DSpace Collection:http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/80472026-04-06T06:02:00Z2026-04-06T06:02:00ZRadial artery aneurysm in the anatomical snuff box: a rare case with uncertain aetiologyThananchyan, H.Satchithanantham, V.Mahilrajan, G.Sivamayuran, V.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/120032026-01-13T10:01:34Z2025-01-01T00:00:00ZTitle: Radial artery aneurysm in the anatomical snuff box: a rare case with uncertain aetiology
Authors: Thananchyan, H.; Satchithanantham, V.; Mahilrajan, G.; Sivamayuran, V.2025-01-01T00:00:00ZGlobal Andrology Forum (GAF) Clinical Guidelines on the Management of Non-obstructive Azoospermia: Bridging the Gap between Controversy and ConsensusHamoda, T.Shah, R.Mostafa, T.Germar-Michael, P.Atmoko, W.Balagobi, B.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/114322025-07-24T06:15:16Z2025-01-01T00:00:00ZTitle: Global Andrology Forum (GAF) Clinical Guidelines on the Management of Non-obstructive Azoospermia: Bridging the Gap between Controversy and Consensus
Authors: Hamoda, T.; Shah, R.; Mostafa, T.; Germar-Michael, P.; Atmoko, W.; Balagobi, B.
Abstract: 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 and global variation in diagnostic and therapeutic approaches, highlighting the crucial
need for well-designed and standardized clinical practice guidelines. We present comprehensive graded clinical practice
recommendations and statements for diagnosing and treating NOA, aiming to establish standardized strategies that can glob-
ally help guide practitioners in their practice.
Materials and Methods: A comprehensive literature review was conducted to gather evidence on the epidemiological, di-
agnostic, and therapeutic aspects of NOA. The Global Andrology Forum (GAF) recommendations were developed through
the collaboration of a global panel of experts using the Delphi method and surveys to achieve consensus. Statements were
graded according to the Oxford Centre for Evidence-Based Medicine “GRADE” classification as either “Strong” or “Weak.”
Statements receiving at least 80% expert consensus were graded as “Strong,” while others were categorized as “Weak.”
Results: The GAF has formulated a total of 49 recommendations and statements on the diagnosis and treatment of NOA, in-
cluding 21 for diagnosis and 28 for treatment. The recommendations and statements were evaluated and graded by a panel
of 48 GAF experts from 25 countries worldwide. The majority of experts (60.5%) had more than 10 years of clinical experi-
ence in managing NOA.
Conclusions: The GAF guidelines address discrepancies in NOA management across diverse clinical settings and provide
comprehensive graded recommendations to guide clinicians in its diagnosis and treatment. Developed and graded by a large
worldwide panel of experts, the current guidelines present simplified, high-standard strategies that can be seamlessly inte-
grated into the daily global practice, offering practitioners a clear framework for managing NOA.2025-01-01T00:00:00ZAssessment of Urinary Stone Chemical Compositions and Prevalence of Metabolic Disorders among Urolithiasis Patients in Northern Sri Lanka: A Prospective StudyBalagobi, B.Rajendra, S.Vinojan, S.Sarma, S.T.Sripandurangana, R.Varothayan, S.Vishnuja, S.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/112832025-06-03T06:44:37Z2024-01-01T00:00:00ZTitle: Assessment of Urinary Stone Chemical Compositions and Prevalence of Metabolic Disorders among Urolithiasis Patients in Northern Sri Lanka: A Prospective Study
Authors: Balagobi, B.; Rajendra, S.; Vinojan, S.; Sarma, S.T.; Sripandurangana, R.; Varothayan, S.; Vishnuja, S.2024-01-01T00:00:00ZUpdates in Endoscopic Retrograde CholangiopancreatographyGobishangar, S.Thayalan Dias, S.Rajendra, S.Sarma, S.T.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/111702025-03-17T05:55:49Z2024-01-01T00:00:00ZTitle: Updates in Endoscopic Retrograde Cholangiopancreatography
Authors: Gobishangar, S.; Thayalan Dias, S.; Rajendra, S.; Sarma, S.T.
Abstract: Endoscopic retrograde cholangiopancreatography
(ERCP) is a specialised endoscopic procedure for
managing pancreatic and biliary diseases. Earlier
in the 1970s, ERCP was mainly used for diagnostic
purposes to evaluate the biliary and pancreatic ducts
and surrounding structures. But nowadays, as noninvasive imaging studies advance, it is primarily used
for therapeutic purposes though it is used for therapeutic
and diagnostic purposes.
Therapeutic ERCP is broadly used in conditions that lead
to impairment in bile flow and leak. The requirement of
the ERCP extended further for evaluation of pancreatitis
of unknown aetiology, preoperative evaluation of the
patient with chronic pancreatitis and evaluation of the
sphincter of Oddi by manometry.
Patients should be selected with a clear-cut indication
for ERCP, avoiding unnecessary or marginally indicated
ERCP, especially in high-risk patients. ERCP is
usually performed using a dedicated side-viewing
endoscope with the patient positioned prone on a
fluoroscopy table under sedation or general anaesthesia.
Proper positioning of the duodenoscope is the key to
cannulation of the pancreatic or common bile ducts.2024-01-01T00:00:00Z