Al Azher University
Cairo | Egypt
Main Specialties: Pediatric Gastroenterology, Pediatric Surgery, Pediatric Urology
Additional Specialties: pediatric Surgery
Name: Mohamed Abdel Baky Fahmy
Birth Date:- 19th June 1956
Marital Status:- Married and had 6 children
Address: - 21st Ibrahium Anes St, Al Nozha, Cairo. Telephone:-
Home: 02 26249874
Clinic: 02 33369568
Fax: 02 7480023
Mobile: +2 0100 6604108
E-mail: - email@example.com
Emirates professor and head of pediatric surgery Dept, Faculty of medicine for Girls, Al Azher University.
Editor-in-Chief, Journal of Pediatric Diseases, PiscoMed Publishing Ltd
Mb BC at Dec 1982, Al Azher University, Cairo, Egypt.
Master General Surgery at Nov 1987, Al Azher University, Cairo, Egypt.
FRCS at Jan 1992, Royal College of Surgeon of Edinburgh.
MD in General Surgery at May 1997.
Rare genitourinary anomalies
From January 1983 to Feb 1984: - Internship “House officer” Al Houssein University Hospital, Cairo.
From February 1984 to March 1985: - Military Services Orthopedic Dept Al Koba Military hospital, “compulsory national requirement job”
From March 1985 to April 1988: - Resident “SHO & Registrar” in the pediatric surgery dept, Al Houssein university hospital, Al Azher university, Cairo, Egypt.
From May 1988 to Feb 1990: - General Surgeon in Al Saady medical Center, Makkah, Saudi Arabia.
From March 1990 to June 1993: -Senior Registrar in the pediatric surgery dept Assir central hospital, King Saud university, Abha, Saudi Arabia.
From July 1993 to March 1994: - Clinical attachment in Both Hall Children hospital, Manchester, U.K
From April 1994 to May 1997: - Specialist Pediatric surgery, Al Materia teaching hospital, Cairo, Egypt.
From May 1997 to Oct, 2002: - Consultant and head of pediatric surgery, Al Galae teaching hospital, Cairo.
From September 2002 to Feb, 2004: - Lecturer of pediatric surgery, general Surgery Dept, Faculty of medicine for Girls, Al Azher University.
From Dec 2006 to Dec 2009 Head of Pediatric Surgery Dept King Fahed Tertiary Hospital, AL Baha, Saudi Arabia.
From Dec 2007 to Dec 2009 Head of the academic affair and responsible for the Saudi Fellowship training program for surgery.
From Feb 2004 – Oct 2012: -Associated Professor of Pediatric Surgery.
From Feb 2010- June 2016: Senior consultant pediatric surgery, Naser institute, Cairo.
From Oct 2012- June 2016: Professor of pediatric surgery, Al Azher University.
From June 2016: Emirates professor and head of pediatric surgery, Faculty of medicine for Girls, Al Azhar University.
British Association of Pediatric Surgeon since June 1994.
Member of the American Association of Academic Surgery http://www.aasurg.org
Member of the World Association of Medical Editors WAME http://wame.org
Committee member of EUA (European Association of Urology).
Member of the Global Rare Disease Registry GRDR.
Member of the board of Egyptian Association of Pediatric Surgeon.
Secretary General of Egyptian Pediatric Surgical Association “EPSA” from April, 2012 to May 2014.
Member of the Egyptian Association of Neonatal & preterm care. http://www.epsa-eg.org/
Member of The Society for Medical Anthropology: http://www.medanthro.net/
Board member of publications & communications Committee of the International Continence Society: http://www.ics.org/
Co Editor to:
Advances in Bioscience and Clinical Medicine: http://www.abcmed.aiac.org.au
Annals of Pediatric Surgery Journal:http://journals.lww.com/aps/Pages/default.aspx
Medical Journal of Case report, BioMed: http://www.jmedicalcasereports.com
Pediatric ME :- www.pharmedia.co.uk
Journal of US-China Medical Science: http://www.airiti.com/ceps/ec_en/ecJnlIntro.aspx?Jnliid=3440&n
World Journal of Pediatrics: http://www.springer.com/medicine/pediatrics/journal/12519
Medicine Journal: http://journals.lww.com/md-journal/pages/default.aspx
Academic editor for the Medicine journal: http://www.editorialmanager.com/md/default.asp
Editorial board of the Journal of Advance in Modern Oncology Research:http://www.advmodoncolres.com/index.php/AMOR/about/editorialTeam
Associated editor to Academic Journal of Pediatrics and Neonatology: http://www.juniperpublishers.com/ajpn/editorialboard.php
Registration to the British general Medical Council since 1992.
