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List of Publications

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1.       O. K. Z. Shaeer And K. Z. Shaeer. Laparoscopy-Assisted Pelvi-Scrotal Vasovasostomy. Andrologia 2004, 36, 311–314

2.       Osama K. Z. Shaeer And Kamal Z. Shaeer. Pelviscrotal Vasovasostomy: Refining And Troubleshooting. J Urol, 2005, 174:1935–1937

3.       K.Z. M. Shaeer And O.K. Z. Shaeer. Reviving The Value Of Reconstructive Surgery For Obstructive Azoospermic Infertility: Is It Worth It?. PAMJ 2004; 11:53

4.       O.K.Z. Shaeer and A. El Sebaie. Construction Of Neo-Glans Penis: A New Sculpturing Technique From Rectus Abdominis Myo-Fascial Flap. J Sex Med 2005; 2: 259–265

5.       O.K.Z. Shaeer, K.Z. Shaeer and A. El Sebaie. Refining Penile Lengthening: “V-Y Half-Skin Half-Fat Advancement Flap” Combined With Severing The Suspensory Ligament. J Sex Med 2006;3:155–160

6.       O.K.Z. Shaeer and K.Z. Shaeer. Penile Girth Augmentation Using Flaps “Shaeer’s Augmentation Phalloplasty”: A Case Report. J Sex Med 2006;3:164–169

7.       O.K.Z. Shaeer. Methylene Blue-Guided Repair of Fractured Penis. J Sex Med 2006;3:349–354

8.       Shaeer O. Correction Of Penile Curvature By Rotation Of The Corpora Cavernosa: A Case Report. J Sex Med 2006;3:932–937.

9.       O.K.Z. Shaeer and A. El-Sadat. Urethral Substitution Using Vein Graft For Hypospadias Repair: A Case Report. Ms. Ref. No.: JPUROL-D-05-00118R1. Nov 21, 2005

10.     O.K.Z. Shaeer and A.K.Z. Shaeer. Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique. J Sex Med 2007;4:218–225 

11.     Shaeer O. Penile Prosthesis Implantation in Cases of Fibrosis: Ultrasound-Guided Cavernotomy and Sheathed Trochar Excavation. J Sex Med 2007;4:809–814

12.     Shaeer O. Penoscopy: Optical Corporotomy and Resection for Prosthesis Implantation in Cases of Penile Fibrosis, Shaeer’s Technique. J Sex Med 2007;4:1214–1217

13.     Shaeer O. Restoration Of The Penis Following Amputation At Circumcision: Shaeer’s A-Y Plasty. JSM-08-2007-294. In Press.

14.     Shaeer O, El-Sebaie A, Sherif ِ ِِA, El-Sadat A. Re-Configuration of the Mutilated Glans. J sex Med. In Press.

15.     Shaeer O. Torsion Of The Penis In Adults: Prevalence And Surgical Correction. JSM-08-2007-295. In Press.

16.     El-Karaksy, T. Mostafa, O. K. Shaeer, D. R. Bahgat & N. Samir (2007) Seminal mast cells in infertile asthenozoospermic males. Andrologia 39, 244–247

17-Shaeer O. Management of Distal Extrusion of Penile Prosthesis:
Partial Disassembly and Tip Reinforcement by Double Breasting
or Grafting. J Sex Med 2008;5:1257–1262
18- Shaeer O. Shaeer's Corporal Rotation for Length-Preserving Correction of Penile Curvature: Modifications and 3-Year Experience. J Sex Med. 2008 Jul 1. [Epub ahead of print]. PMID: 18624969
19- Shaeer O. Implantation of Penile Prosthesis in Cases of Corporeal Fibrosis: Modified Shaeer's Excavation Technique. J Sex Med. 2008 Jul 1. [Epub ahead of print]. PMID: 18624970
20- O Shaeer and K Shaeer. Penile Prosthesis Surgery for the Fibrotic Penis. Current Sexual Health Reports. 2008; 5(4): 179-183
 

 

 

DETAILS OF SCIENTIFIC ACCOMPISHMENTS

 

Human sexuality and fertility are under explored branches of medicine. This is attributed to the fact they are sub-specialties in most institutions. This has lead to precipitation of many unsolved problems, and accumulation of disabled males that have no hope at cure and are subjected to random treatment that –in many cases- has aggravated their ailments.

