Mohammed Elsheemy

• MD
• Professor (Associate) at Cairo University

Background Urethral prolapse (UP) is a rare, benign condition that often goes misdiagnosed and mistreated. It consists of the eversion of the distal urethral mucosa through the outer urethral meatus, leading to vascular obstruction and prolapsed tissue edema, which aggravates the prolapse. Although many review articles were reported on this conditi...

Objectives To compare the mid-term safety and efficacy of holmium laser enucleation of the prostate versus bipolar transurethral resection of the prostate in the management of large-volume benign prostatic hyperplasia. Methods From December 2016 to March 2018, patients with benign prostatic hyperplasia (≥80 cc) were randomized (block randomization...

Introduction: The emergence of urinary biomarkers for bladder cancer diagnosis could provide a reliable and less invasive diagnostic method. It could be also used as an adjuvant to the current gold standards of cytology and cystoscopy to improve diagnostic accuracy and decrease the percentage of false positives. Methods: We searched PubMed, SCOPUS,...

Background It was difficult to compare the outcome of partial nephrectomy among different studies due to the absence of standardized description of different renal masses. This problem led to the development of nephrometry scoring systems. R.E.N.A.L. is among the commonest nephrometry scoring systems; however, some studies failed to find any relati...

Background Postnatal management of infants with antenatal hydronephrosis (ANH) is still one of the most controversial issues. The majority of infants with ANH are asymptomatic with only few children who develop renal insufficiency. Thus, the biggest challenge for pediatric urologists is to distinguish children who will require further investigation...

Objectives To evaluate the efficacy and safety of ultraslow full‐power shock wave lithotripsy protocol in the management of high attenuation value upper ureteric stones compared with slow‐rate, power‐ramping shock wave lithotripsy. Methods This was a randomized trial enrolling patients with a single high attenuation value (≥1000 HU) upper ureteric...

Objectives: To compare safety and efficacy of holmium laser enucleation (HoLEP) versus bipolar plasmakinetic resection (BPRP) of prostate in management of large sized (≥75gm) benign prostatic hyperplasia (BPH). Methods: This randomised controlled trial recruited 145 symptomatic BPH patients who had failed medical management, who underwent either...

Background Some authors recommend not to perform laparoscopic radical cystectomy (LRC) for large bulky bladder cancer (BC) as the laparoscopic manipulation will be difficult. As there were no prospective studies focusing on the effect of the tumor stage of BC on the outcome of LRC, the aim of this prospective cohort study was to evaluate the effect...

Objectives: To compare safety and efficacy of bipolar plasmakinetic enucleation (BPEP) versus holmium laser enucleation (HoLEP) for management of large BPH (>80gm). Patients and methods: Patients with failed medical treatment, International Prostate Symptom Score (IPSS)>13, peak urinary flow rate (Qmax)<15ml/sec and prostate size ≥80gm were enro...

Objectives: To compare the efficacy and safety of ultraslow full-power versus slow rate, power-ramping shock wave lithotripsy in the management of stones with a high attenuation value. Methods: This was a randomized comparative study enrolling patients with single high attenuation value (≥1000 Hounsfield unit) stones (≤3 cm) between September 20...

Background To assess the efficacy and durability of percutaneous posterior tibial nerve stimulation for the treatment of the overactive bladder in children. Results Twenty patients with a mean age of 7 ± 3.3 years were included in the study. Subjective success was found in 12 patients (60%) who considered their situation to be better and requested...

Objectives: This study was designed to assess the importance of second look cystoscopy after primary ablation of posterior urethral valve in children. Patients and Methods: A prospective study was conducted at Kasr Al Ainy Pediatric Hospital (Aboulreesh), Urology Department, Cairo University on 50 male children, diagnosed to have posterior urethral...

Introduction: Dorsal inlay graft urethroplasty using inner-face preputial graft was described as an adjunct method to the classic tubularized incised plate (TIP) urethroplasty, aiming at reducing the risk of neourethral stenosis. Objectives: To evaluate the impact of dorsal inlay grafting of preservable narrow plates, in relation to native plate...

To compare the outcome of mini-percutaneous nephrolithotomy (Mini-PNL) versus standard-PNL for renal stones. Retrospective study was performed between March 2010 and May 2013 for patients treated by Mini-PNL or standard-PNL through 18 and 30 Fr tracts, respectively, using pneumatic lithotripsy. Semirigid ureteroscope (8.5/11.5 Fr) was used for Mini...

