Day 2 :
Keynote Forum
Amin Gohary
Burjeel Hospital, UAE
Keynote: Management of undescended testis
Time : 09:00-09:50
Biography:
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.
Abstract:
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.
Keynote Forum
Mohammad Ebrahim Parsanezhad
Shiraz University of Medical Sciences, Iran
Keynote: Surgical correction of Mullerian duct dysgenesis
Time : 09:50-10:40
Biography:
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.
Abstract:
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.
- Stem Cells and Reproductive Diseases | Sexually Transmitted Infections | Obstetrics and Gynecology | Drug Management During Pregnancy | Reproductive Technologies in Medicine | Hormones and the Immune System
Location: Corvus
Chair
Amin Gohary
Burjeel Hospital, UAE
Session Introduction
Brinzan Daniela
Country Hospital, Romania
Title: Laser therapy in sexually trasnmitted diseases, respectively in the associated sexual dysfunctions
Time : 11:00-11:30
Biography:
Brinzan Daniela has graduated from the University of General Medicine in Craiova in 1988. She has obtained Certificate of Doctor Specialist of Obstetrics and Gynecology in 1994 at the University of Medicine and Pharmacy in Timisoara and Master's Degree in Sexology in 2010 at the University of Medicine and Pharmacy “Iuliu Hateiganu" Cluj-Napoca.
Abstract:
Sexually Transmitted Diseases (STD) represent the pathological entity that has the greatest addressability in the gynecological office. Sexual dynamics disorders common in women with STD are dyspareunia and secondarily, vaginismus and anorgasmia. These sexual dynamics disorders can become permanent, through secondary reactivations, with no local organic changes that could motivate them. It can, thus, severely affect the wellbeing of both the woman and the couple and, in time, it can become a real social problem. The study was conducted on a group of 50 patients selected during a year in our medical office. The diagnostic methods used were anamnesis, clinical examination, Pap smear, bacteriological test of endocervical secretion and serological tests. The most commonly diagnosed infections were the ones with Candida albicans and bacterial infections (Gardnerella vaginalis, Chlamydia trachomatis and Streptococcus agalactiae hemolytic of group B). There were rarely incriminated viral (Herpes simplex) or parasitic (Trichomonas vaginalis) infections. The treatment took into account general measures for both partners (sexual rest, hygienic education and patient counselling for mental rebalancing for STD secondary dyspareunia prophylaxis) and specific measures (general and local treatment specific for the etiological agent, focused laser therapy). It is noteworthy that the association of laser therapy in the treatment of STD has brought significant improvements in both the relief of local symptomatology, especially in the case of noisy forms of STD (Candida, Trichomoniasis, herpes infections) and in improving the inflammatory processes of internal genitalia secondary to STD (chlamydia infections, infections with Gardnerella with beta hemolytic Streptococcus) and, respectively, in the fertility of the couple, especially bringing improvements in the STD associated sexual dysfunctions. There was only one case that required psychologist counselling due to dyspareunia perpetuation by secondary reactivations as a result of personal problems.
Muzibunnisa Begam
Mediclinic Airport Road Hospital, UAE
Title: Placenta accreta and caesarean scar pregnancy: Potential risks of rising caesarean section rate
Time : 11:30-12:00
Biography:
Muzibunnisa Begam is a Consultant Ob-Gyn and a Maternal Fetal Medicine Specialist with more than 20 years of experience in the field of Ob-Gyn. She is a Fellow of Royal College of Obstetricians and Gynecologists (FRCOG) and further sub-specialized in Maternal Fetal Medicine from the United Kingdom. She has published in several internationally renowned journals and her research interests are future complications of cesarean section and prenatal manifestation of autosomal recessive diseases prevailing in United Arab Emirates.
Abstract:
A retrospective study of women diagnosed with Caesarean section Scar Pregnancy (CSP) by ultrasound andor histopathology was conducted to determine outcome and to explore the possible causative mechanisms. Over a period of 3 years, a total of 16,926 deliveries and 3554 Caesarean Sections (CS) occurred in the institution. Nine cases of CSP were identified with an incidence of 1:1880 births and 0.25% of all CS. The mean number of previous CS in women with scar pregnancies was 2.4 with seven (77.7%) patients had multiple CS. The time interval between the current CSP and the previous CS ranged from 1-10 years (Mean, 3.7 years). All women with known indication for the previous CS had undergone the procedure without labor (88.8%). Six (75%) patients underwent CS at preterm gestation and two patients had term elective procedure for breech presentation. The main clinical presentation was vaginal bleeding in six (66.6 %) patients. Diagnosis was established early in five (55.5%) patients. The uterus was preserved in 7 of the 9 (77.7%) patients. All seven reported regular normal menstruation and one patient (11.1%) conceived spontaneously. Our study has indicated that the risk of CSP may be related to the indications of the previous CS as the number of CS alone could not explain the occurrence of CSP. To the best of our knowledge, this is the first study that has looked specifically at the relationship between the indications of previous CS with CSP. It is time to explore this area so that screening strategies can be generated to detect CSP at the earliest possible gestation so as to prevent complications from this life-threatening condition. Further, our review of MAP has shown that it is best managed in tertiary referral centers utilizing multidisciplinary comprehensive approach.
