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Article: Emphysematous sloughed floating ball after prostate water vaporization Rezum: A case report.

Alnazari, Mansour / Bakhsh, Abdulaziz / Rajih, Emad Sabri

World journal of clinical cases

2023 Volume 11, Issue 23, Page(s) 5525–5529

Abstract: Background: Rezūm™ water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.: Case summary: A 63-year-old male presented to our department with severe dysuria, frequency, ... ...

Abstract	Background: Rezūm™ water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia. Case summary: A 63-year-old male presented to our department with severe dysuria, frequency, urgency, and interrupted stream 2 mo after receiving Rezūm™ therapy. The symptoms were caused by a retained floating emphysematous necrotic sloughed tissue. We also discovered a persistent bacterial infection that was resistant to parenteral antimicrobial therapy. The treatment of the patient included surgical removal of the necrotic tissue. Conclusion: Despite the good safety profile and minimal adverse events related to Rezūm™ therapy, major complications can still occur.
Language	English
Publishing date	2023-07-25
Publishing country	United States
Document type	Case Reports
ISSN	2307-8960
ISSN	2307-8960
DOI	10.12998/wjcc.v11.i23.5525
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Article ; Online: Proximal corporal reconstruction: adjunct of penile prosthesis revision surgery.

Rajih, Emad / Burnett, Arthur L

International journal of impotence research

2019 Volume 32, Issue 1, Page(s) 107–112

Abstract: Proximal corporal deformities may account for failed inflatable penile prosthesis (IPP) surgery. No contemporary series has focused solely on describing the natural history and management of isolated proximal corporal deformities in patients after IPP ... ...

Abstract	Proximal corporal deformities may account for failed inflatable penile prosthesis (IPP) surgery. No contemporary series has focused solely on describing the natural history and management of isolated proximal corporal deformities in patients after IPP surgery. The aim of the current report is to present the clinical courses and surgical management with outcomes of proximal corporal deformities in the context of prior IPP implantation surgery. We conducted a retrospective analysis of the Johns Hopkins Hospital institutional database of IPP surgeries from May 2006 to March 2017 consisted of 198 patients who had undergone IPP revisions. All cases involving surgical revisions associated with isolated proximal corporal deformities (proximally from the penoscrotal junction) were identified. Data retrieved included clinical characteristics, operative findings, and surgical outcomes. Main outcome measures are the ability to achieve successful sexual intercourse after IPP revision. The findings of proximal corporal deformities were manifest in fifteen patients who had undergone previous IPP surgery. Deformities consisted of corporal dilatation (15 patients) and corporal rupture (8 patients). Associated prosthesis defects were mechanical failure (2 patients), aneurysmal dilatation (5 patients), and device breakage (4 patients). Median IPP treatment duration was 14 years. Mean number of prior IPP surgeries were 4.2 times. All patients underwent reduction corporoplasty with IPP device replacements consisting of controlled expansion devices. Mean age at revision was 59.7 years. All patients reported successful sexual intercourse and satisfaction within 6 months' follow-up after surgical revision. Proximal corporal deformities arising after IPP surgery are associated with dysfunctional device operation and as well as device defects. Proper recognition of this problem allows the opportunity for surgical correction with a definitive reduction corporoplasty. Failure to recognize these abnormalities timely may predispose to unsuccessful revisions and complicate future definitive surgical repair.
MeSH term(s)	Adult ; Databases, Factual ; Erectile Dysfunction/surgery ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Patient Satisfaction ; Penile Implantation/adverse effects ; Penile Implantation/methods ; Penile Prosthesis ; Penis/diagnostic imaging ; Penis/surgery ; Reoperation ; Retrospective Studies
Language	English
Publishing date	2019-01-31
Publishing country	England
Document type	Journal Article
ZDB-ID	1034295-3
ISSN	1476-5489 ; 0955-9930
ISSN (online)	1476-5489
ISSN	0955-9930
DOI	10.1038/s41443-019-0119-x
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Article: Primary infertility secondary to a hidden posterior urethral valve representing a diagnostic challenge in the fifth decade.

