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 a LANGE medical book

Smith & Tanagho’s

General Urology
NINETEENTH EDITION

Edited by

Jack W. McAninch, MD, FACS, FRCS(E)(Hon)

Professor of Urology
University of California School of Medicine
Chief, Department of Urology
San Francisco General Hospital
San Francisco, California

Tom F. Lue, MD, FACS, ScD (Hon)

Professor of Urology
Department of Urology
University of California School of Medicine
San Francisco, California

New York Chicago San Francisco Athens London Madrid Mexico City
Milan New Delhi Singapore Sydney Toronto

McAninch_FM_pi-xii.indd 1 11/02/20 11:21 AM

Copyright © 2020 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act
of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or
retrieval system, without the prior written permission of the publisher.

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 Contents
Contributors vii 10 Laparoscopic Surgery 149
Preface xi
David B. Bayne, MD, MPH;
J. Stuart Wolf, Jr., MD, FACS;
1 Anatomy of the Genitourinary Tract 1
Marshall L. Stoller, MD; & Thomas Chi, MD
Emil A. Tanagho, MD; &
Tom F. Lue, MD, ScD (Hon), FACS 11 Robotic Surgery in Urology 167
Maxwell V. Meng, MD, MPH
2 Embryology of the Genitourinary System 17
Emil A. Tanagho, MD; Hiep T. Nguyen, MD; 12 Urinary Obstruction & Stasis 177
& Michael DiSandro, MD
Marshall L. Stoller, MD; &
Tom F. Lue, MD, FACS, ScD (Hon)
3 Symptoms of Disorders of the
Genitourinary Tract 31
13 Vesicoureteral Reflux 191
Benjamin N. Breyer, MD, MAS, FACS
Thomas W. Gaither, MD, MAS; &
Hillary L. Copp, MD, MS
4 Physical Examination of the
Genitourinary Tract 41
14 Bacterial Infections of the
Maxwell V. Meng, MD, MPH; & Genitourinary Tract 201
Emil A. Tanagho, MD
Mary K. Wang, MD; &
Hillary L. Copp, MD, MS
5 Urologic Laboratory Examination 49
Anobel Y. Odisho, MD, MPH; 15 Specific Infections of the
Sima P. Porten, MD, MPH; & Genitourinary Tract 229
Kirsten L. Greene, MD, MS
Emil A. Tanagho, MD; &
Christopher J. Kane, MD, FACS
6 Radiology of the
Urinary Tract 63
16 Sexually Transmitted Infections 243
Daniela Franz, MD; Scott Gerst, MD; &
Hedvig Hricak, MD, PhD Kristin Madden, PharmD;
Amanda B. Reed-Maldonado, MD, FACS;
& John N. Krieger, MD
7 Vascular Interventional Radiology 107
Ryan Kohlbrenner, MD; & Roy L. Gordon, MD 17 Urinary Stone Disease 259
Marshall L. Stoller, MD
8 Retrograde Instrumentation of
the Urinary Tract 117
18 Injuries to the Genitourinary Tract 291
Marshall L. Stoller, MD
Benjamin N. Breyer, MD, MAS, FACS
9 Percutaneous Endourology and
Ureterorenoscopy 129 19 Urothelial Carcinoma: Cancers of the
Bladder, Ureter, and Renal Pelvis 309
David B. Bayne, MD, MPH;
Joachim W. Thüroff, MD; Badrinath R. Konety, MD, MBA; &
Rolf Gillitzer, MD; & Thomas Chi, MD Peter R. Carroll, MD, MPH

iii

McAninch_FM_pi-xii.indd 3 11/02/20 11:21 AM

 iv Contents

20 Renal Parenchymal Neoplasms 329 31 Disorders of the Adrenal Glands 509

Anobel Y. Odisho, MD, MPH; & Michelle L. McDonald, MD; &
Kirsten L. Greene, MD, MS Christopher J. Kane, MD, FACS

21 Cancer of the Prostate Gland 351 32 Disorders of the Kidneys 521

Matthew R. Cooperberg, MD, MPH; David B. Bayne, MD, MPH;
Samuel L. Washington III, MD; & Jack W. McAninch, MD, FACS, FRCS(E)(Hon); &
Peter R. Carroll, MD, MPH Thomas Chi, MD

22 Genital Tumors 377 33 Diagnosis of Medical Renal Diseases 539

Sima P. Porten, MD, MPH; & Brian K. Lee, MD; & Flavio G. Vincenti, MD
Joseph C. Presti, Jr., MD
34 Acute Kidney Injury and Oliguria 551
23 Urinary Diversion and
Brian K. Lee, MD; & Flavio G. Vincenti, MD
Bladder Substitutions 391
Maxwell V. Meng, MD, MPH; 35 Chronic Kidney Disease and
Susan Barbour, RN, MS, WOCN; & Renal Replacement Therapy 557
Peter R. Carroll, MD, MPH
Brian K. Lee, MD; &
Flavio G. Vincenti, MD
24 Systemic Therapy of Urologic Tumors 407
Vadim S. Koshkin, MD; & Eric J. Small, MD 36 Renal Transplantation 563
John M. Barry, MD
25 Immunotherapy in
Urologic Malignancies 415
37 Disorders of the Ureter and
Arpita Desai, MD; & Eric J. Small, MD Ureteropelvic Junction 571
Barry A. Kogan, MD
26 Radiotherapy of
Urologic Tumors 421
38 Disorders of the Bladder, Prostate,
Yun Rose Li, MD, PhD; and Seminal Vesicles 585
Alexander R. Gottschalk, MD, PhD; &
Mack Roach III, MD Samuel L. Washington III, MD; &
Katsuto Shinohara, MD
27 Neurophysiology and Pharmacology
of the Lower Urinary Tract 453 39 Male Sexual Dysfunction 605
Karl-Erik Andersson, MD, PhD Amanda B. Reed-Maldonado, MD, FACS; &
Tom F. Lue, MD
28 Neurogenic Bladder 473
40 Women’s Sexual Health 631
Anne M. Suskind, MD, MS, FACS
Alan W. Shindel, MD, MAS; &
Tami S. Rowen, MD, MS
29 Urodynamics 485
Anne M. Suskind, MD, MS, FACS 41 Disorders of the Penis and
Male Urethra 645
30 Urinary Incontinence 499
Benjamin N. Breyer, MD, MAS, FACS; &
Tom F. Lue, MD, FACS, ScD (Hon); & Jack W. McAninch, MD, FACS, FRCS(E)(Hon)
Emil A. Tanagho, MD

