Day 2 :
Burjeel Hospital, UAE
Keynote: Management of undescended testis
Time : 09:00-09:50
Prof. Dr. Amin El-Gohary completed his MBBCh in 1972 and his Diploma in General Surgery in 1975 at Cairo University, Egypt. He became a fellow of The Royal College of Surgeons in UK: Edinburgh in 1979, London in 1980, and Glasgow in 1997. Prof. Dr. Amin worked initially in Egypt, and then moved to Kuwait, then to UK, before coming to UAE in 1983. In the same year, he became the Chief and Head of the Department of Pediatric Surgery of a large government hospital. Additionally, he held post as a Medical Director for the same hospital starting 1989. He also held post as the Clinical Dean of Gulf Medical College, Ajman for 3 years. Prof. Dr. Amin is well known in Abu Dhabi for his extensive interest and involvement in scientific activities. He is the President of the Pediatric Surgical Association of UAE. He was awarded the Shield of the College of Pakistan in 1996 and the Medal of International Recognition in pediatric urology from the Russian Association of Andrology in 2010. He was given a Silver Medal from the Royal College of Surgeons – Ireland in 1978 and an Honorary Fellowship from the Royal College of Surgeons – Glasgow in 1997. In 2001, he became a Visiting Professor at Munster University, Germany.
Cryptorchidism is a common congenital anomaly of newborns that may resolve, persist or first appear in later childhood. It affects 4% to 5% of full-term and in 9% to 30% of premature males at birth. The testis can be found in any position along its usual line of descent; however, approximately 80% will be located in the inguinal region, just outside the inguinal canal. Approximately 20% of undescended testes are nonpalpable and in 20% to 50% of children with nonpalpable testis, the testis is absent. Laparoscopy has been established as the most reliable diagnostic modality for the management of impalpable testes. In experienced hands, laparoscopy is capable of providing nearly 100% accuracy in the diagnosis of the intra-abdominal testis with minimal morbidity. It clearly demonstrates the anatomy and provides visual information upon which a definitive decision can be made. Both internal rings can be inspected; the location and size of the testes, their blood supply and the nature, course and termination of the vas and epididymis can be determined. All of these anatomical landmarks individually or collectively have bearing on the operative management of the impalpable testes. In this presentation we will discuss the phenomena of absent testes in the light of recent discovery of a subgroup of testes that failed to descend from it is embryological subrenal position and likely to be labelled as an absent testis unless one is aware of the complexity of testicular development and descent.
Shiraz University of Medical Sciences, Iran
Time : 09:50-10:40
Mohammad Ebrahim Parsanezhad has graduated from Tabriz Medical School in 1979 and completed Obstetrics and Gynecology Specialty Board at Shiraz Medical School in1986. He has also completed 2.5 years of Infertility Fellowship at Gotingen University, Diako Medical Centre, Bremen Germany in 2003. He is currently a Professor and Chair, Infertility and Reproductive Medicine Division, Department of Gynecology & Obstetrics, Shiraz University, Iran. He is the Reviewer of Fertility & Sterility Journal, Member of Editorial board in Middle East Fertility Journal, Chairman of Educational Planning of Nursing and Midwifery School, Member of Editorial Board of Iranian Journal of Medical Sciences (IJMS), Member of National OB & GYN Board Examination at Ministry of Health and Medical Education. He has published 106 papers in reputed journals.
Mullerian duct malformation has long been associated with reproductive failure and obstetric complications. Uterine septum is by far the most common anomaly. Although the septum is usually restricted to the uterine corpus, it may extend through the cervix and vagina. Visual inspection and pelvic examination shows complete longitudinal vaginal septum and cervical duplication that are usually misdiagnosed as uterus didelphus. Hysteroscopic Metroplasty (HMP) is the treatment of choice for the symptomatic septate uterus. This procedure may be problematic in the case of a complete septate uterus with two external cervical orifices. According to current opinion, the cervical septum should not be spared because it may cause intraoperative bleeding and cervical incompetence. Resection of the cervical septum during hysteroscopic metroplasty of complete uterine septum makes the procedure safer, easier and less complicated than the procedure with preservation of the cervical septum. This procedure is recommended for all cases of complete uterine septum. Other type of Mullerian duct malformation is cervical dysgenesis. Cervical cord is usually observed with a completely obstructed endocervical canal or cases with a single functional uterus that was obstructed at the lower segment with no communication to a single, normal appearing cervix and vagina.