Registered as a consultant of pediatric surgery, Saudi medical council, since 2009.
Certificate of Verification for Health Care Professional by Health Authority Abu Dhabi: H05-VR-14-027631
Annual conference of the British Association of Pediatric Surgeons, 21 -23rd July 1993.
Prémier Congrés France- Egyptien d'Urologie Pédiatrique, 31 Oct. – 1st Novembre 1999.
Annual conference of the British Association of Pediatric Surgeons 17- 20th July 2001 in London.
The 5th Pan Afro- Arab surgical conference 23- 24 October 2002. Cairo. “ speaker”
British Society of Gastroenterology annual conference, April 1-7, Luxor, Egypt.
International conference of European and Hungarian Associations of Pediatric Surgery, Micolk, 23-26 August 2005. “ speaker”
International Pediatric surgery symposium, Jeddah, 16- 17 January 2006. “ speaker”
International Conference of rare cases in Pediatric Surgery, Al Baha 12-13 July 2007. ”Organizer and head of the conference”
International Conference of All aspects of male circumcision, Al Baha, Saudi Arabia, 22-33 July 2008. ”Organizer and head of the conference”
International Conference and workshop Hypospadias Surgery, Al Baha 15-17 July 2009. ”Organizer and head of the conference” http://www.bahakfh.med.sa/
Annual Meeting of the Egyptian Group of Gastrointestinal Motility, 23-25 Nov, 1994. “ speaker”
Egyptian Pediatric Surgical Association annual Conference, Sept 25-28, 2002, Sharm El Sheikh, Egypt. “ speaker”
Egyptian Pediatric Surgical Association annual Conference, October 4-6 2000, Alexandria, Egypt. “Speaker and Chairman”
Egyptian Pediatric Surgical Association annual Conference, October30 1st Nov 2007, Sharm, Egypt “ speaker and Chairman”
2nd Postgraduate Course of Laparoscopic Surgery, Chirurgische Universitatsklink, Georg-August- University G?tting, Germany, 28- 29 April 1993.
Postgraduate Course of Advanced Pediatric Surgery by The British Medical Council,19-21 July 1993, Manchester, UK.
Instructor and tutor of the BAPS basic skills of pediatric surgery, Cairo, 2016.
Acquired lesion of stomach and duodenum in infancy and childhood, Thesis submitted for Master degree at 1986, AL Azher University
Rectal suction biopsy as a screening test for chronic constipation in children, thesis submitted for MD degree at 1996, El Mania University.