McAninch_FM_pi-xii.indd 4 11/02/20 11:21 AM

 Contents v

42 Disorders of the Female Urethra 659 46 Genital Gender-Affirming Surgery:

Patient Care, Decision Making, and
Donna Y. Deng, MD, MS
Surgery Options 747
43 Disorders of Sex Development 671 Maurice M. Garcia, MD, MAS

Laurence S. Baskin, MD
47 History and Physical Examination in
Pediatric Urology 769
44 Male Infertility 703
Michael DiSandro, MD
Thomas J. Walsh, MD, MS; &
James F. Smith, MD, MS
48 Introduction to Clinical
Research Design 781
45 The Aging Male 735
June M. Chan, ScD; David Tat, DO; &
James F. Smith, MD, MS; Stacey Kenfield, ScD
Bogdana Schmidt, MD, MPH; &
Thomas J. Walsh, MD, MS Index 793

McAninch_FM_pi-xii.indd 5 11/02/20 11:21 AM

 This page intentionally left blank

McAninch_FM_pi-xii.indd 6 11/02/20 11:21 AM

 Contributors
Karl-Erik Andersson, MD, PhD June M. Chan, ScD
Institute for Regenerative Medicine Program Director, Genitourinary Cancer Epidemiology and
Wake Forest University School of Medicine Population Sciences
Winston Salem, North Carolina Department of Urology
UCSF School of Medicine
Susan Barbour, RN, MS, WOCN San Francisco, California
Palliative Care Services
UCSF School of Medicine Thomas Chi, MD
San Francisco, California Associate Professor and Katzman Endowed Professor in
Clinical Urology
John M. Barry, MD Department of Urology
Professor of Urology and Professor of Surgery UCSF School of Medicine
Division of Abdominal Organ Transplantation San Francisco, California
Organ Health and Science University
Portland, Oregon Matthew R. Cooperberg, MD, MPH
Associate Professor
Laurence S. Baskin, MD Department of Urology
Chief of Pediatric Urology Helen Diller Family Comprehensive Cancer Center
University of California Children’s Medical Center UCSF School of Medicine
UCSF School of Medicine San Francisco, California
San Francisco, California
Attending Urologist Hillary L. Copp, MD, MS
Children’s Hospital Oakland Associate Professor of Urology and Pediatric Urology
Oakland, California Fellowship Director
Benioff Children’s Hospital
David B. Bayne, MD, MPH UCSF School of Medicine
Endourology Fellow San Francisco, California
Department of Urology
UCSF School of Medicine Donna Y. Deng, MD, MS
San Francisco, California Neurourology Lead, Kaiser Permanente Northern
California
Benjamin N. Breyer, MD, MAS, FACS Medical Director, Kaiser NorCal Regional Spina Bifida
Associate Professor and Vice Chair Program
Department of Urology Associate Fellowship Director, Female Pelvic Medicine
UCSF School of Medicine Reconstructive Surgery, Kaiser East Bay/UCSF
San Francisco, California Oakland, California

Peter R. Carroll, MD, MPH Arpita Desai, MD

Professor Clinical Instructor
Ken and Donna Derr-Chevron Endowed Chair in Department of Genitourinary Medical Oncology
Prostate Cancer Helen Diller Family Comprehensive Cancer Center
Department of Urology UCSF School of Medicine
UCSF School of Medicine San Francisco, California
San Francisco, California

vii

McAninch_FM_pi-xii.indd 7 11/02/20 11:21 AM

 viii Contributors

Michael DiSandro, MD Kirsten L. Greene, MD, MS

Professor of Urology Professor and Chair
Department of Urology Department of Urology
UCSF School of Medicine University of Virginia
San Francisco, California Charlottesville, Virginia

Daniela Franz, MD Hedvig Hricak, MD, PhD

Department of Diagnostic and Interventional Radiology Chair
Klinikum rechts der Isar Department of Radiology
Munich Technical University Memorial Sloan-Kettering Cancer Center
Munich, Germany Professor of Radiology
Cornell University
Thomas W. Gaither, MD, MAS New York, New York
Urology resident
University of California Christopher J. Kane, MD, FACS
Los Angeles, California Dean of Clinical Affairs
UC San Diego School of Medicine
Maurice M. Garcia, MD, MAS CEO, UC San Diego Health Physician Group
Associate Professor of Urology and Anatomy (Adjunct) La Jolla, California
Departments of Urology and Anatomy
UCSF Medical Center Stacey A. Kenfield, ScD
San Francisco, California Associate Professor
Director, Cedars-Sinai Transgender Surgery and Department of Urology
Health Program UCSF School of Medicine
Division of Urology San Francisco, California
Cedars-Sinai Medical Center
Los Angeles, California Barry A. Kogan, MD
Professor, Surgery and Pediatrics
Scott Gerst, MD Falk Chair in Urology
Associate Attending Physician Albany Medical College
Department of Radiology Albany, New York
Memorial Hospital, Memorial Sloane-Kettering
Cancer Center Ryan Kohlbrenner, MD
New York, New York Assistant Professor of Interventional Radiology
Departments of Radiology and Biomedical Imaging
Rolf Gillitzer, MD UCSF School of Medicine
Clinical Director San Francisco, California
Department of Urology
Johannes Gutenberg University Medical Center Mainz Badrinath R. Konety, MD, MBA
Mainz, Germany Associate Dean for Innovation
Professor of Urology
Roy L. Gordon, MD Director of the Institute for Prostate and Urologic Cancers
Professor of Interventional Radiology University of Iowa
Department of Radiology Iowa City, Iowa
UCSF School of Medicine
San Francisco, California Vadim S. Koshkin, MD
Assistant Clinical Professor
Alexander R. Gottschalk, MD, PhD Genitourinary Medical Oncologist
Professor of Radiation Oncology Departments of Hematology and Oncology
Director of CyberKnife UCSF School of Medicine
Departments of Radiation and Oncology San Francisco, California
UCSF School of Medicine
San Francisco, California

