Clinical articles written by Prof. Dr. Samir Ahmed Al-Samarrai, consultant urologist at Prof. Al-Samarrai Medical Center in Dubai Healthcare City, including series that summarise the European Association of Urology (EAU) guidelines on the prostate, male infertility, the bladder, urological cancers and infections.
Each article is also listed under its topic, such as Prostate, Urological Cancers and Male Infertility & Men's Health. See also our urology services.
References
Quick answer: Nocturia means waking at night to pass urine. In men it is not always caused by the prostate; it can result from producing too much urine at night, poor sleep, heart, kidney or diabetes problems, or certain medicines. A bladder diary helps find the cause, and treatment targets that cause first, often starting
Benign Prostatic Enlargement, Part 4: Management of Nocturia in Men with LUTS Read More »
Quick answer: Surgery is considered when an enlarged prostate causes troublesome symptoms despite medicines, or complications such as retention, bleeding, stones or kidney effects. TURP remains the reference operation, and laser enucleation or vaporisation and water vapour therapy are established alternatives. The choice depends on prostate size, health, blood-thinning medicines and whether preserving ejaculation matters.
Benign Prostatic Enlargement, Part 3: Surgical Therapy Read More »
Quick answer: Many men with mild symptoms from an enlarged prostate start with lifestyle changes and monitoring. If symptoms are bothersome, medicines can help: alpha-blockers relax the prostate and work quickly, while 5-alpha-reductase inhibitors shrink larger prostates slowly. Combinations are used for some men. Plant-based products have modest, mixed evidence. The doctor chooses treatment. Review
Benign Prostatic Enlargement, Part 2: Pharmacological Treatment and Phytotherapy Read More »
Quick answer: Benign prostatic enlargement is a non-cancerous growth of the prostate that becomes common with age and can cause a weak stream, straining, frequency and waking at night to urinate. It does not increase prostate cancer risk. Assessment usually includes symptom questions, a bladder diary, examination, urine and PSA tests, and sometimes flow tests
Benign Prostatic Enlargement, Part 1: Aetiology and Diagnostic Evaluation Read More »
Quick answer: Male hypogonadism means the body does not make enough testosterone, sperm or both. Symptoms include low sex drive, erectile problems, low energy, low mood and poor sleep. Diagnosis needs typical symptoms plus repeated morning blood tests. Testosterone therapy may help confirmed cases but is unsuitable for men who wish to father children. Review
Quick answer: Sexual and reproductive health problems in men are common and become more frequent with age. Erectile dysfunction shares risk factors with heart disease, including diabetes, high blood pressure, high cholesterol and obesity, so it can be an early warning sign. A medical check-up and healthier lifestyle often help both sexual and general health.
Sexual Dysfunction and Male Reproductive Health: Epidemiology and Prevalence Read More »
Quick answer: Obstructive azoospermia means the testicles make sperm but a blockage stops it reaching the semen, for example after vasectomy, infection or a congenital absence of the vas deferens. The EAU Guidelines recommend microsurgical repair of the blockage where possible, or retrieving sperm directly from the epididymis or testicle for use with ICSI. Review
Male Infertility, Part 4: Treatment of Obstructive Azoospermia Read More »
Quick answer: Idiopathic male infertility means sperm count, movement or shape is reduced but no clear cause is found after full assessment. The EAU Guidelines say this applies to a large share of infertile men and may involve oxidative stress, sperm DNA damage, environmental exposures or genetic factors. Care focuses on lifestyle improvement and, when
Male Infertility, Part 3: Idiopathic Infertility and Oligo-astheno-teratozoospermia Read More »
Quick answer: A varicocele is a swelling of the veins above the testicle, usually on the left, that can lower sperm quality. The EAU Guidelines advise treating it only when a man has a clinical varicocele, abnormal semen results and otherwise unexplained infertility. Infections of the prostate and other accessory glands are treated, though this
Male Infertility, Part 2: Varicocele and Male Accessory Gland Infections Read More »
Quick answer: The EAU Guidelines define infertility as a couple not conceiving within 12 months of regular unprotected intercourse; in male infertility the cause lies partly or wholly with the man. It is common and often treatable. Causes include testicular problems, blocked sperm ducts, hormone or genetic disorders, varicocele, past mumps or high fevers, and
Male Infertility, Part 1: Epidemiology, Aetiology and Risk Factors Read More »
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البروفيسور الدكتور سمير أحمد السامرائي، استشاري المسالك البولية.
رقم الترخيص (MOHAP): ZGU3I12X-291225
