Hassan S. Shaker

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PURPOSE Sacral root neuromodulation is becoming a superior alternative to the standard treatment of idiopathic nonobstructive urinary retention. We report results in 20 successive patients who underwent sacral foramen implantation to restore bladder function. MATERIALS AND METHODS After an initial, thorough baseline assessment 20 patients 19.43 to 55.66(More)
PURPOSE Sacral foramina implants have been recognized recently as a method for treatment of refractory urinary urge incontinence. We study the outcome of the procedure with in-depth analysis of the results of 18 implanted cases. MATERIALS AND METHODS Patients with urinary urge incontinence were subjected to percutaneous nerve evaluation of the S3 roots as(More)
Detrusor-sphincter dyssynergia is a main problem in supra-sacral spinal cord injured patients. The problem of high pressure voiding is also encountered in most electrically induced micturition because of the mixed somatic and autonomic fiber components of the ventral sacral root. We studied the effect of selective high-frequency blockade at the sacral nerve(More)
AIMS To examine the efficacy of using fibrin glue (FG) as an interpositioning layer in the repair of complicated vesioovaginal fistulae (VVFe) as compared to the classical repair using martius flaps (Ml'). METHODS The study was conducted in 3 African institutions. Forty female patients with complicated VVFs were randomized into 2 groups. Group A were(More)
OBJECTIVE To test the hypothesis that not trimming the edges of the vesico-vaginal fistula (VVF) during its surgical repair has an advantage in the outcome as compared to the classical teaching of trimming the fistula. METHODOLOGY Sixty-four females with obstetric VVF were randomized into two groups. Both groups were treated with vaginal anatomical(More)
PURPOSE High power 980 nm diode laser ablation of the prostate using the side firing fiber has proven its efficiency and safety in treating lower urinary tract symptoms secondary to benign prostatic hyperplasia. Nevertheless, this procedure is associated with some drawbacks such as prolonged irritative symptoms and tissue sloughing. In this study we(More)
OBJECTIVE To determine whether sacral root neuro-modulation (a promising therapeutic modality in patients with refractory voiding and storage problems) has its effect through the blockade of C-afferent fibres that form the afferent limb of a pathological reflex arc responsible for the dysfunction of bladder storage. MATERIALS AND METHODS The study(More)
In this work, we are presenting a rat animal model for bladder hyperreflexia after suprasacral spinal cord transection. Our aim was to standardize an animal model that can be useful in studying this condition. After standardizing the animal model in a pilot study, 26 female Sprague-Dawley rats were subjected to spinal cord transection at the level of T10(More)
The objective of this work is to test the ablation capability and fiber degradation of the novel Twister fibers (TW), in both the large (LTW) and the standard (STW) sizes, against the standard side-firing (SF) fiber in a clinical setting during the treatment of BPH patients using the 980-nm high-power diode laser (HPDL). One hundred and twenty BPH patients(More)
This study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL). Sixty female patients with SUI underwent TOT operation, outside–in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using(More)