McAninch_FM_pi-xii.indd 8 11/02/20 11:21 AM

 Contributors ix

John N. Krieger, MD Anobel Y. Odisho, MD, MPH

Professor of Urology Assistant Professor
University of Washington School of Medicine Department of Urologic Oncology
Seattle, Washington UCSF School of Medicine
San Francisco, California
Brian K. Lee, MD
Professor of Medicine Sima P. Porten, MD, MPH
The Connie Frank Kidney Transplant Center Assistant professor
UCSF School of Medicine Department of Urology
San Francisco, California UCSF School of Medicine
San Francisco, California
Yun Rose Li, MD, PhD
Resident Physician Joseph C. Presti, Jr., MD
Departments of Radiation and Oncology Lead for Urologic Oncology
UCSF School of Medicine Kaiser Permanente Northern California
San Francisco, California Oakland, California

Tom F. Lue, MD, FACS, ScD (Hon) Amanda B. Reed-Maldonado, MD, FACS
Professor of Urology Chief, Male Reproductive Urology
Emil Tanagho Endowed Chair in Clinical Urology Department of Urology
Department of Urology Tripler Army Medical Center
UCSF School of Medicine Honolulu, Hawaii
San Francisco, California
Mack Roach III, MD
Kristin Madden, PharmD Professor of Radiation Oncology and Urology
Pharmacist Department of Urology
Department of Veterans Affairs UCSF School of Medicine
San Antonio, Texas San Francisco Comprehensive Cancer Center
San Francisco, California
Jack W. McAninch, MD, FACS, FRCS(E)(Hon)
Professor of Urology Tami S. Rowen, MD, MS
UCSF School of Medicine Assistant Professor
San Francisco, California Departments of Obstetrics, Gynecology, and
Reproductive Sciences
Michelle L. McDonald, MD UCSF School of Medicine
Urologist San Francisco, California
San Diego, California
Bogdana Schmidt, MD, MPH
Maxwell V. Meng, MD, MPH Urologic Oncology Fellow
Professor Stanford University Medical Center
Department of Urology Stanford, California
UCSF School of Medicine
San Francisco, California Alan W. Shindel, MD, MAS
Associate Professor
Hiep T. Nguyen, MD Department of Urology
Associate Professor University of California
Surgery and Urology Davis, California
Harvard Medical School and Children’s Hospital
Boston, Massachusetts

McAninch_FM_pi-xii.indd 9 11/02/20 11:21 AM

 x Contributors

Katsuto Shinohara, MD David Tat, DO

Professor Infectious Disease Specialist
Helen Diller Family Chair in Clinical Urology Moses H. Cone Memorial Hospital
Department of Urology Greensboro, North Carolina
UCSF School of Medicine
San Francisco, California Joachim W. Thüroff, MD
Professor
Eric J. Small, MD Department of Urology
Professor of Medicine and Urology University Medical Center
Urologic Oncology Program and Program Member, Mannheim, Germany
Comprehensive Cancer Center
UCSF School of Medicine Flavio G. Vincenti, MD
San Francisco, California Professor of Medicine
The Connie Frank Kidney Transplant Center
James F. Smith, MD, MS UCSF School of Medicine
Associate Professor San Francisco, California
Director, Male Reproductive Health
Departments of Urology, Obstetrics, Gynecology, and Thomas J. Walsh, MD, MS
Reproductive Sciences Associate Professor
UCSF School of Medicine Department of Urology
San Francisco, California University of Washington School of Medicine
Seattle, Washington
Marshall L. Stoller, MD
Professor of Urology Mary K. Wang, MD
Department of Urology Childrens’ Urology
UCSF School of Medicine Austin, Texas
San Francisco, California
Samuel L. Washington, III, MD
Anne M. Suskind, MD, MS, FACS Urologic Oncology Clinical Fellow
Associate Professor of Urology, Obstetrics, Gynecology, and Department of Urology
Reproductive Sciences UCSF School of Medicine
Director, Neurourology, Female Pelvic Medicine & San Francisco, California
Reconstructive Surgery
UCSF School of Medicine J. Stuart Wolf, Jr., MD, FACS
San Francisco, California Professor, Department of Surgery and Perioperative Care
Dell Medical School
Emil A. Tanagho, MD The University of Texas at Austin
Professor of Urology Austin, Texas
Department of Urology
UCSF School of Medicine
San Francisco, California