Rajih, Emad / Daqqaq, Tareef / Mojallid, Abdulrahman / Kattan, Said

Saudi medical journal

2020 Volume 41, Issue 9, Page(s) 1011–1014

Abstract: Posterior urethral valves (PUVs) are frequently recognized during the perinatal period. Delayed diagnosis is reported usually within the first decade of life with diverse clinical presentations. In the current case report, we describe a 45 years old man ... ...

Abstract	Posterior urethral valves (PUVs) are frequently recognized during the perinatal period. Delayed diagnosis is reported usually within the first decade of life with diverse clinical presentations. In the current case report, we describe a 45 years old man patient who presented with aspermia and primary infertility for 8 years in whom his diagnostic workup revealed radiological imaging suggestive of PUVs. This phenomenon was confirmed by cystourethroscopy that showed obstructive valve. Endoscopic ablation resulted in significant improvement of his seminal parameter with successful conception.
MeSH term(s)	Ablation Techniques/methods ; Aspermia/etiology ; Endoscopy/methods ; Humans ; Infertility, Male/etiology ; Infertility, Male/surgery ; Male ; Middle Aged ; Treatment Outcome ; Urethra/abnormalities ; Urethra/diagnostic imaging ; Urethra/surgery ; Urethral Obstruction/diagnostic imaging ; Urethral Obstruction/etiology ; Urethral Obstruction/surgery ; Urologic Surgical Procedures, Male/methods
Language	English
Publishing date	2020-08-13
Publishing country	Saudi Arabia
Document type	Case Reports ; Journal Article
ZDB-ID	392302-2
ISSN	1658-3175 ; 0379-5284
ISSN (online)	1658-3175
ISSN	0379-5284
DOI	10.15537/smj.2020.9.25229
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Article: Superior sagittal sinus thrombosis after spinal anesthesia.

Daqqaq, Tareef S / Naqshabandi, Abdulelah A / Rajih, Emad S

Neurosciences (Riyadh, Saudi Arabia)

2020 Volume 25, Issue 3, Page(s) 210–213

Abstract: Superior sagittal sinus thrombosis is an uncommon phenomenon that could occur in patients with a risk for thrombosis. It has been reported after spinal anesthesia with persistent cerebrospinal fluid leak. The current case is a young 29-year-old man who ... ...

Abstract	Superior sagittal sinus thrombosis is an uncommon phenomenon that could occur in patients with a risk for thrombosis. It has been reported after spinal anesthesia with persistent cerebrospinal fluid leak. The current case is a young 29-year-old man who was complaining of persistent headache after spinal anesthesia for varicocelectomy and a new onset of blurred vision with a sign of papilledema. The diagnosis was confirmed with magnetic resonance imaging and proved to be superior sagittal sinus thrombosis. He was started on anticoagulant therapy and showed gradual improvement. No previous case has been reported in the literature in a patient without prothrombotic status risk.
MeSH term(s)	Adult ; Anesthesia, Spinal/adverse effects ; Anticoagulants/therapeutic use ; Humans ; Male ; Sagittal Sinus Thrombosis/drug therapy ; Sagittal Sinus Thrombosis/etiology ; Sagittal Sinus Thrombosis/pathology
Chemical Substances	Anticoagulants
Language	English
Publishing date	2020-07-17
Publishing country	Saudi Arabia
Document type	Case Reports ; Journal Article
ZDB-ID	2214806-1
ISSN	1319-6138
ISSN	1319-6138
DOI	10.17712/nsj.2020.3.20200003
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Article: Penile Wobble Effect: Proximal Corporal Deformities as a Cause of Penile Prosthesis Failure.

Rajih, Emad / Burnett, Arthur L

Sexual medicine

2018 Volume 6, Issue 3, Page(s) 267–271

Abstract: ... of this problem allows the opportunity for surgical correction with reduction corporoplasty. Rajih E, Burnett AL ...

