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1. Subject Index Vol. 48, 2004

Author

Jae Hyuk Lee, John S. Hancock, Fadi W. Abdul-Karim, Venetia R. Sarode, Sanjay Gupta, Neeta Kumar, Nancy Wang, Rosemary Leeming, Tsutomu Arai, Josefina Mora, Babak Shirazi, Pamela Thompson, Marcus J. Trunk, Dennis C. Wooten, Perikala V. Kumar, Shahid Islam, Barbara Keller, Kyle Molberg, Stanley L. Inhorn, Chan Choi, Volker Schneider, Omar M. Malkawi, Hana Khasrof, Patricia Wasserman, Maria Drijkoningen, Charlotte Gabriel, Wijdan K. Ajour, Dana Carpenter, Rhonda Whalen, Rei Miike, Shyama Jain, Thomas L. Hearn, Yoo Duk Choi, M. Kawaguchi, Sang-Woo Juhng, Ahmad Monabati, Jong Hee Nam, Karen L. Chew, Toshiko Jobo, Mona Sharaan, H. Ikenberg, Margaret Wrensch, Raheela Ashfaq, Rubina Cocker, John D. Hom, Ardhendu Bikash Mitra, Gisela Dallenbach-Hellweg, Pushpa Sodhani, Abdel Karim Khawaldeh, Ruediger Ridder, Eileen B. King, Abdul Rasool Talei, Enrique Lerma, Ruth Achten, Toby Merlin, Alia Izat, Ahmad A. Omari, Ashok Sehgal, Young Hyo Choi, Magnus von Knebel Doeberitz, Seyed Ali Sobhani, Nicholas L. Petrakis, Fares H. Haddad, Veena Singh, K. U. Petry, Lori M Watumull, Hiroyuki Kuramoto, and MariBeth Gagnon

Subjects
Histology, Index (economics), business.industry, Statistics, Medicine, Subject (documents), General Medicine, business, Pathology and Forensic Medicine
Published
2004
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2. Patterns of Testicular Cytology in Men with Primary Infertility

Author

Wijdan K. Ajour, Ahmad A. Omari, Abdel Karim Khawaldeh, Alia Izat, Hana Khasrof, Fares H. Haddad, and Omar M. Malkawi

Subjects
Infertility, Gynecology, medicine.medical_specialty, Histology, Testicular atrophy, medicine.diagnostic_test, business.industry, General Medicine, Testicle, medicine.disease, Pathology and Forensic Medicine, Male infertility, medicine.anatomical_structure, Fine-needle aspiration, Cytology, Biopsy, medicine, business, Luteinizing hormone
Abstract

OBJECTIVE To evaluate the patterns of testicular cytology in men with primary infertility, to compare the morphologic patterns between the periods 1990-1995, immediately after Gulf War II, and 1997-2001 and to determine whether there is a correlation between hormonal profile, testicular volume and morphologic pattern. STUDY DESIGN Retrospective study of men with primary infertility. History, complete physical examination, hormonal assay and testicular ultrasound were evaluated. A total of 545 patients had samples for testicular cytology obtained from both testes. The patient's consent was obtained in all cases. Smears were interpreted under light microscopy after treatment with Diff-Quik. A total of 104 healthy, fertile subjects were used for comparison of the hormonal profile and testicular volume. RESULTS The mean (+/- SD) age was 28.66 +/- 4.36 years and duration of marriage 4.4 +/- 4.36 years. There were 11.2% patients with normal cytology, 55.8% with hypospermatogenesis, 28.4% with testicular atrophy, 2.9% with Sertoli cells only and 1.7% with maturation arrest. A significant increase in hypospermatogenesis and decrease in the Sertoli cell-only pattern were noted in 1997-2001 when compared with 1990-1995. The mean left testicular volume was 10.53 +/- 5.51 mL3 in the infertile group vs. 15.2 +/- 4.97 in the fertile group (p < 0.003); right testicular volume was 10.84 +/- 4.77 vs. 15.15 +/- 5.31 (p < 0.003). The hormonal profile revealed higher luteinizing hormone and follicle-stimulating hormone levels in the infertile group vs. control group (8.53 +/- 9.03 and 16.44 +/- 19.243 vs. 6.98 +/- 4.53 and 7.37 +/- 6.63, respectively [p < 0.001]). Free testosterone was higher in the fertile group (39.69 +/- 12.76 vs. 20.28 +/- 8.5 [p < 0.000]). CONCLUSION The majority of infertile males in our cohort had hypospermatogenesis; testicular atrophy was the next most common disorder. There was no major change in overall absolute numbers since the Gulf War. Testicular cytology by fine needle aspiration is a safe and well-tolerated complementary investigation for unexplained male infertility.