McAninch_FM_pi-xii.indd 10 11/02/20 11:21 AM

 Preface
Smith & Tanagho’s General Urology, nineteenth edition, provides the updated information for the understanding, diagnosis,
and treatment of urological diseases in a concise and well-organized format. The book is up-to-date, to the point, and readable.
Medical students will find this book useful because of its concise, easy-to-follow format, and its breadth of information on
common urological diseases. Residents, as well as practicing physicians in urology, family practice, or general medicine, will find
it an efficient and current reference, particularly because of its emphasis on diagnosis and treatment.
This nineteenth edition has been thoroughly updated with clinical information and current references. The reader will find
that this edition is written in an uncomplicated, straightforward manner that provides relevant clinical information and guide-
lines for diagnosis and management of urologic conditions. Chapters on immunotherapy in urologic malignancies, radiotherapy
of urologic tumors, urinary incontinence, and vascular interventional radiology have all undergone extensive revision. For
this current edition, we have added two chapters on the timely topic of gender dysphoria and introduction to clinical research
design.
Many illustrations and figures have been modernized and improved with added color. The classic fine anatomic drawings
demonstrate well the important clinical findings.
This book has been one of the leading sources of information for students, trainees, and urologists around the world. In addi-
tion to English, this book has been published in many other foreign languages, like Chinese, French, Greek, Italian, Japanese,
Korean, Portuguese, Russian, Spanish, and Turkish.
We greatly appreciate the patience and efforts of our McGraw-Hill staff, the expertise of our contributors, and the support
of our readers.

Jack W. McAninch, MD, FACS, FRCS(E) (Hon)

Tom F. Lue, MD, FACS, ScD (Hon)
San Francisco, California, January 2020

xi

McAninch_FM_pi-xii.indd 11 11/02/20 11:21 AM

 This page intentionally left blank

McAninch_FM_pi-xii.indd 12 11/02/20 11:21 AM

 1

1
Anatomy of the
Genitourinary Tract

Emil A. Tanagho, MD; & Tom F. Lue, MD, ScD (Hon), FACS

Urology deals with diseases and disorders of the adrenal ▶▶Blood Supply
gland, the male genitourinary tract, and the female
urinary tract. These systems are illustrated in Figures 1–1 A. Arterial
and 1–2. Each adrenal gland receives three arteries: one from the infe-
rior phrenic artery, one from the aorta, and one from the
ADRENALS renal artery.

B. Venous
▶▶Gross Appearance
A. Anatomy Blood from the right adrenal gland is drained by a very short
vein into the vena cava; the left adrenal vein terminates in the
Each kidney is capped by an adrenal gland, and both left renal vein.
organs are enclosed within Gerota’s (perirenal) fascia.
Each adrenal gland weighs 4–5 g. The right adrenal is tri- ▶▶Lymphatics
angular in shape; the left is more rounded and crescentic.
The average dimensions are 3 cm width, 5 cm length, and The lymphatic vessels accompany the suprarenal vein and
1 cm thickness. Each gland is composed of a cortex, chiefly drain into the lumbar lymph nodes.
influenced by the pituitary gland, and a medulla derived
from chromaffin tissue (Avisse et al, 2000; O’Donoghue KIDNEYS
et al, 2010).
▶▶Gross Appearance
B. Relations A. Anatomy
Figure 1–2 shows the relationships between the adrenals and The kidneys lie along the borders of the psoas muscles and
other organs. The right adrenal lies between the liver and are therefore obliquely placed. The position of the liver
the vena cava. The left adrenal lies close to the aorta and is causes the right kidney to be lower than the left (Figures 1–2
covered on its lower surface by the pancreas. The spleen lies and 1–3). The adult kidney weighs between 125 and 170 g in
superior and lateral to it. men and 115 and 155 g in women. It is about 10–12 cm long,
5–7 cm wide, and 3–5 cm thick.
The kidneys are supported by the perirenal fat (which is
▶▶Histology enclosed in the perirenal fascia), the renal vascular pedicle,
The adrenal cortex, which makes up 85% of the mass, is com- abdominal muscle tone, and the general bulk of the abdomi-
posed of three distinct layers: the outer zona glomerulosa, the nal viscera (Rusinek et al, 2004). Variations in these factors
middle zona fasciculata, and the inner zona reticularis. The permit variations in the degree of renal mobility. The aver-
medulla lies centrally and is made up of polyhedral cells with age descent on inspiration or on assuming the upright posi-
hormone-containing granular cytoplasm. These chromaf- tion is 4–5 cm. Lack of mobility suggests abnormal fixation
fin cells are accompanied by a small number of sympathetic (eg, perinephritis), but extreme mobility is not necessarily
ganglion cells. pathologic.

McAninch_CH01_p001-p016.indd 1 07/02/20 9:58 AM

 2 SMITH & TANAGHO’S GENERAL UROLOGY

▲▲Figure 1–1. Anatomy of the male genitourinary tract. The upper tract and midtract have urologic function only.
The lower tract has both genital and urinary functions.

McAninch_CH01_p001-p016.indd 2 07/02/20 9:58 AM

 ANATOMY OF THE GENITOURINARY TRACT CHAPTER 1 3

▲▲Figure 1–2. Relations between the kidneys, ureters, and bladder (anterior aspect).

On longitudinal section (Figure 1–4), the kidney is seen gastrointestinal symptoms that accompany kidney diseases
to be made up of an outer cortex, a central medulla, and the (Glassberg, 2002).
internal calices and pelvis. The cortex is homogeneous in
appearance. Portions of it project toward the pelvis between ▶▶Histology
the papillae and fornices and are called the columns of A. Nephron
Bertin. The medulla consists of numerous pyramids formed
by the converging collecting renal tubules, which drain into The functioning unit of the kidney is the nephron, which is
the minor calices at the tip of the papillae. composed of a tubule that has both secretory and excretory
functions (Figure 1–4). The secretory portion is contained
largely within the cortex and consists of a renal corpuscle and
B. Relations
the secretory part of the renal tubule. The excretory portion of
Figures 1–2 and 1–3 show the relationships between the this duct lies in the medulla. The renal corpuscle is composed
kidneys and adjacent organs and structures. Their intimacy of the vascular glomerulus, which projects into Bowman’s cap-
with intraperitoneal organs and the autonomic innervation sule, which, in turn, is continuous with the epithelium of the
that they share with these organs explain, in part, some of the proximal convoluted tubule. The secretory portion of the renal

