Medical & Surgical Urology
Open Access

Department of Ob/Gyn and Uro-Gynecology, faculty of Medicine, Al Azhar University, Cairo, Egypt

Biography

Abdel Karim M. A. El-Hemaly, MRCOG, FRCS is the Professor of OB/GYN and Urogynecology Faculty of medicine, Al-Azhar University, Egypt. He is Editorial Advisor of Urogynecology. He has completed Diploma in Surgery from Cairo Univ, Oct, 1966, MRCOG London.

Publications

• Mini Review   
  Voiding Troubles, Fecal Incontinence and Anal Intercourse
  Author(s): Abdel Karim M El Hemaly* and Laila AS Mousa
  
  Voiding (urine &/or feces) depends on: Toilet training early in life switch voiding from uncontrolled CNS-pelvic parasympathetic action to voluntary CNSthoracolumbar sympathetic act. The IAS is a collagen-muscle tissue cylinder that surround the anal canal. The IAS consists mainly of strong collagen tissue cylinder mixed with smooth plain muscle fibers with its nerve supply from the autonomic nervous system. It is surrounded in its lower part with the voluntary striated muscle, the external anal sphincter (EAS). The IUS is a collagen-plain muscle tissue cylinder that extends from the bladder neck to the perineal membrane in both sex. The external urethral sphincter is a striated voluntary muscle lying in the deep perineal pouch. Voiding training induces and keeps high alpha-sympathetic tone at both the IUS & the IAS to maintain both contracted all the t.. View More»
  

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