Adham Zaazaa, MD

I am an

ِAdham Zaazaa, MD

Dr. Adham Zaaza is a doctor of Andrology at the Faculty of Medicine, Cairo University. He specializes in the treatment of male infertility, and treatment of erectile dysfunction by surgically implanting penile prosthesis, treating varicocele with microscopic surgery and managing difficult IVF cases.

  • 44 Mohyeldin Abulezz St, Mohandessin, Giza.
  • +2 (012).12.12.987.3
Andrology Doctor Surgeon

My Professional Skills

I am specialized in Andrology and Male infertility

Andrology Medicine
Andrology Surgery
Male Infertility Medicine
Sexual Medicine

Penile Implants

Expert in implanting penile prosthesis and developing surgical techniques.

Penile Curvature Correction

Congenital penile curvature surgery and treatment.

Peyronie's Disease Treatment

Treatment of Peyronie's disease and acquired penile curvature.

Erectile Dysfunction Treatment

Treating Erectile Dysfunction cases of all type.

Varicocelectomy Surgery

Treating Varicocele with microscopic varicocelectomy surgery.

Azoospermia Treatment

Specialized in teating Azoospermia and male infertility causes.

years experience
examined cases
done surgeries
satisfied patients
  • Effect of varicocelectomy and/or mast cells stabilizer on sperm DNA fragmentation in infertile patients with varicocele.

    Effect of varicocelectomy and/or mast cells stabilizer on sperm DNA fragmentation in infertile patients with varicocele.

    PMID: 29195028 DOI: 10.1111/andr.12445

    Authors: Adham Zaazaa, Adel A, Fahmy I, Elkhiat Y, Awaad AA, Mostafa T.

    Abstract: This study aimed to assess the effect of varicocelectomy and/or mast cells (MCs) stabilizer on sperm DNA fragmentation in infertile men with varicocele (Vx). Overall, 120 infertile patients were randomized to three equal treatment arms; patients that underwent varicocelectomy, patients on 1 mg ketotifen twice daily for three months, and patients that underwent varicocelectomy followed with 1 mg ketotifen twice daily for three months. These patients were subjected to history taking, clinical examination, semen analysis, and estimation of sperm DNA fragmentation index (DFI). After 3 months, all investigated groups showed significant improvement regarding the mean total sperm count, sperm concentration, total sperm motility, and sperm normal forms percentage compared with the pre-treatment data. As well, the mean sperm DFI was significantly improved compared with the pre-treatment data; in men that underwent varicocelectomy (34.6% vs. 28.3%), in men on MC stabilizer only (33.4% vs. 27.8%), and in men that underwent varicocelectomy followed by MC stabilizer (34.3% vs. 25.1%). Sperm DFI improvement percentages showed the highest improvement in men that underwent varicocelectomy followed with MC stabilizer compared with the other two groups (26.8% vs. 18.2%, 16.8%). Sperm DFI improvement percentages showed significant increases in the infertile patients with Vx grade III compared to Vx grade II in all investigated groups. It is concluded that in infertile men associated with Vx and high sperm DFI, surgical repair followed with MCs stabilizer significantly improve sperm DFI compared with either surgical repair or MCs stabilizer alone.
  • A new technique, combined plication-incision (CPI), for correction of penile curvature

    International braz j urol: official journal of the Brazilian Society of Urology 43(1) · May 2017

    Authors: Adham Zaazaa, Hamed Abdalla Hamed, Mohamed Roaiah, Ahmed Hassanin, Mahmoud Fawzi