Abstract	Introduction: Penile structural defects can contribute toward penile prosthesis (PP) surgical complications and suboptimal outcomes. Despite modern improvements in techniques of inflatable PP (IPP) surgeries, suboptimal outcomes arise secondary to unrecognized proximal corporal abnormalities. Aim: To describe a new observation of IPP failure (wobbly penis) secondary to proximal corporal deformities. Methods: We performed a retrospective analysis of the Johns Hopkins institutional database of patients who had IPP surgery from May 2006 to March 2017. All cases requiring surgical revisions secondary to proximal corporal deformities were identified. Exclusion criteria included patients who had incidentally discovered proximal corporal deformities intraoperatively or were documented preoperatively to have had a corporal defect. Main outcome measures: Successful reimplantation of a functionally intact PP device. Results: On clinical grounds, we identified 5 patients with properly cycling but unstable prosthetic devices that were associated with proximal corporal dilatation (proximally from the penoscrotal junction). All patients underwent reduction corporoplasty with prosthesis replacements consisting of controlled expansion IPPs. 3 patients had undergone previous device replacements because of intact cycling but unstable and unusable IPP devices, whereas 2 had a single previous device insertion. Mean age at revision was 67 years. Median IPP duration was 17 years. Median number of previous IPP surgeries was 3. All patients reported IPP stability and satisfaction after revision (median follow-up = 6 months). Conclusions: Proximal corporal deformities could account for IPP failure. This condition can be under-recognized as observed in the present cases of multiple revisions with a normally cycling device that was not usable. Proper recognition of this problem allows the opportunity for surgical correction with reduction corporoplasty. Rajih E, Burnett AL. Penile Wobble Effect: Proximal Corporal Deformities as a Cause of Penile Prosthesis Failure. Sex Med 2018;6:267-271.
Language	English
Publishing date	2018-05-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2734882-9
ISSN	2050-1161
ISSN	2050-1161
DOI	10.1016/j.esxm.2018.04.004
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Article: Hematuria: Is it useful in predicting renal or ureteral stones in patient presenting to emergency department with flank pain?

Alnazari, Mansour / Bakhsh, Abdulaziz / Shaqroon, Hatem Ahmed / Rajih, Emad S / Al-Nakshabandi, Nizar Abdulaziz / Rabah, Danny M

Urology annals

2023 Volume 16, Issue 1, Page(s) 71–74

Abstract: Objectives: The objective of the study was to evaluate hematuria as a diagnostic test for renal and ureteral stones compared with a noncontrast-enhanced computed tomography (CT) scan (gold standard test) in emergency room patients with acute flank pain.! ...

Abstract	Objectives: The objective of the study was to evaluate hematuria as a diagnostic test for renal and ureteral stones compared with a noncontrast-enhanced computed tomography (CT) scan (gold standard test) in emergency room patients with acute flank pain. Patients and methods: In total, 604 patients treated in our emergency department from 2006 to 2011, with a history of flank pain and suspected urolithiasis were included in a retrospective review. All patients were evaluated with a noncontrast-enhanced CT scan and urine analysis. Using the noncontrast CT scan as the gold standard for the evaluation of the presence, number, size, and site (renal or ureteral [upper, middle, and lower]) of the stones, we calculated the sensitivity, specificity, and positive and negative predictive values of hematuria for diagnosing both renal and ureteral stones. Results: Urolithiasis was diagnosed in 388 patients (64%) and 216 patients (36%) had no stones on a noncontrast-enhanced CT scan. The sensitivity, specificity, positive predictive value, and negative predictive value for microhematuria were 77%, 33%, 67%, and 45%, respectively. Microhematuria was more common in patients with ureteral stones only (139 patients) and had a sensitivity of 85% compared to patients with renal stones only (32 patients), with a sensitivity of 55% ( Conclusion: Although microhematuria is more sensitive to ureteral stones, the absence of microhematuria does not exclude the possibility of urolithiasis and a noncontrast-enhanced CT scan should be the gold standard diagnostic tool.
Language	English
Publishing date	2023-11-15
Publishing country	India
Document type	Journal Article
ISSN	0974-7796
ISSN	0974-7796
DOI	10.4103/ua.ua_66_23
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Article: The Role of Phosphodiesterase Inhibitors in the Management of Cavernositis With Multifocal Abscesses: A Report of Case Series.

