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One hundred diuresis samples were collected from patients with urinary tract infection from Al-Diwaniyah General Teaching Hospital in Al-Diwaniyah city for the period from January 1, 2019, to August 1, 2019, as 35 isolates belonging to the sex of streptococcus were isolated and with an isolation rate of 35% of the total 100 diuresis samples, The yield of 20 isolates to the negative staphylococcus aureus was tested for cocaine, and 5 isolates were of type S. xylosus, with an isolation rate of 25% of the total negative staphylococci for testing cocaine, and by 5% of the total of the reagent samples. These biochemical bacteria were diagnosed using the API Staph system. The clinical stages of the infection are in the subacute or chronic phase without clear symptoms. Streptococcus unproductive streptococcus resistant and anti-life antibody novobiocin, especially S. saprophyticus, are most common in urinary tract infections in immunocompetent patients, and mild infection in women is accompanied by dysuria. Young women between the ages of 16-16 years old to 42%. It affects the ureter in men. It can cause cystitis, pyelonephritis and glomerulonephritis. This group possesses a high affinity to epithelial cells, and this comes from the participation of different proteins such as a 160-Kd protein with Hemagglutinin and Fibriller protein, and it is symbolized by 95-Kd, which is found in 98% of clinical isolates.

To assess the benefit and safety of composite therapy (Tamsulosin and Trospium drugs) in treating benign prostatic enlargement complain, mainly overactive urinary bladder symptoms. OBJECTIVE: The study has been designed to estimate the benefit and safety of Trospium and Tamsulosin in processing of symptoms of excessive bladder and benign prostate hyperplasia (BPH). Patients and Methods: Prospective clinical trial study conducted at Al-Diwaniya teaching hospitals and private clinics from march 2016 to march 2017, to patients BPH and bothersome symptoms. 60 patients were treated with Tamsulocin and 60 patients were treated by Tamsulocin and Trospium. RESULTS: Median scores of IPSS, OABSS, and QOL proved no big difference between two study sets before staring treatment (P = 0.544), (P = 0.287) , (P = 0.668) consecutively. After one month, both treatments led to a big reduction in IPSS, OABSS median score; (P < 0.001), (P < 0.001). Following three months, both treatments resulted in significant reduction in IPSS (P < 0.001), OABSS (P < 0.001), QOL result, (P < 0.001) consecutively. Conclusion: These results suggest which treatment with Trospium and tamsulosin therapy provides benefit for men with natural - Syndrome of the acute urinary tract and benign enlarged prostate.

Stress urinary incontinence (SUI) causes a significant physical and psychological burden on women. The laparoscopic vaginal suspension (LC), used in the treatment of women with SUI, is known for its advantages such as smaller incisions, short hospital stays, and better aesthetic results. This article throws light upon the advantages and disadvantages of LC and open Burch vaginal (OC) incontinence along with its associated complications.Between December 1, 2017 and February 10, 2019, 26 women with SUI with physical, social, and psychological consequences from two hospitals were enrolled in this study. The sample was divided into two equal groups of 13 women each. Data were collected and statistically analyzed. P ≤ 0.05 is statistically significant.The study showed that the operational time was significantly shorter in the OC method compared to the LC approach (59.2 ± 5.3 min and 91 ± 4.5 min, respectively). Mean blood loss was higher in the OC approach than in the LC approach (152.2 ± 30.3 and 143.3 ± 38.6, respectively). The LC approach has minimal pain and a shorter hospital stay compared to the OC approach. Patients with the LC approach required less analgesia (8.9 ± 1.3 mg vs 2.5 ± 1.8 mg) and less hospital stay (110.3 ± 11.4 h vs 70.2 ± 8.9 h) after surgery. Resumption of normal activity was faster in the LC approach [25.1 ± (12.6) days, 18.9 ± (12.5) days] than in the OC approach. There was no significant difference between the OC and LC approaches in terms of complications.Although LC is a superior and less invasive approach than the OC approach in terms of hospital stay, blood loss, pain, and recovery time, the operation time is longer.

To assess the consequence of tubularized incised plate urethroplasty on primary hypospadias repair. Total of 42 male patients underwent hypospadias repair in AL-Diwaniyah Teaching Hospital/Iraq. from April 2016 to April 2018. The levels of the hypospadias defect, age at operation, type of sutures and dressing, type of catheter and time of removal and complications were verified. Tubularized incised plate urethroplasty done for all patients and mean patients age at operation was 4.4 years (range 1 year to 8year). Postoperative follow up was 1 to 3 months. Generally, meatal stenosis, dehiscence due to infection and an urethrocutaneous fistula occurred in 3,2and 6 patients, respectively. T.I.P. urethroplasty has come to be the favourite surgical procedure of distal hypospadias cases at our hospital. The technique has a small number of complications in addition to prove success and adaptability that continue to increase its application.

The urologists have several options for treating ureteral stones in the range of 8-15mm. Of that range, this study makes a comparison between ESWL and ureteroscopic holmium laser lithotripsy in the treatment of ureteric stone. In spite of that ureteroscopy and ESWL are invasive procedures, still there is controversy which of them is more suitable for treating ureteral stones condition. Study Aim: This study conducts a review to compare the effectiveness, safety and complications of using ureteroscopic holmium laser lithotripsy and ESWL in treating of ureteral stones. Study Methods: Eighty ureteroscopic holmium laser lithotripsy or ESWL-treated patients between April 2016 and April 2017 in Al-Diwaneyah teaching hospital who is having 8–14mm single radiopaque ureteral stone, were assessed. All of the patients in the study sample were subjected to follow-up period of seven months using ultrasonography. Then, comparison was made to identify stone clearance rate, potential complications and cost. Study Results: Results show that There is resemblance in treatment time and stone clearance rate between the two treatments. Generally, the total cost, the procedural time and analgesia requirements and were noticeably variant. Additionally, gross hematuria and renal colic were more frequent with ESWL procedure, while the voiding symptoms show more frequency with ureteroscopy procedure. The two procedures that were applied for the treatment of 8-14mm range ureteral stones proved to be the least invasive and secure.

Objectives: The objectives of this study were to study the efficacy of diode laser prostatectomy in patients infected with benign prostatic enlargement.Methods: A total of 62 men were included in our prospective clinical study from August 2017 to January 2018. The size of their prostates (ml) was ranged from 38 to 65, digital rectal examination for all patients was revealed the features of benign prostatic enlargement, prostate-specific antigen was ranged from 0.3 to 14 ng/ml, underwent laser prostatectomy (Diode laser).Results: The study included 62 men with 67.82±7.57 years. After the operation, the median maximum flow rate (Qmax) was increased 11–22 ml/s and the increment was highly significant (p