 

Being a specialist in the field of Andrology, I have been totally devoted to the management of male sexuality and infertility disorders. I have upgraded my medical and surgical skills to collect the tools necessary for creating innovative solutions to the problems at hand, and have started targeting them one after the other.

 

 

Male Genital Surgery

 

Moving on to plastic surgery of the genital organs, I invented a number of surgical techniques that not only serve the purpose of aesthetic surgery, but help save patients with extreme disabilities due to brutal injuries or in-born disfigurement (congenital anomalies).

 

Management of Amputation of the Shaft of the Penis

 

 

The first group of un-privileged patients I have targeted where those with injuries to the penis. Considering that circumcision is done to ALL the Muslims and the Jewish, it is done to millions of boys worldwide. And considering that every surgery has possible complications, a procedure done to millions must result in thousands of complications (at least). This is the case. Circumcision has resulted in total and partial loss of the penis in many. The consensus was either to leave this victim as is, or if the victim is less than one year old, convert him to a female, which is easy, especially considering that the gender identity (feeling of masculinity) is not yet well formed at this age. This harsh destiny motivated me to devise a surgical solution:

 

Shaeer O. Restoration Of The Penis Following Amputation At Circumcision: Shaeer’s A-Y Plasty. JSM-08-2007-294. In Press.

 

This technique targets those with total amputation of the penis, restoring the penis by utilizing the reserve that is normally attached to the pubic bone, with security measures that will prevent retraction of that reserve back to where it came from.

 

Circumcision is not the only cause of injury. My colleagues all over the world and myself have treated gun shot injuries, cut injuries, caustic injuries, thermal injuries and car accidents that have mutilated the genitals. Strangest of all is the “hair-coil syndrome”, where a hair strand from the mother falls to the penis of the child, spontaneously wraps around it and tightens till it causes necrosis (death) of the penis, that falls off! We have treated a lot of these rare cases with our techniques.

 

 

This technique has been published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

 

Widening of the Penis

 

A thin (slim / narrow) penis is an in-born defect that can sometimes be treated by hormonal replacement, and in many cases requires surgery. All the surgical techniques available gave short term results, because the tissues used to augment the penis may or may not continue to live after surgery. This is because those tissues are harvested from some other place in the body, leaving behind their feeding blood vessels, and are transferred to the penis where they may or may not be able to find alternative source of blood. This has changed now. I have devised a surgical technique where I transfer tissues to the penis, while they remain attached to their feeding vessels. Not only that this provides permanent results, but it also gives a chance to reach the desired size, whatever it is, contrary to older techniques where one has to limit the thickness of the harvested tissues, since the thicker the tissues are, the more needy they are to blood:

 

Penile Girth Augmentation Using Flaps “Shaeer’s Augmentation Phalloplasty”: A Case Report

O.K.Z. Shaeer and K.Z. Shaeer

J Sex Med 2006;3:164–169

 

This technique has been published in the Journal of Sexual Medicine, and presented at the conference of the European Society of Sexual Medicine (Denmark 2005).

 

Elongation of the Penis

 

A short penis is a frequent congenital abnormality. The available surgical techniques have many drawbacks, mostly in the form of recurrence of shortening and in the fact that elongation is only in the flaccid position and not in the erect position. I devised a technique that effectively increases the length of the penis, omitting the drawbacks of the older established techniques.

 

Refining Penile Lengthening:  “V-Y Half-Skin Half-Fat Advancement Flap” Combined With Severing The Suspensory Ligament

O.K.Z. Shaeer, K.Z. Shaeer and A. El Sebaie

J Sex Med 2006;3:155–160

 

This technique has been published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

Mamagement of Faracture of the Penis

 

Another form of injury to the penis is ”Fracture Penis”, where pressure to the erect penis causes it to ”snap” due to tearing of the inner wall (tunica albuginea of the corpus cavernosum). This tear should be surgically repaired instantly. Upon surgical exploration, finding the tear is a difficult process and commonly prolongs operative time and increases surgical dissection and manipulation of this sensitive organ. My technique:

 

Methylene Blue-Guided Repair of Fractured Penis

O.K.Z. Shaeer

J Sex Med 2006;3:349–354

 

Provides guidelines for easy, speedy and accurate correction of this entity, leading to loss complications and shorter convalescence than previously.