Outcome of Submucosal Injection of Different Sclerosing Materials for Rectal Prolapse in Children, Pediatric Surgery International, 20, 352-355, May 2004. Pub med: http://www.ncbi.nlm.nih.gov/pubmed/15168050
Ureterorectostomy as a Continent Urinary Diversion for Complicated Bladder Exstrophy in Children by using Modified Duhamel’s Procedure. International journal of Surgery, (2007) 5, 394-398 http://www. http://www.elsevier.com. Neonatal genital prolapse, Paediatrics.me Vol.12 No.4 ,2008
The Feasibility of Tissue Expanders in Reconstruction of Giant Congenital Melanocytic Nevi in Children, J of Surgical innovation, May, 2010. http://sri.sagepub.com/content/17/3/189.abstract
Rare case of continuous and discontinuous Splenogonadal fusion in a single testicle, Annals of Pediatric Surgery Vol 5, No 4, October 2009, PP 284-287
Applicability of Sigmoid Colon Graft for Vaginal Replacement (Colovaginoplasty) at Young Age, Surgical Science, 2011, 2, 422-426. http://www.scirp.org/journal/PaperInformation.aspx?paperID=7915
The Spectrum of Genital Median Raphe Anomalies among Infants Undergoing Ritual Circumcision, Journal of Pediatric Urology, 2013, http://www.jpurol.com/article/S1477-5131(12)00294-X/abstract
Versatility of Tissue Expander in Abdominal Wall Reconstruction After Removal of Vascular Malformations in Children. Annals of Plastic Surgery. PubMed: http://www.ncbi.nlm.nih.gov/pubmed/23333249
The intra-abdominal testis: lessons from the past, and ideas for the future. S Shehata S Shehata, Mohamed A. B Fahmy. Pediatric Surgery International October 2013, Volume 29, Issue 10, pp 1039-1045 http://rd.springer.com/article/10.1007/s00383-013-3406-5.
Spectrum of penoscrotal positional anomalies in children. August, 2014 ,12:983-988 International Journal of surgery:http://www.journal-surgery.net/article/S1743-9191(14)00485-3/abstract
Efficacy and Safety of Continent Anal Urinary Diversion for Complicated Bladder Exstrophy in Children by Using Modified Duhamel's Procedure: Journal of Pediatric Urology, Apr 2015: http://www.jpurol.com/article/S1477-5131(15)00118-7/abstract
A rare case of aphallia with right kidney hypoplasia and left kidney dysplasia, Archives of Iranian Medicine, 2015:http://www.scopus.com/inward/record.url?eid=2-s2.0 84925143130&partnerID=MN
Mortality of emergency abdominal surgery in high, middle and low-income countries. GlobalSurg Collaborative. BJS 2016; 103: 971–988 www.bjs.co.uk
Laparoscopy in management of appendicitis in high-, middle-,and low-income countries: a multicenter, prospective, cohort study GlobalSurg Collaborative. Surgical Endoscopy (2018) 32:3450–3466 https://doi.org/10.1007/s00464-018-6064-9
Spectrum of megameatus anomaly, a new classification: FahmyM.A.B. European Urology Supplements, Volume 17, Issue 9, September 2018, Page e2467 https://doi.org/10.1016/S1569-9056(18)32838-0
Rare complications of hypospadias repair M.A.B. Fahmy, European Urology Supplements, Volume 17, Issue 9, 2018, Page e2471, ISSN 1569-9056, http://www.sciencedirect.com/science/article/pii/S1569905618328409
Books author and editor for:
”Rare Congenital Genitourinary Anomalies, An Illustrated Reference Guide”. ?Springer’s, November 14, 2014. http://www.springer.com/medicine/surgery/ book/978-3-662-43679-0
• Congenital Anomalies of the Penis, Springer’s, 2017: http://www.springer.- ?com/gp/book/9783319433097
• Umbilicus and Umbilical Cord” Springer’s, Dec, 2017, http:// www.springer.com/gp/book/9783319623825
Book about the practical points for the children undergoing surgery directed to mothers, published in Arabic three times, 1998, 2001, 2004.
Book in Arabic about medical, philosophy and meaning of the term “Hand” published twice in Cairo and Syria, 1999 and 2006.
National Publications: -
Incidence of Undescended testicle among the Egyptian children at the school age, Journal of Pan Arab League of Dermatologist, 7, 111-116, 1996
Histopathological pattern of acute appendicitis in 1472 child, The Medical Journal of Teaching Hospitals and Institutes, Vol 39,October,149-162,1998
Rectal Suction Biopsy as a diagnostic tool for diagnosis of Hirschsprung’s disease, Scientific Journal of Al Azher Medical Faculty (Girls) 19,(1), 1147-1155,1998
Oral rehydration fluid as a postoperative fluid therapy in pediatric surgery, Scientific Journal of Al Azher Medical Faculty (Girls),21 (1) 1599-1608, 2000
Effect of Surgical stress on homeostatic mechanism, Ain Shams Medical Journal, 2001.