    Abstract: Penile curvature (PC) can be surgically corrected by either corporoplasty or plication techniques. These techniques can be complicated by post-operative: penile shortening, recurrent PC, painful/palpable suture knots and erectile dysfunction. Objective: To avoid the complications of corporoplasty and plication techniques using a new technique: combined plication-incision (CPI). Materials and methods: Two groups (1&2) were operated upon: group 1 using CPI and group 2 using the 16-dot technique. In CPI, dots were first marked as in 16 dot technique. In each group of 4 dots the superficial layer of tunica albuginea was transversely incised (3-6mm) at the first and last dots. Ethibond 2/0, passed through the interior edge of the first incision plicating the intermediate 2 dots and passed out of the interior edge of the last incision, was tightened and ligated. Vicryle 4/0, passed through the exterior edges of the incisions, was tightened and ligated to cover the ethibond knot. Results: Twelve (57.1 %) participants in group 2 complained of a bothering palpable knot compared to none in group 1 with statistically significant difference (P=0.005). Postoperative shortening (5mm) of erect penis, encountered in 9 participants, was doubled in group 2 but with insignificant difference (P>0.05). Post-operative recurrence of PC, was encountered in only 1 (4.8%) participant in group 2, compared to none in group 1, with insignificant difference (P>0.05). Post-operative erectile rigidity was normally maintained in all participants. Conclusion: The new technique was superior to the 16-dot technique for correction of PC.

  • A pilot study of penile hemodynamics in men with penile curvatures

    A pilot study of penile hemodynamics in men with penile curvatures

    International Journal of Impotence Research (2017) 29, 86–88

    Authors: Adham Zaazaa, Hussein Ghanem, Islam ahmed Fathy, O Ayman, Ahmed Hassanin

    Abstract: Penile curvature (PC) is bothersome to the patient. PC is either congenital or acquired. In most of the circulatory system, blood flows in a laminar profile with minimal energy expenditure. When a fluid passes in a curved tube, the laminar profile is disturbed and changed into a turbulent flow. It increases the energy expenditure and reduces the flow. Turbulent flow may have a role in the development of an atherosclerotic plaque and in localizing its site. The aim of this research was to study penile hemodynamics before and after correction of PC. This prospective study included 20 participants, with PC more than 30°. For each participant, preoperative color duplex doppler ultrasonography (CDDU), correction of the curvature using 16 dot plication technique and post-operative CDDU were done. Furhtermore, arterial systolic velocity was estimated distal to the site of curvature/correction every 5 min for 25 min. The degree of curvature ranged from 30° to 90° with a mean of 55±18.98. Comparative study between the preoperative and post-operative data proved a significantly higher postoperative peak systolic velocity distal to the site of correction, whereas CDDU data had insignificant differences. We concluded that correction of PC is associated with improvement of penile arterial blood flow distal to the site of correction.

    International Journal of Impotence Research advance online publication, 12 January 2017; doi:10.1038/ijir.2016.52.

  • Peyronie's disease: a silent Symptom of diabetes mellitus

    Peyronie's disease: a silent Symptom of diabetes mellitus

    Presenting Symptoms
    The most common presenting symptom was penile curvature (81.4%)
    Dangers of PD in DM patients ...
    The majority of diabetic patients with PD (56.0%) presented in the chronic phase
    Consequences of not
    directly inquiring about the sexual health of your DM patients ... 
    Undiagnosed PD
    Worsening ED

    Low self esteem
    Marital conflicts
    Cardiac Risk

    Difficult to control DM due to concomitant Hypogonadism
    Asian J Androl. 2006 Jan;8(1):75-9.Tefekli A1, Kandirali E, Erol B, Tunc M, Kadioglu A.
    Prevalence of DM & PD
    The prevalence of PD among men with DM and sexual dysfunction : 10.7%
    Always ask your patient directly about his erections
    Weak erections? Painful erections? Curved erections? 

    The mean age of DM patients with PD was (55.9+/-8.9) years
    In the no risk factor group it was (48.5+/-9.0) years 
    The median duration of DM was 5 years
    They were more likely to have a severe penile deformity (>60 degrees)
    Palpable nodule on the shaft of the penis (22.5%)
    Penile pain with erection (14.7%)
    A total of (19.6%) of patients were not aware of their penile deformities.
    Thank you ...
  • Drug Addiction and Sexual Dysfunction

    Drug Addiction and Sexual Dysfunction

    Endocrinology and Metabolism Clinics of North America
    Volume 42, Issue 3, September 2013, Pages 585-592