Bakhsh, Abdulaziz / Daqqaq, Tareef / Alhasan, Ayman / Alnazari, Mansour / Rajih, Emad

Sexual medicine

2020 Volume 8, Issue 2, Page(s) 318–322

Abstract: Introduction: Cavernositis is a rare acute infection of the corporal bodies of the penis. It might result in corporal cavernosal abscesses, fibrosis, and subsequently erectile dysfunction if the treatment is inadequate. Previous reports advocate penile ... ...

Abstract	Introduction: Cavernositis is a rare acute infection of the corporal bodies of the penis. It might result in corporal cavernosal abscesses, fibrosis, and subsequently erectile dysfunction if the treatment is inadequate. Previous reports advocate penile aspiration when cavernosal abscesses were significantly present. Aim: We report 2 cases of cavernositis treated by the standard antimicrobial therapy in addition to the daily use of phosphodiesterase type 5 inhibitors (iPDE-5). Methods: We include 2 patients who fulfill the criteria for the diagnosis of cavernositis. They were diagnosed clinically based on history and physical examination. Patient 1 had multifocal abscesses on initial penile contrast-enhanced magnetic resonance imaging (MRI). This patient showed rapid clinical improvement with the addition of phosphodiesterase inhibitor (PDEi) to the antimicrobial therapy without the need for surgical drainage of the abscesses. Patient 2 had persistent infection despite 3 weeks of oral second-generation cephalosporin (Cefuroxime). But he showed significant clinical improvement after being started on PDEi in conjunction with the current antimicrobial therapy. Follow-up after 3 months by clinical examination and penile magnetic resonance imaging in both patients showed normal erectile function with no scarring. Conclusion: PDEi have promising results on disease progression and outcomes. It synergizes the effect of antimicrobial therapy and can potentially reduce the residual corporal fibrosis and erectile dysfunction. However, large studies are required to validate and generalize this treatment approach. Bakhsh A, Daqqaq T, Alhasan A, et al. The Role of Phosphodiesterase Inhibitors in the Management of Cavernositis With Multifocal Abscesses: A Report of Case Series. Sex Med 2020;8:318-322.
Language	English
Publishing date	2020-03-31
Publishing country	United States
Document type	Case Reports
ZDB-ID	2734882-9
ISSN	2050-1161
ISSN	2050-1161
DOI	10.1016/j.esxm.2020.02.010
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Article: Incidental discovery of an interstitial emphysematous cystitis with liver abscess: A report of hematogenous spread of infection.

Rajih, Emad / Sayed A, Ayman / Mahrous, Sarah / Alharthi, Abdullah / Alswaid, Abdulrahman / Bakhsh, Abdulaziz

Urology case reports

2020 Volume 31, Page(s) 101134

Abstract: Emphysematous cystitis is an unusual urological emergency in clinical practice. The disease characteristics are still underreported. It is characterized by the presence of gas in the urinary bladder wall secondary to gas forming organism. We report an ... ...

Abstract	Emphysematous cystitis is an unusual urological emergency in clinical practice. The disease characteristics are still underreported. It is characterized by the presence of gas in the urinary bladder wall secondary to gas forming organism. We report an incidental finding of emphysematous cystitis in a 35-year-old secondary to a huge liver abscess in a poorly controlled blood sugar. The infection spread hematogenously to the urinary bladder wall that was managed conservatively by urethral catheter drainage and hepatic abscess drainage in adjunct with antimicrobial therapy. The patient had no urinary symptoms. The bladder wall gas disappeared during follow-up in 2 weeks.
Language	English
Publishing date	2020-02-26
Publishing country	United States
Document type	Case Reports
ZDB-ID	2745459-9
ISSN	2214-4420
ISSN	2214-4420
DOI	10.1016/j.eucr.2020.101134
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Article: Declined Humoral Immunity of Kidney Transplant Recipients to SARS-CoV-2 Vaccines.

