Hussein S. Qublan

Laparoscopic ovarian drilling in the treatment of polycystic ovary syndrome: How many punctures per ovary are needed to improve the reproductive outcome?

Aim: To evaluate the biochemical, clinical and reproductive results after laparoscopic ovarian drilling that carried out a different number of punctures in the ovaries.

Role of fetal sex in the outcome of antenatal glucocorticoid treatment to prevent respiratory distress syndrome: systematic review and meta-analysis.

BACKGROUND Antenatal glucocorticoid (AGC) therapy has been associated with a decrease in respiratory distress syndrome (RDS). While preterm males remain at greater risk of RDS than females, the role of fetal sex in AGC response is not well known. OBJECTIVES To review the available evidence regarding the effect of fetal sex in the prevention of RDS using AGC. METHOD We conducted a systematic review and meta-analysis of RCTs to compare the effect of AGC in male and female infants with regard to the rates of RDS, intra-ventricular hemorrhage (IVH) grades III and IV, and neonatal mortality. Random effects with 95% confidence intervals were assessed in both groups and relative risks were compared using mixed regression. RESULTS From 248 potentially eligible articles, we included eight in the analysis for a total of 1109 male and 968 female infants. Both male and female infants had a significant decrease in the risks, but no difference between the sexes was observed in terms of reduction in RDS (RR 0.50; 95% CI 0.33 to 0.77 for males, and RR 0.57; 95% CI 0.43 to 0.75 for females, P = 0.99), reduction in IVH (P = 0.98), and reduction in neonatal mortality (P = 0.43). In a sub-analysis, use of betamethasone was associated with a significant decrease in the rate of RDS in males (RR 0.29; 95% CI 0.15 to 0.57) but dexamethasone was not (RR 0.78; 95% CI 0.57 to 1.07). Conversely, dexamethasone use was significantly helpful in females (RR 0.51; 95% CI 0.32 to 0.81) but betamethasone was not (RR 0.62; 95% CI 0.38 to 1.00). CONCLUSION The effect of AGC for prevention of RDS is similar in females and males. However, futures studies should investigate the type of AGC according to fetal/neonatal sex.

Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction.

A 32‐year‐old woman, gravida 4, para 3, had a benign right ovarian mucinous cystadenoma. It was diagnosed 1 month before conception, measured 9 × 7 cm, and reached 33 × 24 × 20 cm at 38 weeks gestation. Cesarean delivery of a 2250 g normal female infant took place, and the removal of a 6300 g right ovarian cystic mass was also performed. Microscopic and immunohistochemical studies of the cyst wall revealed stromal luteinization and a strong reaction with antiserum to testosterone, estrogen and progesterone.

Primary ovarian pregnancy after the empty follicle syndrome: a case report.

A32‐year‐old nulligravida woman underwent in vitro fertilization treatment because of 6 years of unexplained infertility. On the day of ovum pick‐up, no eggs were retrieved and the patient was diagnosed to have empty follicle syndrome. Six weeks later, she presented with left lower abdominal pain and mild vaginal bleeding. Laboratory tests and diagnostic laparoscopy revealed left ovarian pregnancy. Left oophorectomy was performed and the histopathological examination confirmed the diagnosis.

Cesarean section rate: The effect of age and parity

Objective: To determine the impact of age and parity on Cesarean section rate.

Azoospermia Associated with Testicular and Pulmonary Microlithiasis

Microlithiasis is a rare entity. The pattern of microliths was characterized as diffuse or focal with symmetrical or asymmetrical distribution of the echogenic foci. Testicular microlithiasis was reported to be associated with a number of clinical and pathological conditions such as intratubular germ cell neoplasia, cryptorchidism, torsion, epididymitis, infertility, and alveolar pulmonary microlithiasis. The diagnosis of this condition is confirmed either by the sonographic appearance of diffuse nonshadowing echogenic foci or the intratubular histological findings of the microliths. We describe a case of testicular and pulmonary microlithiasis associated with male infertility.

Intrapartum Common Peroneal Nerve Compression Resulted in Foot Drop: A Case Report

This case report is to illustrate a case of a 24‐year‐old Jordanian woman, gravida 1, para 0 who developed intrapartum foot drop due to compression injury of the common peroneal nerve behind the head of fibula. Diagnosis was based on history, clinical examination and electrophysiological studies. Treatment included daily sessions of physiotherapy. Complete recovery of the condition took place within 2 months.

The Diagnostic Value of Ultrasound in Differentiating Obstructive from Nonobstructive Azoospermia Based on the Presence of Testicular Microlithiasis

A total of 32 azoospermic men aged 24 to 54 years were studied perspectively at King Hussein Medical Center.Patient history, semen analyses, hormonal status, and testicular volume were analyzed.High-resolution ultrasound scan machine with a 7.0-MHz transducer was performed on all patients to detect testicular microlithiasis.Testicular biopsy was per formed on all patients.Based on the clinical findings outlined in this article, it is concluded that testicular ultrasound examination is a simple, rapid, and non-invasive diagnostic tool in evaluating the testicular body.Based on testicular volume, hormonal status, presence, and degree of testicular microlithiasis, ultrasound scanning has a significant role in differentiating OA from NOA.