McAninch_CH01_p001-p016.indd 3 07/02/20 9:58 AM

 4 SMITH & TANAGHO’S GENERAL UROLOGY

▲▲Figure 1–3. Relations between the kidneys (posterior aspect). The dashed lines represent the outline of the kidneys,
where they are obscured by overlying structures.

tubule is made up of the proximal convoluted tubule, the loop of the posterior surface. The anterior branch supplies both
of Henle, and the distal convoluted tubule. upper and lower poles as well as the entire anterior surface.
The excretory portion of the nephron is the collecting The renal arteries are all end arteries.
tubule, which is continuous with the distal end of the ascend- The renal artery branches further divide into interlobar
ing limb of the convoluted tubule. It empties its contents arteries, which travel in the columns of Bertin (between the
through the tip (papilla) of a pyramid into a minor calyx. pyramids) and then arch along the base of the pyramids
(arcuate arteries). These arteries then divide as interlobular
B. Supporting Tissue arteries. From these vessels, smaller (afferent) branches pass
to the glomeruli. From the glomerular tuft, efferent arterioles
The renal stroma is composed of loose connective tissue and
pass to the tubules in the stroma.
contains blood vessels, capillaries, nerves, and lymphatics.
B. Venous
▶▶Blood Supply (Figures 1–2, 1–4, and 1–5)
The renal veins are paired with the arteries, but any of them
A. Arterial
will drain the entire kidney if the others are tied off.
Usually there is one renal artery, a branch of the aorta that Although the renal artery and vein are usually the sole blood
enters the hilum of the kidney between the pelvis, which vessels of the kidney, accessory renal vessels are common and
normally lies posteriorly, and the renal vein. It may branch may be of clinical importance if they are so placed so as to com-
before it reaches the kidney, and two or more separate arter- press the ureter, in which case hydronephrosis may result.
ies may be noted (Budhiraja et al, 2010). In duplication of the
pelvis and ureter, it is common for each renal segment to have
its own arterial supply. ▶▶Nerve Supply
The renal artery divides into anterior and posterior The renal nerves derived from the renal plexus accompany
branches. The posterior branch supplies the midsegment the renal vessels throughout the renal parenchyma.

