Publications by authors named "Khalid Al-Rumaihi"
Testicular seminomas are the most common type of testicular tumor; atypical presentations can make diagnosis more challenging, leading to delayed treatment. Here, we present a 40-year-old previously healthy male who presented to the emergency department with severe right-sided scrotal swelling and pain. He had a diagnosed but untreated inguinal hernia.
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- Robotic assisted partial nephrectomy is the preferred treatment for small kidney tumors, but it can lead to rare complications like ureteric stricture, affecting patient wellbeing.
- Surgical options for severe stricture may not be suitable for high-risk patients, who may require alternatives like a ureteric double J stent or nephrostomy tube.
- A case study showed that when conventional surgery isn't possible due to tumor proximity, using a metallic ureteral stent (Memokath) provides better durability and improves the quality of life compared to double stents for managing ureteric strictures.
Background: Studies exploring the effect of COVID-19 on male reproductive system suggest a detrimental association, however with conflicting results. The aim of this study was to assess the association between COVID-19 infection and male reproductive potential including hormone profiles and semen parameters.
Methods: This prospective cohort study included 48 patients with confirmed COVID-19 infection.
Article Synopsis
- * In the reported case, a 35-year-old infertile man has synchronous testicular tumors, meaning both tumors are present at the same time, but with different histological characteristics, which is exceedingly rare.
- * This situation emphasizes the complexities of diagnosing and treating such atypical cases and underscores the importance of considering life quality factors like fertility preservation during oncological treatment.
Article Synopsis
- Testicular Large cell calcifying Sertoli cell tumors (LCCSTs) are rare tumors that mainly affect young males and can present as multiple growths on both testicles.
- Diagnosing benign LCCSTs is critical to avoid unnecessary surgeries and to protect the patient's ability to have children, relying on patient history, lab tests, and imaging.
- A case study is presented where a young male with bilateral benign LCCSTs was treated using a method that preserved testicular function, highlighting key clinical, radiological, and pathological traits.
Article Synopsis
- - A 48-year-old male developed acute urinary retention due to a pelvic cyst, which had previously caused recurring symptoms despite multiple aspiration treatments.
- - A robotic excision of the cyst was performed, with imaging and tissue analysis suggesting it was a seminal vesicle cyst.
- - After three months of follow-up, the patient reported being free of symptoms and had no complaints.
Article Synopsis
- Benign prostatic hyperplasia (BPH) is the leading cause of urinary retention in men, and while traditional surgery (TURP) is effective, it has significant risks, prompting interest in less invasive options like the Rezum system.
- A systematic review of studies using Rezum found it to be effective in treating urinary retention from BPH, with an 85% success rate in patients who had previously relied on catheters.
- Rezum therapy showed a low complication rate (3.8 to 4.3%), with only mild and self-limited issues, making it a safe alternative to more invasive surgical options.
Introduction: Chronic pelvic pain syndrome (CPPS) is a frequent urological diagnosis that affects men's quality of life. Extracorporeal shockwave therapy (ESWT) is a recent treatment option for patients with CPPS. We evaluated ESWT's short and long - term efficacy in managing CPPS.
View Article and Find Full Text PDFRising disease prevalence early during the COVID-19 pandemic in the State of Qatar led to stoppage of all non-emergency health care services. To maintain continuity of care and information exchanges for non-emergency patients, a physician-operated telephone hotline was set up that involved triage followed by immediate consultation with a specialized physician. We describe the initiation and evaluate the operations of the Urgent Consultation Centre (UCC) hotline manned by 150 physicians and aimed at urgent non-life-threatening consultations at Hamad Medical Corporation, the public health provider in Qatar.
View Article and Find Full Text PDFBackground: To date, no previous research assessed the bibliometrics of men's sexual and reproductive healthcare (SRHC) across Arab countries. This study appraised the current standing of men's SRHC research in the MENA (Middle East and North Africa) region.
Methods: We performed a bibliometric analysis to assess qualitatively and quantitatively the peer-reviewed articles published from Arab countries from inception to 2022.
Background: No study appraised the knowledge gaps and factors impacting men's sexual and reproductive health (SRH) in MENA (Middle East and North Africa). The current scoping review undertook this task.
Methods: We searched PubMed and Web of Science (WoS) electronic databases for original articles on men's SRH published from MENA.
Objective: We appraised the reporting quality of abstracts of systematic reviews/meta-analyses (SR/MAs) published in one urology journal and explored associations between abstract characteristics and completeness of reporting.
Methods: The Arab Journal of Urology (AJU) was searched for SR/MAs published between January 2011 and 31 May 2022. SR/MAs with structured abstract and quantitative synthesis were eligible.
