On October 22-25, 1996 in Alexandria, Egypt one of the major resorts on the Mediterranean and famous for its ancient medical school and library, the First Pan Arab Congress of Andrology took place. It was organized by Kamal Z. Mahmoud and A.H. El Beheiry. On the first day of the Congress the opening ceremony was followed by a concert and two lectures about Andrological Sciences in the Arab Heritage by Dr. Mahmoud and Dr. A. Abdel Fattah.

On the second day, there were 5 sessions. The first plenary lecture was about the role of andrology today by G.M.H. Waites, president of the International Society of Andrology. He explained the roles and responsibilities of andrologists which are based on the component disciplines of the subject of andrology: from basic science to clinical practice, from drugs and other treatments of male infertility to the provision of methods of fertility regulation for men. The second session was on STDs and AIDS in the Arab World by M. Wahdan (WHO), in Kuwait by A. Al Fawzan and in Saudi Arabia by S. Hamdi. They explained the low incidence of these diseases in the Arab countries.

The second plenary lecture was presented by A.V. Steirteghen (Belgium). He reviewed the experience of his team on intracytoplasmic sperm injection (ICSI) during the years 1991-1995 at the Brussels Free University Centre for Reproductive Medicine. ICSI was carried out in 97% of the 9,693 planned treatment cycles. The first ICSI child was born in January 1992 and at the time of this Congress 1,123 children have been born.
The fourth session reviewed the treatment of severe male factor infertility. This session included a lecture by W.B. Schill (Germany) about the intracytoplasmic sperm injection of ejaculated, epididymal and testicular spermatozoa. High fertilization rates have been achieved even in extreme cases of male factor infertility. The last session of the day was on the various diagnostic tools in the field of male infertility including: sperm function and morphology, viability of testicular sperm, epididymal markers, Sertoli cell nuclear volume, DNA flow cytometry and vasography.

The third day of 5 sessions opened with a plenary lecture by S. Fishel (U.K.) about the utilization of human spermatids from ejaculate and testicular tissue for ICSI. In the second session entitled "The evidence based treatment of male infertility," F. Comhaire (Belgium) gave a lecture on the diagnosis and treatment of varicocele. F. Menchini-Fabris (Italy) explained the hormonal causes of male infertility and how to manage these cases. A.H. El Beheiry discussed the role of prostatitis in the development of male infertility. An interesting plenary lecture was given by Ilpo Huhtaniemi (Finland) about infertility and subfertility cause by mutations in the gonadotropin and gonadotropin receptor genes.

On the last day, the first plenary lecture was about medical and surgical treatment of impotence by E. Wespes (Belgium). He also gave a lecture in the second session about the importance of corpora cavernosa biopsy for the understanding of the physiopathology of impotence. The second plenary lecture was given by I.J. Christmas (U.K.) on recent therapeutic modalities for benign prostatic hyperplasia. The last session was a video session showing intracavernosal pharmacotherapy by prostaglandin E1 and vacuum therapy in the management of impotence.

Adel El-Beheiry, Egypt



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