B. Balagobi

A prospective study on ablative therapy for small renal masses (SRM) at a tertiary care centre in Sri Lanka

K. Kiritharan, S. Sangavi, M. Nivetha, V. Thishanthini et autres

Introduction: Renal cell carcinoma (RCC) is the fourteenth most common malignancy. Improved cross-sectional imaging has increased the identification of small renal masses (SRMs), resulting in a change in care to nephron sparing techniques such as microwave ablation (MWA). This study evaluated the …

A Paediatric Urethral meatal lump.

B. Balagobi

Factors affecting the Phase I academic performance of undergraduate students in Faculty of Medicine, University of Jaffna

B. Balagobi, Sharma S. Thuraisamy, S. Sanchayan, S. Gobishangar et autres

Introduction: Academic performance of students in medical school is affected by multiple student factors. Understanding these determinants is essential for educators to devise interventions that can help students manage stress and improve their academic performance. The aim of this study was to …

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30-day postoperative mortality and the effects of hospital preparedness during the COVID-19 pandemic: a pooled analysis of prospective international cohort studies

Dmitri Nepogodiev, Dmitri Nepogodiev, Kamarajah SK, Aneel Bhangu et autres

Background: Surgical services were poorly prepared for the COVID-19 pandemic, leading to widescale disruption to elective activity. This study aimed to identify actionable priorities to strengthen pandemic preparedness of surgical and hospital systems. Methods: This study pooled data from three international, prospective …

Safety and equity in scaling minimally invasive surgery worldwide in 109 countries using cholecystectomy as a tracer procedure: a prospective cohort study

Sivesh K. Kamarajah, Omar Kouli, Wee Han Ng, Riinu Pius et autres

BACKGROUND: Minimally invasive surgery is rapidly expanding globally, yet there is insufficient knowledge of how to scale this technology safely and equitably across diverse health systems. We aimed to identify health-system factors associated with safe implementation of minimally invasive surgery globally, using …

Introduction to Male Sexual Dysfunction (MSD)

B. Balagobi, Gökhan Çalık, A. I. El-Sakka

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Gynecological Morbidity in Geriatric Women: Findings From a Cross-Sectional Study in a Tertiary Care Center in Northern Sri Lanka

S. Raguraman, B. Balagobi, Powsiga Uruthirakumar, Shribavan Ganeshamoorthy et autres

Background and objective Gynecological disorders are prevalent among elderly women due to ageing and hormonal changes in the post-reproductive period. However, there is limited evidence in Sri Lanka to guide the provision of optimal care for geriatric women with these conditions. Therefore, …

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Global Andrology Forum (GAF) Clinical Guidelines on the Management of Non-obstructive Azoospermia: Bridging the Gap between Controversy and Consensus

Taha Abo-Almagd Abdel-Meguid Hamoda, Rupin Shah, Taymour Mostafa, Germar‐Michael Pinggera et autres

PURPOSE: Non-obstructive azoospermia (NOA), defined as the absence of sperm in the ejaculate due to testicular failure, is observed in 5% to 15% of infertile men and accounts for two-thirds of azoospermia cases. The management of NOA is marked by significant controversy …

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Antibiotic Sensitivity Patterns of Uropathogens in Hospitalized Patients at Teaching Hospital Jaffna

K. Thilukshikka, A. N. Anuruddha, M. V. Spelman Croos, R. Erandi et autres

Indiscriminate use of antibiotics has led to the emergence of antibiotic resistance in hospital settings. Awareness of local antimicrobial resistance patterns is essential for prudent empirical therapy of urinary tract infections. This study describes the uropathogens isolated, their antibiotic sensitivity patterns and …

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Spectrum of male lower urinary tract symptoms and erectile dysfunction at a tertiary care urology clinic: A prospective study

B. Balagobi, Santa Sarma, Sujeenthan Sripandurangana, Sreekanthan Gobishangar et autres

Introduction: Lower Urinary Tract Symptoms (LUTS) significantly impact men's quality of life, often due to benign prostatic occlusion. Erectile dysfunction (ED) is also linked to LUTS. Therefore, the study was aimed to assess the severity of LUTS associated with demographic and clinical …

High sperm DNA fragmentation – finding a needle in the haystack: tips on selecting the best sperm for ICSI and ART

Elisabetta Baldi, Giovanni M. Colpi, Zhongwei Huang, B. Balagobi et autres

High levels of sperm DNA fragmentation (SDF) are associated with reduced assisted reproductive technology (ART) outcomes. Currently, SDF is not included in routine clinical assessment of male partners of infertile couples, but the 6th edition of the World Health Organization (WHO) manual …

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Prevalence of subfertility and associated factors in Jaffna District, Sri Lanka: A cross sectional study

S. Raguraman, B. Balagobi, Y. Shanmuganathan, Uruthirakumar Powsiga et autres

Subfertility is an emerging health problem in Sri Lanka, associated with many factors. Most subfertility issues can be dealt with excellent efficacy of early detection and management. The unavailability of the prevalence and associated subfertility factors in the Jaffna district paved the …

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