Objectives: To assess the role of varicocele grade on seminal fluid parameters improvement post varicocelectomy. Methods: This retrospective study was conducted at Prince Hussein Urology and Organ Transplant Center from the period of January 2011 to December 2014. Two hundred and seventy five male patients with clinical varicocele who underwent varicocele surgery for abnormal seminal fluid parameters were involved in the study. Forty five patients had grade I varicocele, 132 patients had grade II varicocele and 98 patients had grade III varicocele. Two seminal fluids analysis tests were obtained from each patient preoperatively and another two (3-6) months postoperatively to assess the improvement in both sperm count and total sperm motility postvaricocelectomy. Results: The sperm count improved in all three grades of varicocele postoperatively. Grade III varicocele patients had the highest improvement from (21.5± 13.8 million/ml) to (39.8 ± 10.2million/ml), P value <0.05 in 81% of patients. The mean sperm count improvement for grade I , II and III varicocele was 10.1, 12.3 and 13.5 million/ml respectively. Also the total sperm motility improvement was the highest in patients with grade III varicocele from (34.5± 13.6 %) to (55.3 ± 11.9 %), P value <0.05 in 83% of patients. The mean sperm motility improvement postvaricocelectomy was 14.2% , 18.1% and 23.6% for grade I, II and III varicocele respectively. Conclusion: The grade of varicocele has a direct impact on sperm parameters improvements post varicocelectomy with grade III varicoceles had the greatest improvement.

Objective: To assess different histopathological types of superficial urinary bladder cancer, their recurrence incidence and correlation with upper urinary tract urothelial cancer. Methods: This retrospective study included 84 patients, of both genders; of different age groups and with histpathological diagnosis of superficial urothelial carcinoma at Prince Hussein bin Abdullah the second center for urology and organ transplant and at Prince Iman center for laboratory research, King Hussein medical centre, Amman, Jordan, during the period March 2010-May 2014. Transurethral resection of tumor was performed in all subjects with tumor grading and staging. Cystoscopic follow up was performed to record incidence of recurrence in all subjects. Results: The mean age of patients was 61 years; with male percentage (84.5%).Successful transurethral resection of tumor in first trial was achievable in 68 patients (80.95%). Multiple tumors were recorded in 35 patients (41.7%).Total recurrence incidence was recorded in 75% of patients. Subjects with TaG3 experienced delayed recurrence frequency of 22.2% with good recurrence-free period, while T1G3 subjects had less and early recurrence incidence of 15.9%. Conclusion: Early recurrence was recorded with tumor limited to sub epithelium (T1), while late recurrence was recorded with urothelium confined disease (Ta).

Introduction the study aims to match different volumes of nephrostomy balloon inflation to point out the foremost effective volume size of post percutaneous nephrolithotomy (PCNL) bleeding control. Methods we have retrospectively reviewed “560” medical records of patients who underwent percutaneous nephrolithotomy between (the years 2017 and 2018) at Prince Hussein Urology Center. The Patients were divided into two teams, group-1 (a number of 280 patients) with nephrostomy balloon inflated concerning three ml and group-2 (a number of 280 patients) the balloon inflated concerning one ml. The preoperative and postoperative hematocrit, the operation duration, the stone size, the postoperative pain severity, the transfusion rate and the duration of hematuria between the two groups were compared during hospitalization. Results regarding patients with ages (between 18 and 68 years); the preoperative hematocrit (mean values ± SDs) was (40.35% ± 3.57) vs (39.95% ± 3.43) for groups-1 and 2, respectively; the p value=0.066. The postoperative hematocrit was (37.91% ± 3.96) vs (34.38 ± 2.78), respectively; the p value was (0.008); the blood transfusion rate was 11.2% vs 13.4% (the p value was 0.039), respectively. The Postoperative pain score was (4.93 ± 1.44) vs (3.89 ± 1.45) (the p value was 0.012), respectively. Conclusion increasing the nephrostomy balloon volume to a “3cc” competes for a task to decrease bleeding which was found to be as a secure and considerable effective procedure-related factor. However, the disadvantage of this technique resulted in increasing the postoperative pain in patients undergoing such a procedure.

Bladder myxoma is a very rare tumor that happens in a benign manner. The mesenchymal origin is typically the supply of these tumors. This tumor is usually diagnosed by the excisional biopsy due to the difficulty of diagnosis preoperatively as different bladder tumors’ types. During this paper, we tend to represent a case report of this terribly rare mesenchymal growth within the urinary bladder which is an unusual location for myxoma tumors to occur. A 48-year-old feminine was hospitalized because of obscure abdominal pain. The patient underwent partial cystectomy, and the histopathology reported the presence of myxoma of urinary bladder.