Purpose To compare serum level of vitamin D [25(OH)D] in patients with life-long premature ejaculation (LPE) versus healthy controls. Methods Healthy married potent males were recruited from February 2017 to January 2018. Group A included 40 patients suffering from LPE who were compared versus 40 healthy controls (Group B). Participants suffering...

Objective: To compare safety and efficacy of bilateral single-session mini-percutaneous nephrolithotomy (BSS-Mini-PNL) vs staged-Mini-PNL. Patients and methods: Adult patients with bilateral renal stones indicated for PNL were managed with BSS-Mini-PNL (45 patients, 90 renal units) and prospectively compared versus staged-Mini-PNL (55 patients,...

PurposeThe purpose of the study was to compare serum level of Arginase II in patients with vasculogenic erectile dysfunction (ED) versus healthy controls and to assess if its level is affected by severity of ED. Methods This is a prospective study that compared Arginase II in 40 patients with ED versus 40 healthy controls. Patients were excluded if...

The editors and staff of BMC Urology would like to warmly thank the reviewers whose comments helped to shape the journal, for their invaluable assistance with review of manuscripts in Volume 17 (2017).

PurposeTo compare efficacy and safety of visual internal urethrotomy (VIU) using holmium laser (Ho:YAG) (group A) versus cold knife (group B) in children with urethral strictures. It may be the first comparative study on this issue in children. Methods This study compared Ho:YAG group, which was evaluated prospectively from January 2014 till Januar...

Introduction: Causes for end stage renal disease (ESRD) in children can be categorized into urological causes or non-urological causes. We sought to compare the outcomes of urological and non-urological causes of ESRD in children. Methods: Patients were divided into two groups: urological causes of ESRD versus non-urological causes of ESRD. All...

The aim of this study was to detect possible risk factors for UC and UTI following pediatric renal Tx and effect of these complications on outcome. One hundred and eight children who underwent living donor Tx between 2009 and 2015 were retrospectively included. Extraperitoneal approach was used with stented tunneled extravesical procedure. Mean rec...

To evaluate safety and efficacy of minipercutaneous nephrolithotomy (Mini-PNL) in management of stones in different types of renal anomalies. Patients with stones ≥2 cm or SWL-resistant stones in anomalous-kidneys treated by Mini-PNL between March 2010 and September 2012 were included prospectively. Mini-PNL was done under regional anesthesia in pr...

Purpose: We aimed to compare the safety and efficacy of solifenacin versus trospium chloride and compare each drug versus placebo regarding the relief of stent-related symptoms following uncomplicated ureteroscopic lithotripsy (URSL). Methods: In a prospective, randomized, double-blind study, 210 eligible patients who underwent URSL with double-...

Objectives: to evaluate the association between miRNAs and veno-occlusive erectile dysfunction. Recently, this association between miRNAs and erectile dysfunction was extensively studied using animal models. Our aim was to explore the miRNAs expressions and functions in the development of erectile dysfunction, especially veno-occlusive dysfunction...

authors.elsevier.com/a/1V3pP5FyfKSi62 The presence of concomitant vesicoureteric reflux (VUR) and ureteropelvic junction obstruction (UPJO) is uncommon. Nevertheless, the reported VUR coexisting with asymptomatic unilateral isolated hydronephrosis requiring pyeloplasty for correction of UPJO was of low grade and mostly resolved during conservative...

Trans-rectal Ultrasonic Guided Opacification of Seminal Vesicle. Is it the best diagnostic technique for Ejaculatory Duct Obstruction? Waleed Elsayed Ghoneima, Ashraf Emran, Mohammed S. ElSheemy*, Ashraf Abo Elelaa, Alaa Meshref, Khalid Fawzy Introduction and objective: To evaluate trans-rectal ultrasonography(TRUS), TRUS-guided seminal-vesicle/c...

UP.019 Solifenacin Versus Trospium Chloride for the Relief of Stent-Related Symptoms Following Ureteroscopic Lithotripsy: A Comparative Study Mohamed Haytham M1, Zayed A2, Ghoneima W1, El Sheemy M1 1Kasr El Aini Hospital, Faculty of Medicine, Cairo University, Egypt; 2 eodore Bilharz Research Institute, Cairo, Egypt Introduction and Objective: e ob...