The use of cryoablation in the management of small renal masses is widely acceptable. Although rare but ureteral injury during the procedure with subsequent stricture formation can result in devastating effects on renal function. On the other hand, the management of such strictures requires reconstructive surgery as gold standard.
View Article and Find Full Text PDFPurpose: COVID-19 frequently affects the kidneys with symptoms ranging from mild proteinuria to progressive acute kidney injury. This prospective study aimed to assess the short- and long-term impact of asymptomatic and mild COVID-19 on the renal function of healthy young adults, and to determine the correlation between viral load and kidney function among these patients.
Methods: This was a prospective cohort study conducted over a period of 6 months.
Objective: To evaluate the effectiveness of UPOINT based multimodal treatment on patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), and determine factors that could be associated with clinical improvement.
Methods: A retrospective study was conducted in Doha, Qatar including patients with CP/CPPS from the Middle East and North Africa. The UPOINT phenotyping system was used to classify patients and guide their multimodal therapy.
Amyloidosis is related to the extracellular deposition of abnormal protein fibrils in various tissues. It can be either localized to an organ or generalized, affecting multiple systems. Amyloidosis of the urinary bladder is a rare histopathological finding.
View Article and Find Full Text PDFBackground: User interfaces play a vital role in the planning and execution of an interventional procedure. The objective of this study is to investigate the effect of using different user interfaces for planning transrectal robot-assisted MR-guided prostate biopsy (MRgPBx) in an augmented reality (AR) environment.
Method: End-user studies were conducted by simulating an MRgPBx system with end- and side-firing modes.
Since early reports in the literature, cases with urethral foreign bodies have been extremely variable and interestingly challenging. Various presentations have been reported, including self-insertion for sexual pleasure, assaults, trauma, and foreign bodies migration. Management by endoscopic surgery is usually a preferred option for small foreign bodies.
View Article and Find Full Text PDFBackground: This study presents user evaluation studies to assess the effect of information rendered by an interventional planning software on the operator's ability to plan transrectal magnetic resonance (MR)-guided prostate biopsies using actuated robotic manipulators.
Methods: An intervention planning software was developed based on the clinical workflow followed for MR-guided transrectal prostate biopsies. The software was designed to interface with a generic virtual manipulator and simulate an intervention environment using 2D and 3D scenes.
Article Synopsis
- The study evaluates how multi-parametric MRI can help distinguish benign testicular stromal tumors (STs) from malignant testicular neoplasms (MTNs).
- Results showed that MTNs were significantly larger and displayed different MRI characteristics compared to STs, such as T2-weighted signal intensity and enhancement patterns.
- A model using MRI features like T2-weighted imaging, diffusion-weighted imaging, and dynamic contrast enhancement provided the best diagnostic accuracy for identifying these tumors.
Prostate cancer (PC) castration resistance has been linked to the differentiation of PC luminal cells into hormone-refractory neuroendocrine (NE) cells. However, the molecular mechanisms controlling the emergence of lethal NE prostate cancer (NEPC) remain unclear. The present study aimed to investigate the mechanisms underlying the transition from prostate adenocarcinoma to NEPC.
View Article and Find Full Text PDFThe ongoing pressure to improve quality while reducing costs is leading to increased uptake of various urological homecare models. Urological homecare can involve reductions in hospital usage and costs, traveling time for the patient, and hospital deaths and can improve patient experience and satisfaction.
View Article and Find Full Text PDFObjective: To assess seminal oxidation-reduction potential (ORP) and sperm DNA fragmentation (SDF) in male infertility and their relationships with sperm morphology in fertile and infertile men.
Patients And Methods: Prospective case-control study comparing the findings of infertile men ( = 1168) to those of men with confirmed fertility ( = 100) regarding demographics and semen characteristics (conventional and advanced semen tests). Spearman rank correlation assessed the correlation between ORP, SDF, and different morphological indices.
Objective: To assess the relationship between geographical differences and all semen parameters, across 13,892 infertile men of 84 diverse nationalities, recruited at a specialised tertiary hospital that represents the main healthcare provider in Qatar. Male infertility is an important and global public health problem. Despite this, there is a significant scarcity of epidemiological male infertility and semen analysis research in the Middle East and North Africa (MENA) region, as well as geographical comparisons with other parts of the world.
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- The use of α-blockers for medical expulsive therapy (MET) in treating ureteric stones has been debated and examined in various randomized controlled trials.
- A systematic review and meta-analysis showed that α-blockers are effective specifically for stones larger than 5 mm and those located in the distal ureter, as they improve stone expulsion rates.
- Although the treatment is beneficial, it's important to note that there is a minor increase in the risk of side effects, though they are mostly nonsignificant.