Published
2004
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3. Contributor Index Vol. 48, 2004

Author

Venetia R. Sarode, Shyama Jain, Veena Singh, Sanjay Gupta, Charlotte Gabriel, Neeta Kumar, Margaret Wrensch, Toby Merlin, Patricia Wasserman, Hana Khasrof, Enrique Lerma, Toshiko Jobo, Gisela Dallenbach-Hellweg, Rubina Cocker, Rhonda Whalen, Chan Choi, Marcus J. Trunk, Miwa Kawaguchi, Thomas Hearn, Fares H. Haddad, Ahmad Monabati, Jae Hyuk Lee, Karen L. Chew, Alia Izat, Josefina Mora, Fadi W. Abdul-Karim, K. U. Petry, Dennis C. Wooten, Perikala V. Kumar, Sang-Woo Juhng, Stanley L. Inhorn, Omar M. Malkawi, H. Ikenberg, John D. Hom, Pushpa Sodhani, Ashok Sehgal, Abdul Rasool Talei, Volker Schneider, Nicholas L. Petrakis, Hiroyuki Kuramoto, Rei Miike, MariBeth Gagnon, Ruth Achten, Rosemary Leeming, Jong Hee Nam, Pamela Thompson, Maria Drijkoningen, Raheela Ashfaq, Nancy Wang, Abdel Karim Khawaldeh, Eileen B. King, Dana Carpenter, Shahid Islam, Barbara Keller, Kyle Molberg, Ruediger Ridder, Tsutomu Arai, Lori M Watumull, Ardhendu Bikash Mitra, Mona Sharaan, Wijdan K. Ajour, Babak Shirazi, John Hancock, Yoo Duk Choi, Magnus von Knebel Doeberitz, Seyed Ali Sobhani, Young Hyo Choi, and Ahmad A. Omari

Subjects
Histology, Index (economics), business.industry, Medicine, General Medicine, business, Pathology and Forensic Medicine, Demography
Published
2004
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4. Patterns of testicular cytology in men with primary infertility: any change since the Gulf War?

Author

Fares H, Haddad, Ahmad A, Omari, Omar M, Malkawi, Wijdan K, Ajour, Alia, Izat, Hana, Khasrof, and Abdel Karim, Khawaldeh

Subjects
Adult, Male, Jordan, Sertoli Cells, Incidence, Biopsy, Fine-Needle, Cell Biology, Environmental Exposure, Organ Size, Gulf War, Infertility, Testis, Humans, Atrophy, Gonadal Steroid Hormones, Spermatogenesis, Gonadotropins, Retrospective Studies
Abstract

To evaluate the patterns of testicular cytology in men with primary infertility, to compare the morphologic patterns between the periods 1990-1995, immediately after Gulf War II, and 1997-2001 and to determine whether there is a correlation between hormonal profile, testicular volume and morphologic pattern.Retrospective study of men with primary infertility. History, complete physical examination, hormonal assay and testicular ultrasound were evaluated. A total of 545 patients had samples for testicular cytology obtained from both testes. The patient's consent was obtained in all cases. Smears were interpreted under light microscopy after treatment with Diff-Quik. A total of 104 healthy, fertile subjects were used for comparison of the hormonal profile and testicular volume.The mean (+/- SD) age was 28.66 +/- 4.36 years and duration of marriage 4.4 +/- 4.36 years. There were 11.2% patients with normal cytology, 55.8% with hypospermatogenesis, 28.4% with testicular atrophy, 2.9% with Sertoli cells only and 1.7% with maturation arrest. A significant increase in hypospermatogenesis and decrease in the Sertoli cell-only pattern were noted in 1997-2001 when compared with 1990-1995. The mean left testicular volume was 10.53 +/- 5.51 mL3 in the infertile group vs. 15.2 +/- 4.97 in the fertile group (p0.003); right testicular volume was 10.84 +/- 4.77 vs. 15.15 +/- 5.31 (p0.003). The hormonal profile revealed higher luteinizing hormone and follicle-stimulating hormone levels in the infertile group vs. control group (8.53 +/- 9.03 and 16.44 +/- 19.243 vs. 6.98 +/- 4.53 and 7.37 +/- 6.63, respectively [p0.001]). Free testosterone was higher in the fertile group (39.69 +/- 12.76 vs. 20.28 +/- 8.5 [p0.000]).The majority of infertile males in our cohort had hypospermatogenesis; testicular atrophy was the next most common disorder. There was no major change in overall absolute numbers since the Gulf War. Testicular cytology by fine needle aspiration is a safe and well-tolerated complementary investigation for unexplained male infertility.

Published
2004

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