Objective To compare the outcome of dismembered pyeloplasty in infants with and without external nephro-ureteric stent (ENUS) for treatment of congenital ureteropelvic junction obstruction. Methods This is a parallel, randomized comparative study between October 2013 and September 2014. Thirty infants ≤6 months old with ureteropelvic junction obst...

Objectives The aim of this study was to describe the management protocol for intermittent testicular torsion (ITT) in adults and report the outcome of this clinical condition, which is commonly overlooked in adults. Subjects and Methods Sixty-three patients were included in the study. The inclusion criterion was the presence of sudden intermittent...

Objective: To prospectively compare the use of external ureteric stents with internal JJ stenting of the uretero-ileal anastomosis in patients undergoing laparoscopic radical cystectomy (LRC) with a Y-shaped ileal orthotopic neobladder (ON). Patients and methods: The study included 69 patients undergoing LRC with ON. Patients were grouped accord...

Objectives: To compare outcomes of the mini-percutaneous nephrolithotripsy technique and extracorporeal shockwave lithotripsy for lower calyceal and renal pelvic stones in preschool children. Methods: From January 2010 to December 2014, single renal pelvic or lower calyceal calculi 10-25 mm in size in children (age ≤6 years) treated by either ex...

Objectives: To compare outcome of open ureterolithotomy versus semi-rigid ureteroscopy in management of large upper ureteric stones. Patients and Methods: Patients with large upper ureteric stones (≥2cm) who were managed by ureteroscopy (31 patients) or ureterolithotomy (31 patients) were included retrospectively from January 2012 to December 2014....

476 Dismembered pyeloplasy in infants < 6 months with and without external trans-anastomotic nephrostent: A prospective randomized study

Purpose ‘Hockey stick incision’ used in renal transplant is large enough to cause severe postoperative morbidity especially in pediatric recipients. Although epidural analgesia is known to be effective in pain control, the resulting sympathectomy might affect hemodynamics interfering with the transplant process. In our study, we evaluated the feasi...

Objectives: To compare outcome of renal transplantation (RTx) in children with end stage renal disease (ESRD) due to lower urinary tract dysfunction (LUTD) versus other causes. Patients and methods: Database of children < 18 years old who underwent RTx from May 2008 through April 2012 was reviewed. Patients were divided into Group A (LUTD = 29 c...

To assess safety and efficacy of Miniperc for renal stones in preschool age patients. To the best of our knowledge, this may be the first prospective study on this subject. Reports on Miniperc are still few. Most of them are retrospective and used sheath size of ≥18Fr which is still relatively large for young children. From January 2012 to May 2013...

The management of urethral strictures is very challenging and requires the wide expertise of different treatment modalities ranging from endoscopic procedures to open surgical interventions. To assess the effectiveness and complications of retrograde endoscopic holmium: yttrium-aluminum-garnet laser (Ho: YAG) urethrotomy (HLU) for the treatment of...

Objective: To evaluate the safety and efficacy of a procedure using surgeon-tailored polypropylene mesh (STM) through a needle-less single-incision technique for treating stress urinary incontinence (SUI), aiming to decrease the cost of treatment, which is important in developing countries. Patients and methods: In all, 43 women diagnosed using...

Introduction and Hypothesis: To compare safety and efficacy of surgeon-tailored polypropylene mesh (STM) through tension-free vaginal tape-obturator (TVT-O) versus original TVT-O in treatment of stress urinary incontinence (SUI) aiming to decrease cost of treatment. This is important in developing countries due to limited health care resources. Pat...

Purpose: To compare safety and efficacy of surgeon-tailored polypropylene mesh through needleless single incision technique (STM) versus tension-free vaginal tape-obturator (TVT-O) aiming to decrease cost of treatment of stress urinary incontinence (SUI). This is important in developing countries due to limited health care resources. Patients and m...

Purpose: To evaluate prospectively safety and efficacy of transurethral cystolithotripsy (CL) in children using holmium:yttrium-aluminum-garnet (Ho:YAG) laser. This is important in developing countries, because the risk of bladder stones in children is high. Open cystolithotomy (OC) was the main line of treatment. A gradual shift has occurred towar...

To compare safety and efficacy of surgeon-tailored polypropylene mesh through needleless single-incision technique (STM) versus tension-free vaginal tape-obturator (TVT-O) aiming to decrease cost of treatment of stress urinary incontinence (SUI). This is important in developing countries due to limited healthcare resources. A retrospective cohort s...