Olga Kravtsova
Reproductive Health Clinic "ECO", Russia
Title: Who is she? Medical and social parameters and the effectiveness of IVF: Experience of the Samara region, Russia
Time : 12:00-12:30
Biography:
Olga Kravtsova has graduated from Samara State Medical University in 2013. She has completed Postgraduate degree in Obstetrics and Gynecology in 2015. She is the Senior Manager of the International Department of the Reproductive Health Clinic “ECO”. She has published over 40 papers and is a Member of the Russian Association of Human Reproduction
Abstract:
Currently, there is a steady upward trend in the frequency of female infertility throughout the world, including in Russia. This is not only a medical, but also a serious socio-demographic problem. Infertility caused by various disorders, is the sole cause of the treatment of women in the clinic about in vitro fertilization. It is known that gynecological, endocrine and other diseases affect the formation of persistent infertility. The risk of these diseases, according to many researchers, largely depends on the patient's age, level of her education, profession, work experience, social status, marital status and a number of other factors. We performed a retrospective analysis of medical records of women who applied for the period from 2014 to 2018 in the Reproductive Health Clinic “ECO” in Samara to undergo IVF procedures; of these, 170 patients with one or more history IVF and 80 women with normal fertility. It was found that a statistically significant impact on the effectiveness of IVF is pleased to medical and social factors: Age, professional experience, especially menstrual function, as well as gynecological and extragenital diseases in history.
Nahla Kazim
Tawam Fertility Centre, UAE
Title: Spontaneous OHSS in successful pregnancy following artificial FET cycle: A case report
Time : 13:30-14:00
Biography:
Nahla Kazim is a Reproductive Medicine Specialist and currently working in Tawam Fertility Centre, Tawam Hospital, Al Ain. She has completed her PhD in Division of Reproductive Medicine and Developmental Sciences from University of Edinburgh, UK. She has published in several internationally renowned journals and her research interests are Reproductive Endocrinal Disorders and Infertility, Pursue clinical fertility services of PDG and PGS, Right to access Fertility Preservation options and AMH and premature ovarian insufficiency amongst UAE women.
Abstract:
Ovarian hyperstimulation syndrome is a disorder associated with exogenous gonadotropin and is an iatrogenic complication of ovulation induction therapy in ART during the luteal phase and or early stages of pregnancy. Severe OHSS is considered a life-threatening condition and occurs in 0.2-1.2% of stimulated cycles. In literature, sporadic cases of spontaneous OHSS have been reported amongst naturally-conceived pregnancies and non-pregnant women with primary hypothyroidism, polycystic ovarian disease, molar pregnancies, pituitary adenomas and in women with Follicle Stimulating Hormone (FSH) receptor mutations. The characteristic pathophysiology of OHSS is due to release of number of vasoactive amines including Vascular Endothelial Growth Factor (VEGF) and other pro-inflammatory factors resulting in increased capillary permeability, leakage of fluid from the vasculature, third space fluid accumulation and intravascular dehydration. Fatal cases are associated with cerebral infarction, pulmonary thromboembolism and massive pulmonary edema. Even though the condition is extremely rare, spontaneous OHSS can be lethal if not timely diagnosed or tend to be mismanaged due to misdiagnosis. We report a case of spontaneous ovarian hyperstimulation syndrome in a 39-year-old woman, pregnant after receiving medicated thawed embryo transfer cycle. Although the onset of OHSS was not until 12 weeks of gestation, the corresponding diagnosis was considered in presence of twin pregnancy characterized by elevated β-hCG levels, bilateral enlarged ovaries, ascites with other physical and biochemical findings suggestive of intravascular depletion.
Biography:
Carol is currently pursuing her MBA-HCM while she has obtained her BSN from the University of Tennessee Center for Health Sciences. Recently joined as the Unit Manager for Labor & Delivery, OB/GYN, NICU/SCBU and Pediatric units at Mediclinic Al Ain. Professional background, 32 years’ experience in Obstetric and Women’s Health and participated in the commissioning of Danat Al Emirate and Emirates Hospitals in the UAE. She also served on the Sidra project in Doha Qatar. She is a member of The Association of Women’s Health, Obstetrics and Neonatal Nurses (AWHONN).
Abstract:
Maternal mortality rates are unacceptably high. According to the World Health Organization (WHO) 2018 report on maternal health reports, an estimated 830 women die from pregnancy or childbirth related complications around the world every day. It was estimated that in 2015, 303,000 women died during pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings, and most could have been prevented.
Most of the complications that develop during pregnancy and childbirth are preventable or treatable. Other complications may exist before pregnancy but are worsened during pregnancy, especially if not managed as part of the woman’s care. The major complications that account for nearly 75% of all maternal deaths are: severe bleeding, infection, high blood pressure, complications from delivery and unsafe abortion.
Safety goals are met by developing evidence-based checklists, providing necessary preparation that contribute to education as well as defining the processes while providing drills for practice. The overall approach of identifying actions, working to overcome the challenges and continuously evaluating outcomes and refining the actions as necessary.