Mahallawi, Waleed H / Alharbi, Wael A / Aloufi, Sultan A / Ibrahim, Nadir A / Abdelrahman, Muntasir M / Alhomayeed, Bader A / Aboonq, Moutasem S / Alqahtani, Saeed Awad M / Rajih, Emad S / Bakhsh, Abdulaziz M / Sandokji, Ibrahim

Infection and drug resistance

2023 Volume 16, Page(s) 2829–2840

Abstract: Background: Kidney transplant recipients (KTRs) commonly suffer from impaired immunity. KTRs' compromised immune response to COVID-19 vaccines indicates urgent revision of immunisation policies.: Methods: A cross-sectional study was conducted in ... ...

Abstract	Background: Kidney transplant recipients (KTRs) commonly suffer from impaired immunity. KTRs' compromised immune response to COVID-19 vaccines indicates urgent revision of immunisation policies. Methods: A cross-sectional study was conducted in Madinah, Saudi Arabia of 84 KTRs who had received at least one dose of a COVID-19 vaccine. ELISA was used to evaluate anti-spike SARS-CoV-2 IgG and IgM antibody levels in blood samples obtained one month and seven months after vaccination. Univariate and multivariate analyses were performed to identify associations between seropositive status and factors such as the number of vaccine doses, transplant age, and immunosuppressive therapies. Results: The mean age of KTRs was 44.3 ± 14.7 years. The IgG antibody seropositivity rate (n=66, 78.5%) was significantly higher than the seronegativity rate (n=18, 21.4%) in the whole cohort (p<0.001). In KTRs seroconverting after one month (n=66), anti-SARS-CoV-2 IgG levels declined significantly between one month (median [IQR]:3 [3-3]) and seven months (2.4 [1.7-2.6]) after vaccination (p<0.01). In KTRs with hypertension, IgG levels significantly decreased between one and seven months after vaccination (p<0.01). IgG levels also decreased significantly in KTRs with a transplant of >10 years (p=0.02). Maintenance immunosuppressive regimens (triple immunosuppressive therapy and steroid-based and antimetabolite-based regimens) led to a significant decrease in IgG levels between the first and second sample (p<0.01). KTRs receiving three vaccine doses showed higher antibody levels than those receiving a single dose or two doses, but the levels decreased significantly between one (median [IQR]: 3 [3-3]) and seven months (2.4 [1.9-2.6]) after vaccination (p<0.01). Conclusion: KTRs' humoral response after SARS-CoV-2 vaccination is dramatically inhibited and wanes. Antibody levels show a significant decline over time in KTRs with hypertension; receiving triple immunosuppressive therapy or steroid-based or antimetabolite-based regimens; receiving mixed mRNA and viral vector vaccines; and with a transplant of >10 years.
Language	English
Publishing date	2023-05-09
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2494856-1
ISSN	1178-6973
ISSN	1178-6973
DOI	10.2147/IDR.S408686
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Article: Robotic-assisted excision of a juxta renal retroperitoneal schwannoma.

Al Gosaibi, Abdulelah / Al Mulhim, Abdulaziz / Al Sadhan, Meshaal / Alkharji, Ali / Rajih, Emad / Alenizi, Abdullah M

Urology annals

2021 Volume 13, Issue 3, Page(s) 316–319

Abstract: Retroperitoneal schwannoma is a rare benign tumor of the peripheral nerve Schwann sheath. We, herein, report the case of a 74-year-old woman who presented with vague abdominal pain. Computed tomography imaging revealed a retroperitoneal mass that is ... ...

Abstract	Retroperitoneal schwannoma is a rare benign tumor of the peripheral nerve Schwann sheath. We, herein, report the case of a 74-year-old woman who presented with vague abdominal pain. Computed tomography imaging revealed a retroperitoneal mass that is medial to the right kidney. The patient underwent robotic excision of the tumor with the pathology revealing schwannoma. We report this case due to the scarcity of this disease entity, especially at this location and to emphasize the indication and value of robotic technology in different pathological processes retroperitoneally.
Language	English
Publishing date	2021-07-14
Publishing country	India
Document type	Case Reports
ISSN	0974-7796
ISSN	0974-7796
DOI	10.4103/UA.UA_99_20
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