Acute Appendicitis and Oxyuris infestation in Egyptian Children, The Medical Journal of Teaching Hospitals and Institutes, 48,51-56, 2001.
Outcome of primary closure of bladder exstrophy with posterior iliac osteotomy in neonatal period. Hossam Kandil. MA Baky Fahmy, Sc J Med Fac. (girls) Vol 24.No. 1 Jan 2003: 1057- 1062.
Review Of the Antenatally Detected Congenital Anomalies in the Last Five Years in Al Galae Maternity Hospital, The new Egyptian Journal of Medicine, Vol 30 No1: 7-13, January,2004.
Complete abdominal wound dehiscence: Evaluation of the non-operative management, Scientific Journal of Al Azher Medical Faculty (Girls) 2004
Early Minimal Surgical intervention for antenatally detected ovarian cyst. Sc. J. Med. Fac (girls). Vol 26 No1 January 2005: 903-910.
Floroscopy Guided Pneumatic Balloon Dilation for Acquired Esophageal Stricture in Children. Scientific Journal of Al Azher Medical Faculty (Girls) Vol 26 No 2, May 2005: 45-52.
Vascular birthmarks: Utility of Color Doppler Sonography for Diagnosis, Scientific Journal of Al Azher Medical Faculty (Girls) Vol3, 2007.
Effect of transfusion and non transfusion regimens on preoperative events in Sickle cell anemia children undergoing elective surgery, Scientific Journal of Al Azher Medical Faculty (Girls) Vol 27 No1, Jan 2006: 177-189.
Thesis published under my Supervision: -
Management of Antenatally Detected Obstructive Uropathy, Essay Submitted for partial fulfilment of Master degree in general surgery BY Wael A. Ghorab, Ain Shams University 2004.
Antenatal and postnatal management of congenital diaphragmatic hernia. Essay submitted for Master degree in general Surgery. By Khaled Gouda, Ain Shams University, 2004
Embryological Background of Imperforate anus. Essay submitted for Master degree in general Surgery by Doaa Samy Al Azher University, 2005.
Anti androgenic effect of some foods and its effect in the incidence of Undescended testicle, Essay submitted for Master degree in general Surgery by Dalia Gad, Al Azher University, 2005.
Different laparoscopic procedure in diagnosis of pediatric surgical emergencies, MD study by DR. Doaa Othman. 2012.
Effectiveness of combined bleomycin and corticosteroid for management of vascular malformations in children, MD study by Dr. Dalia Gad, 2015
Comparative study between Soave’s and modified Duhamel’s as redo procedure for complicated Cases of Hirschsprung’s disease. MD Study by Dr. Ahed Rafaft., 2017.
Primary Affiliation: Al Azher University - Cairo , Egypt
1PubMed Central Citations
Urology 2018 Nov 7;121:164-167. Epub 2018 Aug 7.
AL-Azhar University, Faculty of Medicine, Pediatric Surgery Department, Cairo, Egypt.
Objective: To arouse the suspicious for early diagnosis and hence, proper management of megameatus with an intact prepuce (MIP), as there is no external clue for detection of such cases, which usually come to light for the first time in a boy who is about to retract his prepuce or during neonatal circumcision.
Materials And Methods: Examination of neonates and infants coming to circumcision clinic to detect congenital genitourinary anomalies. Evaluation of 12,518 neonates and infants coming for ritual circumcision from 2006-2017, who were examined thoroughly to detect any incidental congenital genitourinary anomalies. Fifteen of them were diagnosed to have a MIP anomaly. They were investigated to perceive any associated median raphe (MR) anomalies. Sensitivity, positive predictive value, specificity, and negative predictive value of MR anomalies in cases of MIP were estimated and compared with other children who had a normally positioned meatus.