McAninch_CH01_p001-p016.indd 4 07/02/20 9:58 AM

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 Ansari Memorial Series 174 believers to pray to Allah for
protection from Dajjal, but he also advised tiie believers to stay far
avray from Dajjal smce he would be very dangerous. He also
informed us of the precise nature of the greatest danger posed by
Dajjal It would be our incapacity to understand the reality of the
world in the age oi Dajjal, whose primary objective would be to
corrupt mankind's capacity to recognise 'truth' and 'true religion'.
People would stick blmdfy and stubbornly to falsehood as well as to
corrupted truth, while rejecting the uncorrupted truth in tiie Qur'an.
The Prophet (sdallalahit 'alaibi wa sallam) explained \hAtDajjal's
attack would be global in scope, and so all of mankind would be
targeted: "Narrated by 'Imian ibn Husayn: The Pi^ophet said: Let
him who hears of the Dajjal go far from him for I swear by Allah that
a man will come to him thmkmg he is a behever and follow him
because of confused ideas roused in him by him (i.e., Dajjal)."
(Sunan Abu Daiid) "Narrated by Anas bin Mahk: The Prophet said:
There will be no town which Dajjal would not enter except Makkah
and Madina. And there would be no entrance (road) (of both Makkah
and Madina) but the angels would be standing in rows guarding it
against him, and tlien Madina would shake with its mhabitants thnce
(i.e., three earthquakes would take place) and Allah would e:^el aU
the disbehevers and the hypocrites from it." (Saliih Bukhari) In view
of the nature of the tests and trials posed by Dajjal the Prophet
(sdallalahii 'alajhi wa sallam) warned that this would be the greatest
Fitnah (test or trial) that mankind would experience from the time of
Adam /'alaihial-Saldin) until the last day. He further informed us that
when the mission of Dajjal is Internet Fd/tion
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 Ansari Memorial Series 175 nearing completion, Allah would
raise Imam al-Mahdi from amongst the descendents of Prophet
Muhammad (sdallalaim 'alaUu ira mllam). Dajjal would attack him m
order to destroy hmi. But Allah would then cause Jesus I'alaihi cd-
Salam) to descend from the heavens, and he would kill Dajjal. Onfy
then would the long and horrid night of temptation and evil end. We
have argued in our book, 'Jerusalem in the Qur 'an ', which is a
companion volume to this book, that we are now quite close to the
moment when tiie Son of Mary would return. The implication is that
the release of Dajjal mto the world took place quite some time ago.
This author is convinced that Dajjal is the mastermind behind die
emergence of secular materialist Western civilization, it's modem
thought, and the modem lifestyle it fashions and then refashions
with even greater decadence. It is that civilization which is
subjecting mankind to the supreme test (Fitnah) of which the
Prophet warned. A basic feature of this book is the insistence that
Surah al-Kahf is not onfy to be read, but also studied, if believers are
to be protected from thatF/ftifl/? oi Dajjal. This book warns that the
Euro-Christan and Euro- Jewish modern way of life that is now being
uncritical^ adopted by most of mankind, including most Muslims, is
msidiousfy deceptive and can mislead even the best of believers. We
are living in that age in which the faith of tiie masses of Muslims is
akeady eroded. Certainty, one of the many ways with which we can
respond to this cabmity is by redirecting attention to Surah al-Kahf
of the Qur'an and by making an effort to use the Surah to
understand the world today. Dajjal's internal blindness — he sees
with only one eye Internet Fd/t/dn http://www.imranhoseiii.org
 Ansari Memorial Series 176 Prophet Muhammad (sallalahu
'alaibi M'a sallam) has conveyed to us important information
concerning the most important of all the characteristics oi Dajjal the
false Messiah. He sees with onfy 'one' eye and hence is capable of
accessing onfy llm al-Zahir or empirical knowledge. He is blind in the
'right' eye and this symbolizes internal blmdness. Hence he denies
the existence of llm al-Batin or internal spiritual knowledge : "Ibn
Umar said: Once Allah's Apostle stood amongst tlie people, glorified
and praised Allali as He deserved, and then mentioned Dajjal saying:
"I warn you agauist hiin (i.e. Dajjal) and there was no Prophet but
warned his nation agamst hnu. No doubt, Noah warned his nation
against him, but I tell you about hnn sometlimg of which no Prophet
told his nation before me. You should know that he is one-eyed, and
Allah is not one-eyed." (SahUi Bukliari) "Narrated by Abdullah bin
Umar: AUali's Messenger stood up amongst the people and then
praised and glorified Allah as He deserved and tlien he made
mention of Dajjal, saying: I wani you of him, and there was no
Prophet but warned his followers of hrm; but I will tell you
something about him which no Prophet has told his followers : Dajjal
is one-eyed whereas Allah is not." (Sahih Bukhari) "Narrated by
Abdullah: Dajjal was mentroned in tlie presence of the Prophet. The
Prophet said: Allali is not hidden from you; He is not one-eyed, and
pointed with his hand towards his eye, adding: while al-Masih ad-
Dajjal is blind in the right eye and his eye looks Hke a protruding
grape." (Sahih Bukhari) "Narrated by Ubadah ibn as-Samrt: The
Prophet said: I have told you so much about the Dajjal tliat I am
afraid you may not undeistand. Dajjal is short, hen -toed, woolly -
haired, one-eyed, an eye-sightless, and neither Internet Editbn
http://www.imranliosein.org
 Ansari Memorial Series 177 protruding nor deep-seated. If
you are contused about him, know that your Lord is not one-eyed"
(Sunan Abu Daiid) "Ibn Umar said: We were talking about Hajjat-ul-
Wada' whUe the Prophet was amongst us. We did not know what
Hajjat-ul-Wada' signified. The Prophet praised Allali and then
mentioned al-Masili al-Dajjal and described him extensively, saying:
"AUah did not send any Prophet but that Prophet warned his nation
of al-Masih al-Dajjal Noah and the Prophets following him warned
(tlien people) of him. He will appear amongst you (O Muhammad's
followers), and if it happens that some of his qualities may be
hidden fiom you, but your Lord's State is clear to you and not hidden
&om you. The Prophet said it thnce: "Verily, yoirr Lord is not blind m
one eye, while he (i.e. Dajjal) is blind in tlie right eye which looks
like agrape bulging out (of its cluster). . . ." (SahUi Bukliaii)
"Narrated by Abdullali: The Prophet made mention of al-Masili al-
Dajjal (Dajjal the false Messiah) in front of tlie people saying: Allah is
not one eyed while al-Masih al-Dajjal is blind m the right eye and his
eye looks like a bulging out giape. WhUe sleepmg near the Ka'aba
last night, I saw in my dream a man of brown color, tlie best one can
see amongst blown color, and his hah.' was so long that it fell
between his shoulders . His hair was lank and water was dribbling
from his head and he was placing his hands on the shoulders of two
men while circumambulating the Ka'aba. I asked: Who is this? They
rephed: This is Jesus, son of Maiy. Behind lum I saw a man who had
very airly hair and was blind in the right eye, lesembling Ibn Qatan
(i.e. a disbehever amongst tlie Arabs) in appeaiance. He was placing
his hands on the shoulders of a person while performing Tawaf