    Authors: Adham Zaazaa, Anthony J. Bella, Rany Shamloul

    Key Points:

    • Even though alcohol is prevalent in many societies with many myths surrounding its sexual-enhancing effects, current scientific research cannot provide a solid conclusion on its effect on sexual function. The same concept applies to tobacco smoking; however, most of the current knowledge tends to support the notion that it, indeed, can negatively affect sexual function. 
    • Cannabinoid receptors in the human cavernous report the nonrelaxing effects of marijuana. 
    • Heroin exerts a depletion effect on plasma levels of free testosterone and raises testosterone-binding globulin levels, irrespective of age, amount of heroin intake per day, and period of contact with the drug with no effect on the pituitary gonadotropins. 
    • Initially, the use of cocaine may enhance the sexual functioning of men, but prolonged use may diminish sexual desire and performance and may contribute to difficulty in achieving orgasm.
    Abstract: Throughout history the search for sex-enhancing drugs or aphrodisiacs has been a human obsession. In a review by Shah, different civilizations’ thoughts and reactions concerning this goal is eloquently discussed.1 For example, poems from the Hindu civilization dating back 3000 to 4000 years are the earliest recordings of the human eternal search for substances that can enhance sexual experiences lead to the much unknown, “supersex,” and/or treat erectile dysfunction (ED).2 The ancient Egyptians had their share of aphrodisiacs with several papyri describing many medications
  • The evaluation of the 16 dot technique in the correction of congenital penile curvature

    The evaluation of the 16 dot technique in the correction of congenital penile curvature

    Adham Achraf Zaazaa
    Faculty of Medicine - Department of Andrology and S.T.Ds, Cairo University

    Supervisors: Hussein Mohamed Ghanem , Osama Mohamed Selim , Alaa Abdelmenem Abdelal

    Congenital penile curvatures have a reported prevalence rate of 0.4-6 per 1,000 men. (Yachia et al. 1993). Generally, the deformity is usually not severe enough to interfere with sexual intercourse, but it maybe a source of anxiety and embarrassment to the patient starting at school age. However, when it causes significant emotional disturbance
  • Ejaculatory disorders and orgasm - take home messages

    Ejaculatory disorders and orgasm - take home messages

    Abstract: Ejaculatory disorders and orgasm - take home messages - Ejaculatory Disorders & Orgasm Take Home Messages. Taxonomy of Ejaculatory disorders. ISSM’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation. ISSM Definition of Lifelong PE Male sexual dysfunction characterized by ... [1] ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration, and the inability to delay ejaculation on all or nearly all vaginal penetrations, and negative persona consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. What about Acquired PE ? ISSM Definition regarding Acquired PE-Concluded that there was insufficient published objective data to propose a new evidence-based definition And believed the proposed criterion for lifelong PE might be applied to acquired PE as well. No distinction between LL- and A-PE. Delayed Ejaculation most sexually functional men ejaculate≈4-10 mins A man with DEis expected to: have IELT >20 -30 mins (21-23 min represents 2SD above the mean) cease sexual activity due to exhaustion or irritation report relationship distress/frustration/performance anxiety seek help for his sexual dissatisfaction (despite good erections!!). Some papers presented during the ISSM2012 Meeting. Btx‐A injection into the BSM is a safe and effective treatment which can lengthen the latency time to ejaculate in rats, without suppressing sexual behavior. PSD502 (TEMPE):Has similar efficacy in life-long and acquired premature ejaculation. BUT This study did not start with the baseline IELT defining PE~Negative Recommendations1.LIMITED USE PDE-5 inhibitors alone or in combination with SSRIs or topical anaesthetics should be limited tomen with acquired PE secondary to co-morbid ED 1.NOT RECOMMENDED Tramadol / penile injection therapy are not recommended for the treatment of PE. DISCOURAGED:Surgery for the treatment of PE should be discouraged.

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    44 Mohyeldin Abulezz St,
    Mohandessin, Cairo



    +2 (012).12.12.987.3