 

This technique has been published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

Management of Penile Curvature

 

 

Penile curvature is a common problem, where the erect penis is bent  to a side. When the bend is more than thirty degrees, it commonly prevents a normal sexual relationship, despite good erection. Surgery is necessary. Current techniques have the drawback of making the penis shorter, since they rely upon shortening the convex side. A shorter penis is not acceptable to most people unless it is the only resort. An alternative was inserting tissues on the concave side (grafting). This resulted in sexual dysfunction. The technique I invented corrects the most extreme degrees of curvature with neither shortening nor erectile dysfunction:

 

Correction Of Penile Curvature By Rotation Of The Corpora Cavernosa: A Case Report

Shaeer O. J Sex Med 2006;3:932–937.

 

This technique has been published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

 

Hypospadias Repair with Saphenous Vein Tube Graft

 

Another group with congenital disfigurement is males with hypospadias, where the opening of the urethra recedes from the tip of the penis backwards. Surgical correction has a very high success rate, leading to a high rate of re-do surgeries. In this situation, the local tissues of the penis are already consumed in the first surgery. The alternatives have many downsides, among which is the fact that the intended urethra should be tubular, while the tissues used in the repair are flat and have to be “tabularized”. Tubularization is performed by suturing the edges of the tissue in use along the longitudinal axis. Leaks occur along this suture line. This is the main problem. For the first time, I proposed the alternative:

 

Urethral Substitution Using Vein Graft For Hypospadias Repair: A Case Report

O.K.Z. Shaeer and A. El-Sadat

Accepted for publication in the Journal of Pediatric Urology.

Ms. Ref. No.:  JPUROL-D-05-00118R1

Nov 21, 2005

 

Where I use a vein to substitute the urethra. Veins are tubular by nature, ommitting the troublesome longitudinal suture line, and providing an easy. Speedy repair with much better success rates.

 

 

Mamagement of Amputation of the Glans Penis

 

This technique targets those with amputation of the glans (head of the penis), making it possible to restore the shape of the penis using an abdominal muscle and special sculpturing techniques.

 

Construction Of Neo-Glans Penis: A New Sculpturing Technique From Rectus Abdominis Myo-Fascial Flap

O.K.Z. Shaeer and A. El Sebaie

J Sex Med 2005; 2: 259–265

 


This technique has been published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

 

Implantation of Penile Prosthesis in Cases of Extensive Fibrosis of the Penis

 

Penile prosthesis is a device that is implanted in case of failure of erection to restore rigidity. The prosthesis is inserted one rod into each corpus cavernosum, where a corpus cavernosum is a long cylinder that spans the wholw length of the penis. A penis harbours two corpora cavernosa.

 

The corpora cavernosa can be obliterated by fibrous tissue (firm inelastic tissue) that prevents erection and causes shortening. Implantation of a prosthesis becomes necessary but very difficult since the firm fibrous tissue prevents insertion of the prosthesis into the corpora without using significant force and agression that may cause serious injuries. The use of a sharp instrument is the solution, but is inapplicable since the instrument enters the cylindrical corpus cavernosum, a closed space, where it operated unseen, causing even more injuries.

 

I devised two surgical solutions for this problem:

 

O.K.Z. Shaeer and A.K.Z. Shaeer. Corporoscopic Excavation of the Fibrosed Corpora Cavernosa for Penile Prosethesis Implantation: Optical Corporotomy and Trans-Corporeal Resection, Shaeer’s Technique. J Sex Med 2007;4:218–225 

 

Where a cystoscope is used to visually control sharp resection within the corpus cavernosum, and

 

Shaeer O. Penile Prosthesis Implantation in Cases of Fibrosis: Ultrasound-Guided Cavernotomy and Sheathed Trochar Excavation. J Sex Med 2007;4:809–814

 

Where a sharp instrument is guided by ultrasonography from without.

 

Both techniques are published in the prestigious Journal of Sexual Medicine with an impact factor of 4.676.

 

On account of popularity of those techniques, I have been invited to publish the first one at the JSM SURGICAL HIGHLIGHTS section, which is restricted to the most famous professors in our field, where the professor describes how he performs a certain surgical technique, and the famous medical illustrator Lorry Patterson draws illustrations of the technique:

 

Shaeer O. Penoscopy: Optical Corporotomy and Resection for Prosthesis Implantation in Cases of Penile Fibrosis, Shaeer’s Technique. J Sex Med 2007;4:1214–1217

 

Management of Torsion of the Penis

 

Torsion of the penis occurs along its longitudinal axis. It is a frequent congenital abnormality that passes unnoticed. This work established its prevalence as well as evaluated surgical techniques for repair of extreme degrees:

 

Shaeer O. Torsion Of The Penis In Adults: Prevalence And Surgical Correction. JSM-08-2007-295. In Press.

