This prospective study aimed to investigate the relationship between metabolic syndrome (Met S) and premature ejaculation (PE) among men. The study included 300 consecutive male patients (53.6 y ± 8.7) who attended the urology clinic (December 2013-September 2014), mostly complaining of renal/ureteric calculi. A diagnostic approach was undertaken to include demographics, clinical features and laboratory investigations of the study subjects. Both erectile function and PE were evaluated using the International Index of Erectile Function (abridged form, IIEF-5) and Premature Ejaculation Diagnostic Tool (PEDT) questionnaires, respectively. Results identified 182 (60.7%) men had Met S. Prevalence of PE was significantly higher in the subjects with Met S than the controls (35.2% vs 7.6%, p < 0.001). Patients with Met S and PE had significantly higher PEDT scores (15.4 vs 6.7), smaller waist circumference (108.3 cm vs 111.5 cm) and higher fasting blood sugar (187 mg% vs 161 mg%) than those with no PE (p < 0.001, 0.047 and 0.019, respectively). The other variables including IIEF-5 score, body mass index, serum triglycerides and high-density lipoprotein (14.98 vs 16.8, 30.6 vs 31.5, 192.9 mg% vs 178.1 mg% and 37.4 mg% vs 36.2 mg%, respectively) did not reveal significant differences. Both systolic hypertension and erectile dysfunction (ED) had significant associations (p = 0.047 and <0.001, respectively) with PE in Met S. In conclusion, PE has a high prevalence in Met S. Patients with Met S should be questioned about PE. Both ED and systolic hypertension may be associated with PE. Prevention of Met S should be considered, and this may be of help to decrease the prevalence of PE.

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Upper Baharyia formation is a common reservoir in the Western Desert of Egypt. It is characterized as a heterogeneous reservoir with low sand quality and shale interbeds that make hydraulic fracturing a mandatory technique to economically develop these marginal fields. The continuous economic field development requires an efficient application of hydraulic fracturing, which, in turn, requires understanding fracture propagation paths and the area of pay affected by the fracture treatment to optimize well spacing and placement and determining the best injection pattern for optimizing sweep efficiency. To optimize the fracture design, a microseismic monitoring technique was implemented for the first time in Khalda concession, Western Desert of Egypt to diagnose the hydraulic fracture and improve field development strategies. Two hydraulically fractured wells were monitored in an attempt to assess the fracture propagation and perform fracture model calibration to develop a predictive tool for hydraulic fracture design and to indicate the fracture growth as the fractures are being created by rock failure. The objectives of this fracture mapping were to (1) measure fracture geometry (height, length and azimuth) and (2) provide immediate information that could be used on offset spacing and azimuth strategy associated with future wells. The results of microseismic fracture mapping are being integrated with the planned stimulation model, mini-frac data, stress profile and geological information shall be combined to calibrate the fracturing model for future fracturing campaigns in Upper Baharyia formation.