone in a 39-year-old male military trainer in Saudi Arabia who was diagnosed with upper left ureteric stone based on non-contrast spiral computerized tomography kidney ureter bladder (CT-KUB) scan. The plan was to treat the patient conservatively with alpha blockers and oral hydration. Two weeks after treatment started, repeated CT-KUB scan revealed an upward migration of the stone to the left renal calyx. Accordingly, we highly recommend performing a prior stone localizing imaging test to avoid unnecessary procedures or operations.
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http://dx.doi.org/10.2147/RRU.S124200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261851PMC
January 2017