 

 

Treatment of Mutilation of the Glans by Re-sculpturing

 

Mutilation  of the glans of the penis occurs as a congenital abnormality or as a complication of surgery or injury. Replacement of the glans with other tissues deprives the patient of the unique erogenous sensation of glanular tissues. If remnants of the glans still exist, they can be reconfigured into the shape of a relatively normal glans with preservationof the erogenous sensation:

 

Shaeer O, El-Sebaie A, Sherif ِ ِِA, El-Sadat A. Re-Configuration of the Mutilated Glans. J sex Med. In Press.

 

 

Treatment of Male Infertility

 

Restoration of Fertility Caused by Cutting the Vas Deferens as a Complication of Previous Surgery

 

My first accomplishment was a surgical technique for treating male infertility resulting from obstruction of the “vas deferens“ due to surgical mistakes. The vas deferens is the canal that transfers the sperm from the testis to the penis. It can be occluded as a complication of hernia repair and other surgeries. One author reported this catastrophe to be up to 27% of cases of childhood herniotomy:

 

Matsuda T (2000) Diagnosis and treatment of postherniorrhaphy  vas deferens obstruction. Int J Urol 7 (Suppl):35–38.

 

As common as it is, this problem had no reasonable solution. The options were to perform intracytoplasmic sperm injection (ICSI) (the so-called tube babies) or to open up a large incision on each side of the abdomen on top of the previous large incisions of the hernia repair, and try the impossible  process of finding and re-attaching the remnants of the vas deferens within the chaotic site of the previous surgery.

 

In 2004, I proposed for the first time my surgical technique: “Pelvi-scrotal vasovasostomy”, where the natural reserve of the vas deferens that is found deep in the pelvis is utilized to go straight to the testis bypassing the site of obstruction. This was achieved through very small incisions, a virtue of laparoscopy.

 


 

This technique was published in the German “Andrologia” and the American “Journal of Urology”

 

Laparoscopy-Assisted Pelvi-Scrotal Vasovasostomy

O. K. Z. Shaeer And K. Z. Shaeer

Andrologia 2004, 36, 311–314

 

Pelviscrotal Vasovasostomy: Refining And Troubleshooting.

Osama K. Z. Shaeer And Kamal Z. Shaeer

J Urol, 2005, 174:1935–1937

 

It was presented in the International Congress of Andrology (North Korea, 2005) and the Congress of the French Society of Andrology (France 2005). The International Congress of Andrology is the most prestigious event in the field of Andrology. In this very congress, I was honored to be Chairman of a session, in addition to my lecture, in appreciation to my scientific contributions to the field.

 

Evaluation of the Value of Surgical Correctiojn of Obstructive Infertility

 

In the same domain: surgical correction of male infertility, I published a paper that aimed at highlighting novel tips and tricks that could improve the results of surgery for obstruction of the vas deferens and the rest of the sperm track:

 

Reviving The Value Of Reconstructive Surgery For Obstructive Azoospermic Infertility: Is It Worth It?

K.Z. M. Shaeer And O.K. Z. Shaeer

PAMJ 2004; 11:53

 

Surgical correction was abandoned by many in favor of ICSI (tube babies), despite its high cost and low success rate. Reviving the value of surgery for correcting seminal tract obstruction provides a cost-effective solution for NATURAL conception.

 

 

Evaluation of Seminal Mast cells in Male Infertility

 

In this work, we try to establish the correlation between the concentration of mast cells in semen and male infertility, and propose this as a possible explanation of the realtion between smoking and male  infertility.

 

El-Karaksy, T. Mostafa, O. K. Shaeer, D. R. Bahgat & N. Samir (2007) Seminal mast cells in infertile asthenozoospermic males. Andrologia 39, 244–247

 

My work in the field of Andrology is not yet done. I have a long list of ideas queued, in the hope of shedding light on dark areas of male sexual and reproductive health.

 


 

 
     

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Intellectual Property Registration number 00320, Ministry of Communication, Egypt