around the Ka'aba (i.e., going round and round tlie Kaa'ba). I asked:
Who is this? They replied: alMasih al-Dajjal." (Sahih Bukliaii) Internet
Edition http://www.imranhosein.org
 Ansari Memorial Series 178 "Narrated by Anas bin Malik:
The Prophet said: No prophet was sent but that he warned his
followers against tlie one-eyed har (Dajjal). Beware! He is bhiid in
one eye, and your Lord is not so. And there will be written between
his (Dajjal's) eyes (the word) Kafir (i.e., disbehever). {This hadith is
also tiansnutted by Abu Huraira and Ibn 'Abbas). (Sahili Bukliari)
Dajjal's blind eye looks like a bulging grape "Narrated by Abdullah:
The Prophet made mention of al-Masih al- Dajjal (Dajjal the false
Messiah) in fiont of tlie people saying: Allah is not one eyed while al-
Masih al-Dajjal is blind m the right eye and his eye looks like a
bulging out grape . . . ." (Sahili, al-Bukhari) The description
pertaining to the bulging grape indicates that the spiritual blindness
oi Dajjal and of all who follow him would be quite evident to those
who see with both eyes. It would as plain^ visible to them as would
be a bulging grape! The only ones who would be unable to
recognize that spiritual blindness, i.e., unable to recognize the eye
which looks like a bulging grape, would be those who are
themselves spiritualty blind. It should be clear tiiat the information
pertaining to Dajjal's eyes relates to religious symbolism and is not
to be understood literally. The following evidence conclusively
demonstrates the above. Firstly, the Prophet isallalahu 'alahi wa
sallam) suspected a Jewish boy m Madina to have been Dajjal even
though that boy was not literally one-eyed. Secondly, when Tammi
al-Darl met with Dajjal m person, and then gave to the Prophet
(mllalahu 'alahi M'a sallam) an eye-witness account of that meeting
and a descr^tion oi Dajjal, there was no mention of his Internet
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 Ansari Memorial Series 179 one eye. That should have been
the most conspicuous thing of all about his physical appearance if he
was literally blind in the right eye. The word Kafir written between
Dajjal's eyes "Narrated by Anas bin Malik: The Prophet said: No
prophet was sent but that he warned his followers against tlie one-
eyed har (Dajjal). Beware! He is blind in one eye, and your Lord is
not so. And there will be written between his (DajjaPs) eyes (the
word) Kafrr (i.e., disbehever). (This Hadlth is also tiansimtted by Abu
Huraira and Ibn 'Abbas). (Sahrli, al-Bukhari) The proof that the
interpretation of tiie Hadith pertaining to Dajjal's above attack on
mankind (le., the attack that is linked to his eyes) is epistemo logical,
ie., pertaining to knowledge, the sources of knowledge, and the
means of acquiring knowledge, is located in the crucial^ important
Hadith which places the word Kafir between the two eyes oi Dajjal.
Since his Kufr is located between his eyes it is related to his 'sight' or
his capacity to see and thus to acquire knowledge. Secondly, the
Hadih makes it quite clear that the Kufr of Dajjal, and hence of the
age of Dajjal, would be quite evident, le., not concealed. Someone
would have to be blmd not to be able to recognize that Kufr since it
would be written between tiie eyes, le., between the external and
the mtemal capacities for sight. One of the defining characteristics of
modern Euro- Jewish and Euro-Christian western civilization is the
Kufr that has resulted from the secularization of knowledge and
hence, the rejection of spiritual insight as a source of knowledge.
The onfy knowledge recognized by Judeo-Christian West is
knowledge of that which can be observed with external faculties of
sight etc., and is thus located in the material Internet Fd/tion
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 Ansari Memorial Series 180 universe. The West does not at
all conceal this defining characteristic which is so manifest that it is
as though the word Kafir is written between its eyes. We do not say
that modem western civilization is Dajjal. Rather we hold that it is
the creation of Dajjal and that it serves Dajjal. The implication is that
all those who imitate modern western civilization will become
followers of Dajjal and would eventual^ embrace his godlessness
and have their faith m Allah destroyed. Allah Most High has already
declared that 999 out of every 1000 of mankind would be tiius
ruined and enter into hell-fire! Allah Most High is not One-Eyed In so
far as this subject is concerned a one-eyed man is a man who sees
wifli only one eye, i.e., the external eye. All those who follow Dajjal
and the way of life he would establish would all become one-eyed
people. When the Hadih declared that Allah is not oneeyed, what
this meant is that Allah is capable of seeing both that which is al-
Zahir (manifest) as well as that which is al-Batin (hidden and
concealed). Thus He can see both 'appearance' and 'reality', both
'form' and 'substance'. Albh declares such about Himself m the Qur
'an : "He is the First and the Last, tlie Evident and the Hidden: and
He has full knowledge of all things." (Qui'an,al-Hadid, 57:3) Internet
Edition http://www.imranhosein.org
 Ansari Memorial Series 181 When Musa r 'alaihi al-Salam)
replied to the effect that he was the most learned of all men he
made the mistake of failing to acknowledge that all knowledge
comes from Allah Most High and that He, Allah, is the most learned
of all Nor did he acknowledge that his knowledge was infinite^ small
and minute when compared with the knowledge of He who is the
most learned of all This is precise^ what happens when knowledge
is secularized. Internet Edition http://www.imranhosein.org
 Ansari Memorial Series 182 CHAPTER EIGTH THE STORY
OF DHUL QARNAIN The Jewish Rabbis in Madina had given the
Arabs of the tribe of Quraish three questions to put before Prophet
Muhammad imllalahu 'alaihi ira sallam) in ordei to test whether or
not he was indeed a true Prophet of Allah Most High. One of \he
three questions pertained to the great traveler who traveled to the
two ends of the earth. In posing that question the Rabbis were, in
our view, seeking to discover whether or not Muhammad (salMahu
'alaihi wa sallam) knew about one of the major Signs of tiie Last Day,
namefy, Gog and Magog. Before we attempt to ejq)lain the subject
oi Dhfil Qamain and its implications for the modem age, let us first
record the Qur'anic response to the question posed by \he Rabbis
concerning the great traveler. The answer commences with verse
eighty-three of Surah alKahf and continues until verse one hundred
and one: Vense 83 "And tliey (the Rabbis) ask thee (Oh Muhatimiad)
concerning Dlml Qamain. Say, I will relate to you something of his
story." Internet Fd/tion http://www.imranliosein.org
 Ansari Memorial Series 183 Verse 84 "Verily We established
his power on eaith, and We gave him the ways and means to all
ends." Verse 85 "One (such) way he followed," Verse 86 '' ,f i OJjtJ
o' '^j ljP3^' ''-'-^ ^^ ^-^.^ Lajlxp ^^"33 ^^^-^ Until, when he
reached the setting of the snn, he fonnd it setting iii a spring of
murky water (i.e., the Black Sea - Tafstr Jaldlain). Near it he fonnd a
people. We said: "O Dhiil Qamain! (thou hast authority) eitlier to
punish them or to tieat them with kindness ." Verse 87 Internet
Edition http://www.imranhosein.org
The text on this page is estimated to be only 21.42%
accurate

