Adult Posterior Urethral Valve: a Case Report of the Oldest Known Patient

A posterior urethral valve (PUV) is a congenital obstructive defect of the male urethra, and sometimes maybe life threatening. The diagnosis of PUV is usually made early because of its symptoms and has rarely been diagnosed in adults for the first time in life. Here we report a rare case of an adult PUV in a 67 year-old man with 40 years history of urinary obstruction complaints with coincidence type 1 and 2 of PUV who underwent transurethral resection of the bladder neck and valve ablation. After 6 months follow-up, no evidence of urinary obstruction observed

Evaluation of Emotional Divorce in Male Patients with Urethral Distraction Defect in a Referral Center

Background: Emotional divorce is the first stage of divorce in which the marital relationship deteriorates and the couple's relationship lacks love and affection. Given that the family is one of the foundations of the society, emotional divorce can have devastating effects on society and negative effects on family members. Therefore, it is essential to study this issue. Methods: Patients with Pelvic Fracture Urethral Distraction Defect (PFUDD) admitted consecutively to Shohada-e-Tajrish Hospital (Tehran, Iran) from May 2020 to May 2021 were enrolled in the study. In this study all patients were evaluated by two questionnaires: Gottman emotional divorce questionnaire to assess the patient's marital status, and the International Index of Erectile Function (IIEF-5) questionnaire to assess the patient's sexual situation.  Results: The mean score for the IIEF-5 scores in the case and control groups were 18.32 and 21.04, respectively. The mean Gottman Scores in the case and control groups were 3.84 and 2.12, respectively. There was no significant difference between IIEF-5 and Gottman Scores between the two groups. Conclusions: Considering the lack of differences between the two groups, it can be inferred that the effect of the spiritual and emotional dimension in strengthening marriage was more than the physical dimension. When a man encounters a physical problem, his wife will play a supportive role and seek to strengthen relationship and solve problems

Prevalence and risk factors of urethral, penile, and scrotal cancers in Iranian men during 2004-2015: A national cancer registry-based study

Introduction: Urethral, penile, and scrotal cancers are rare and represent less than 1% of all malignancies. However, they are associated with a high mortality rate and have a significant effect on patients’ quality of life. Penile and urethral cancers comprise 0.6% of all urological cancers. Because of ethnic, geographical, and cultural diversity, risk factors and cancer patterns vary in different communities. We aimed to provide valid information on the prevalence, incidence, and epidemiology of urethral, penile, and scrotal cancers using the National Registry on Cancer of Iran. Methods: This retrospective study of 465 patients included all known cases of urethral, penile, and scrotal cancers from the Department of National Registry on Cancer at the Ministry of Health and Medical Education in Iran during 2004-2015. This study examined the demographic characteristics of patients and discussed the risk factors and possible causes of the above-mentioned cancers. Results: The mean ±SD age at the time of registration was 58.49±20.82 years. The highest and lowest proportions of cases belonged to Tehran/Alborz (14.2%) and Mazandaran (0.65%) provinces, Iran, respectively. Regarding the distribution of records according to a year of registration, these cancers were more prevalent in 2014, and less prevalent in 2004. Conclusion: Urethral, penile, and scrotal cancers were more common in Tehran and Alborz. There was a strong possibility that the prevalence of these cancers is linked to the industrial nature of Tehran and Alborz and the prevalence of human papillomavirus

The Effect of Propofol on the Success Rate of Transurethral Lithotripsy by Holmium Laser: A Randomized Clinical Trial

Introduction: Urinary stone disease is the third most common affliction of the urinary tract that has been associated with an increasing incidence. Over decades, great advances have been made in the minimally invasive treatment of urinary stones. Recently, transurethral lithotripsy (TUL) by holmium laser was introduced as a possible therapeutic option. This study evaluated the effect of propofol on the success rate of TUL by holmium laser.Methods: A double-blind randomized controlled trial was conducted on 180 patients to investigate the effect of propofol on the success and complication rate of TUL by holmium laser. The enrolled patients were divided into two groups: the first group received sodium thiopental (n = 89) while the second group received propofol (n = 91). The two groups were compared in terms of the fluctuations of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), operation time, future stone-free rate (SFR), stone migration, post-operative fever, and ureteral complications such as perforation and mucosal damage. Other developed complications were also recorded. After data gathering, statistical analysis was performed with SPSS version 21.Results: the patients’ data such as age, sex, stone diameter, stone laterality, duration of stone impaction, primary SBP, DBP and HR were not significantly different between the two groups (P > 0.05). TUL and anesthesia duration, first-minute and fifth-minute SBP and DBP, and also changes of HR were significantly lower in the propofol group compared with the sodium thiopental group (P < 0.001). Moreover, SFR of TUL was more evident in the propofol group. Ureteral mucosal damage was significantly less in the propofol group.Conclusion: Propofol was associated with a higher reduction in SBP and DBP, decreased duration of TUL, fewer fluctuations in HR, and an increased success rate of stone removal by TUL with holmium laser

Effect of Occupational and Psychological Factors in Back Pain Nurses in AMOL City

Objective: The aim of this investigation is recognizing the job and psychic factors of the job with Amol nurses backache. Materials & Methods: This study was conducted on 400 nurses in some public hospitals in Amol. Colleting the information was done through the modified Nordic questionnaire and the given analysis was through the descriptive statistics, chi-square, independent t-test and Logistic regression. Results: 324 of the nurses (81%) had backache at least once during the previous year. Their average age was 32.39±6.2 years and their average height was 166.7±8.7cm and their average weight was 67.7±9.8. Female gender (OR=3.03), regular exercise (OR=0.4), increased height per centimeter (OR=1.06) and increased weight per kg (OR=1.04) communication means do with back pain showed. Bending for lifting objects from the floor for 5% risk of back pain increases and the work related psychosocial factors were observed for each one degree increase in the intensity of dissatisfaction with colleagues back pain risk is increased 70% and between job stress factors, for every one degree increase in the range (always, most often, sometimes, never) in a hurry to work 40% less likely to back pain. Conclusion: The findings of this study confirm nurses lumbar injuries are at risk. Also be significant for some individual factors, physical and psychological complexity suggests occupational back pain back pain are factors that can modify their costs into the system and reduce the individual