Results: Overall incidence of MIP in this group of babies was 0.12%. Twelve of 15 cases (80%) with MIP had 19 forms of MR anomalies; mainly raphe deviation in 6 cases, hyperpigmented raphe in 6, prominent raphe in 4, and bifurcation in 3 cases. Three cases had a redundant long prepuce, and 1 had paraphimosis after preputial retraction, otherwise no other genitourinary anomalies could be detected in those cases.
Conclusion: MR anomalies, mainly deviation and hyperpigmented prominent raphe, are significant indictors for the presence of an invisible MIP anomaly. Abnormally redundant long prepuce may be seen in such cases, but this is not common.
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Surg Endosc 2018 08 5;32(8):3450-3466. Epub 2018 Apr 5.
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J Pediatr Urol 2015 Oct 24;11(5):254.e1-6. Epub 2015 Apr 24.
Alexandria University, Department of Pediatric Surgery, Egypt.
Background: A high proportion of children with bladder exstrophy will continue to suffer from urinary incontinence and a miserable life even after a well-performed staged reconstruction in specialized centers. Most of those children usually have a normal anal sphincter allowing construction of a neobladder from the rectum, so they are continent without an abdominal stoma, and do not require frequent catheterization, which greatly contribute to a favorable body image.
Objective: In this study a modified Duhamel's rectal pouch done for 19 children, with implication of suitable stapler adopted to construct a rectal bladder with a non-refluxing urterorectostomy, there is a theoretical advantage in our procedure of avoiding a mix of urine and feces. All patients were followed for up to 6 years (2-8 years) for efficacy, safety, subsequent renal complications, and surveillance for any rectal neoplastic changes in this new diversion.
Study Design: Assessment of electrolytes, acid base balance, and renal function were carried out regularly and all data were analyzed using the SPSS 9.0.1 statistical package and compared using a paired t test; data were considered significant if p < 0.05. Proctoscopy was performed 6 monthly in the first year then annually thereafter, and at any time if there was any rectal bleeding.
Results: In this group of patients, follow-up revealed no neoplastic changes in the rectal bladder, deterioration in renal function, or major electrolytes disturbance. They can hold up to 400 mL (350-550 mL) of urine and all are continent during the daytime with an emptying frequency of 3-5 h; three patients had infrequent (4 episodes/month) nocturnal enuresis; and four cases developed pyelonephritis controlled with medical treatment.
Conclusion: The continent rectal bladder created by using the principles of the Duhamel pull-through is feasible, easy to perform, successful in the immediate short term with low complications after 6 years of follow-up and appropriately accepted by the children and their families with marked improvement in quality of life regarding continence; longer-term follow-up is requested to rule out rectal neoplastic changes. A comparative review of the complications, patient's acceptance, and longer-term follow-up with other well-known procedures, such as Mainz II, is required.
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Int J Surg 2014 8;12(9):983-8. Epub 2014 Aug 8.
Al Azher Faculty of Medicine for Girls, Urology Dept., Egypt.
Background: The normal relationship between the scrotum and penis during fetal development is controlled by several genetic and hormonal factors, and impairment of this positional relation results in a wide spectrum of positional congenital anomalies.
Objective: This a cohort study analysing 63 cases of penoscrotal anomalies (PSAs) according to severity and other associated malformations to provide a simple classification for recognising, describing and categorizing cases that may require surgical correction.
Design And Setting: Between 2005 and 2013, 63 diverse cases of penoscrotal positional anomaly were detected and analysed based on their hormonal profile and other associated anomaly.
Results: A wide variety of PSAs were included in the study, 11 cases were of major PST with complete penoscrotal transposition in three, incomplete in eight, and minor degree in 45 cases, which are symmetrical (bilateral) in 29, sixteen are asymmetrical, 4 had midline scrotlisation, and 3 had wide penoscrotal distance. Associated genitourinary anomalies were detected in 29 babies. Sex hormonal assays showed no significant differences between the PSA patients and controls (P < .05), and no gross chromosomal anomalies were detected in any cases.