The objective of the study was to compare the safety and efficacy of surgeon-tailored polypropylene mesh (STM) through tension-free vaginal tape-obturator (TVT-O) versus original TVT-O in the treatment of stress urinary incontinence (SUI) aiming to decrease the cost of treatment. This is important in developing countries due to limited health care...

Introduction and hypothesis: The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term sa...

Objectives To compare percutaneous nephrostomy (PCN) tube vs JJ ureteric stenting as the initial urinary drainage method in children with obstructive calcular anuria (OCA) and post-renal acute renal failure (ARF) due to bilateral ureteric calculi, to identify the selection criteria for the initial urinary drainage method that will improve urinary d...

Objectives To describe and evaluate our protocol for management of children ≤4years old with obstructive calcular anuria (OCA) and acute renal failure (ARF) to improve selection of initial urinary drainage (ID) method and to facilitate subsequent definitive stone management (DSM) as studies discussing this special group of patients are still few....

Objectives To evaluate the effect of patient, surgical, and medical factors on surgical complications and graft function following renal transplantation (Tx) in children weighing ≤ 20 kg, because the number of this challenging group of children is increasing. Patients and methods Between June 2009 and October 2013, 26 patients received living dono...

Objective: To assess the effectiveness of visual laser ablation treatment with holmium:yttrium-aluminum-garnet (Ho:YAG) laser in pediatrics with urethral strictures and to compare the results with those obtained in patients treated with visual internal urethrotomy(VIU) urethrotomy. Materials and Methods: From January 2010 to January 2013, 32 male p...

Keywords: electric stimulation, urinary incontinence, Urodynamic, overactive bladder The Aim of this study was focused on efficacy of percutaneous posterior tibial nerve stimulation (PTNS) for the treatment of the overactive bladder and evaluation of Urodynamic parameter after treatment. Materials and methods The study(prospective study) includes 2...

INTRODUCTION: Management of vesical calculi in children poses an interesting challenge to the urologist. The treatment options currently available include open surgery, transurethral pneumatic cystolithotripsy, percutaneous suprapubic cystolithotomy and shockwave lithotripsy (SWL). Holmium: YAG (Ho: YAG) laser cystolithotripsy represents a novel mo...

To evaluate the impact of age, stone size, location, radiolucency, extraction of stone fragments, size of ureteroscope and presence and degree of hydronephrosis on the efficacy and safety of holmium:YAG (Ho:YAG) laser lithotripsy in the ureteroscopic treatment of ureteral stones in children. Between October 2011 and May 2013, a total of 104 patient...

Objective: Urolithiasis in infants can cause considerable morbidity. The literature regarding calcular anuria in this age group is very defective. Our aim was to evaluate impact of intervention on renal recoverability in these infants. Patients and methods: A series of 24 patients presenting with obstructive calcular anuria were included in this...

Objective: To compare treatment results in patients who underwent pyeloplasty with and without pelvic reduction for ureteropelvic junction obstruction (UPJO). Methods: This randomized prospective study involved 40 patients, all diagnosed with unilateral UPJO; 20 each were randomly selected to undergo open dismembered pyeloplasty with pelvic redu...

Objective: To determine the effect of location and size of stones on the outcome of extracorporeal shock wave lithotripsy (ESWL) in children. Patients and methods: In 2008-2010, 150 children (median age 6.6 years) with radio-opaque ureteric and renal stones measuring ≤4 cm were treated. Exclusion criteria were coagulation disorders, pyelonephrit...

Abstract: Objective: We analyzed and compared the effect of stone site and size, method of lithotripsy, and level of experience on the results and complications of semirigid ureteroscopy for ureteric and renal pelvic stones. Material and method: Between April 2010 and May 2011, 95 ureteroscopies were performed on 90 patients using 7.5 and 9F semiri...

Circumcision is a universal practice that is greatly influenced by cultural and religious traditions. It is the most frequent operation on males not only in Islamic countries, but also other parts of the world [1, 2]. For example, in the USA more than one million male infants are circumcised each year ‎[3]. It is estimated that one-third of the glo...

Urolithiasis in children can cause considerable morbidity. Our aim was to evaluate the impact of intervention on the recoverability of kidney functions. This prospective study included 93 children (66 boys and 27 girls) with median age of 3 years (range 0-14). Inclusion criteria were presence of anuria, oliguria, serum creatinine >2 mg% and/or hype...