Conclusion: Penoscrotal positional anomalies include the previously described penoscrotal transposition, and the variants of a central penile scrotalisation, and wide penoscrotal distance. A simple classification for these anomalies adopted herein.
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Arch Iran Med 2015 Apr;18(4):257-9
General Surgery Department, Faculty of Medicine for Girls, Al-Azher University, Cairo, Egypt.
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Journal of Pediatric Urology
Background: - This prospective study designed to collect data from all babies coming to do ritual circumcision for any associated congenital anomalies in their genitalia. Objective: - To evaluate the extent, spectrum of genital median raphe GMR anomalies and its impaction on the normal baby life and also its effect on the circumcision outcome.Materials and Methods: -2880 babies aged from one day to 7 weeks were examined in a period of 6 years were reevaluated and cases with GMR anomalies Results: - 57 cases of GMR anomalies among 2880 examined babies with overall incidence of 2%, 18 of them had hypospadias, 5 had renal anomalies and 3 had limb anomalies. Conclusion:-It is crucial to examine every baby coming for circumcision to detect any obvious or hidden congenital genital anomalies, congenital anomalies of median genital raphe are not so rare and some of these anomalies may necessitates surgical correction, and commonly accompanied with urinary tract anomalies.
Surg Innov 2010 Sep 31;17(3):189-94. Epub 2010 May 31.
Pediatric Surgery, Al Azher University, Cairo, Egypt.
Background: Children with giant congenital melanocytic nevi (GCMN) pose a great challenge to pediatric and reconstructive surgeons because they have to cover the widely exposed area after its excision. A variety of treatment options exist for the management of such cases. In this retrospective review of a selected group of children who had a GCMN of their abdominal walls managed with implantation of tissue expanders (TEs) for staged reconstruction, patients were evaluated with respect to complications and general and esthetic criteria for patient and parent satisfaction.
Objective: The purpose was to study the feasibility of use of TEs in the management of children who had GCMN, with special emphasis on the complications and children's and parents' satisfaction.
Material And Methods: Retrospective data from the 12 patients' charts, operative data of 86 surgical procedures, and follow up visits were analyzed using the Student's t test, and P < .05 was considered statistically significant.
Results: In a period of 4 years, from 2004 to 2008, the results of using 37 different sizes of TEs and 86 operative procedures in 12 children (9 boys and 3 girls) aged from 2 to 12 years with different types of abdominal wall GCMN are discussed.
Conclusion: The TE is a useful and feasible tool for reconstruction of the abdominal wall in cases of GCMN in children. Parents and children are satisfied in general and also with the body image.
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Pediatric Surgery International
This book provides all pediatric surgery trainees and other professionals involved in the care of childhood surgical disease a hands-on guide to the management of typical common clinical pathologies, as well all possible rare anomalies affecting the prepuce.This book presents more than 300 full-color illustrations, covering the whole spectrum of congenital and acquired diseases affect the human prepuce, allowing the reader to apply their knowledge to real-life situations and assess their level of expertise.As the prepuce discarded along the mankind history, and still sacrificed in some communities, it wasn’t either demonstrable, repeatable for elaborated studies, little data are available about its normal structure, or the natural deviations affecting it as a congenital anomalies or as an acquired diseases.Aiming to settle down the argument about genital cutting; this book emerge as an attempt to review the progress made in the understanding of some interesting anatomy, embryology and pathology of this freestanding unique organ; “The Prepuce” in male and female.There is no point in looking for new ideas in old stuff, but this book review our accumulated old knowledge about prepuce, with a plural of newly detectable variations, anomalies and diseases cumulated to the author after dealing with thousands of the prepuces along 40 years of practice.This illustrative book discusses the normal embryology, anatomy, functions, normal variations and diseases affecting the prepuce. It also explores other rare anomalies and diseases of the prepuce as well as many unreported cases. In addition to the male prepuce, the book also discusses the female prepuce (hood) in order to elucidate some lights in normal and abnormal prepuce. A separate section covers the frenulum and its anomalies.https://link.springer.com/book/10.1007/978-3-030-37621-5#about