Ansari Memorial Series 184 j»-J j^JLrj twJa,^^ ^^kik* ■_«

L«l (JL9 # "He said: Whoever doth wrong, hiiii shall we punish; then
sliall he be sent back to his Lord; and He will punish hun with a
punishment unheard-of (before) ^^ Verse 88 i/ .-s^ 1-^'" I' 'f ' " r X
^^ vH: ^^ ' Cr? -''*-' "But whoever believes, and works
righteousness, he shall have a goodly reward, and easy will be his
task as we order it by oui command." Verse 89 ©^t^'P 'Then
followed he (another) way." Verse 90 ^ ^J^ ci^ xJJaj La JLi^j
j^«-«_iJ I xija^ xJl) i ^J cc-^ 7 © La^ ^-L9-^ t>^ ^ J*^ Internet
Edition http://www.imranhosein.org
 Ansari Memorial Series 185 "Until, when he caine to tlie
lismg of the sun, he found it rising on a people for whom We had
provided no covering protection (perhcps agiinst the sun)" Verse 91
(^ Y}J>- ^jJ Uj UJjij^l ^'^dll' J5 'Y//e lefi them) as they were: We
completely understood what was before him." (i.e., why he acted as
he did) ." Verse 92 'Then he followed (another) way." Verse 93
"Untn, when he reached {a tract) between two mountams, he found
beneath them a people who scarcely understood a word (i.e., they
could not understand his language) ." Verse 94 Internet Edition
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 Ansari Memorial Series 186 > f-- , ' -* f"They said: O Dhul
Qamaiii! Gog and Magog coniipt ('owrj territory with acts of great
oppression and coimption. Can we offer you tiibute (i.e., pay you) ill
order that you might erect a hairier between us and them?" Verse 95
4© ^-^-^^ ^4%3 "He said: (the pmverj in which my Lord has
established me is bettei (thati tribute): help me therefore witli
manpower (i.e., labour): I will eiect a strong bamer between you
and them." Verse 96 "Brmg me blocks of iion. At length, when he
had filled up the space between the two steq) mountain-sides, he
said. Blow (with your bellows) . Then, when he had made it (red) as
fire, he said: Bring me, that I may pour over it, molten copper."
Internet Fd/tion http://www.imranhosein.org
 Ansari Memorial Series 187 Verse 97 'Thus were they made
powerless to (either) scale over it or to dig through it." Verse 98 He
said: This is a mercy from my Lord: but when the promise of my
Lord " "comes to pass. He will make it into dust; and tlie promise of
my Lord is tiiie. Verse 99 ^ jy^\ J r^3 J^^_ J ^^5^ A^^ f-r'^*^
^^3 )" ^1 Ljctf^ jv-$uji_«^ "On tliat day We shall leave tliem to
surge hke waves on one another (i.e. , the world would descend into
anarchy); the trumpet will be blown, and We shall collect them all
together (i.e., the world would witness such globalization as to
become akin to a global village m which all of mankind would be
interconnected) . " Verse 100 Internet Fd/tion
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 Ansari Memorial Series 188 "And We shall present Hell that
day for Unbelievers to see, all spread out." Verse 101
^^(Unbelievers) whose eyes had been under a veil fioni
Remembrance of Me, and who had been unable even to hear."
(Qur'an, al-Kahf, 18:83-101) Pax Qarnain (i.e., Dhul Qarnain's world-
order) Dhiil Oainain in Arabic refers to someone who possesses two
Qams. This can mean either two 'horns' or two 'ages'. But since the
Qur'an has always used the word Oam to refer to an age or epoch
(or page of the book of history) and never as 'horn', we choose to
translate Dhul Oamam as one who impacts on two different pages of
the book of history. And smce we locate the true target of tiie
question posed by the Jewish Rabbis in that major Sign of the Last
Day, namefy, Gog and Magog, we are of the view that Qarnain, le.,
the two ages, refer botii to an age m the distant past and to an age
which is to come which would be the Last Age or the Age of Fitan.
We hold the view that we now live in that Last Age, and hence, that
tiiis story has direct relevance to living Muslims. Who was Dhill
Qamainl This writer has not found any compelling necessity to
devote attention to the question whether Dhul Internet Editbn
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 Ansari Memorial Series 189 Qamain was a historical
personality or not. Rather we beheve that attention should be
directed to the conduct displayed by Dhiil Qamain in his exercise of
power and authority, for therein hes the very substance of the divine
guidance being conveyed in the story Surah al-Kahf has introduced
us in this story to the subject of power and its rebtion to faith in
Allah Most High. Dhul Qamain possessed faith in Allah and he was
endowed by Allah with the power to pursue whatever objective he
chose. He therefore had the capacity to establish what may be
described in international relations as Pax Qamain (i.e., Dhul
Qamain's world-order). At the heart of this allegorical story is a
description of a world-order constructed once upon a time by one
who possessed faith in Alhh Most High (i.e.,Pax Islamicd). We are
presented with a critical^ important description of that world-order.
The story then proceeds to warn of the emergence of a Gog and
Magc^ world-order that would witness power being used in e?actfy
the opposite way from tiiat of Dhiil Qamain. Finally the promise was
delivered m the previous^ discussed story of the young men and the
cave that history would not end without that page of history being
revisited and a world-order being restored m which power would be
used as it was used by Dhiil Qamain. This would transpire when the
true Messiah, Jesus the son of Mary, returns to the world to restore
Truth and the re -establishment of Pax Islamica. Pax Qarnain — and
the journey to the West Dhiil Qamain traveled westwards until he
reached a pomt in his travels where he came upon a body of dark
murky water and saw the Internet Edition
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 Ansari Memorial Series 190 sun go down beneath that sea
of water (in the poetic sense). The imphcation was that this was the
farttiest point westwards that he could travel He came across a
community of people at that place and Allah Most High gave him the
choice of using power either to punish or to reward them. Dhul
Qamain 's repfy delivered the heart and substance of a Pax Islamica
or a world-order of Islam. He declared that he would use his power
and authority to punish the oppressor, and that when he was
finished with punishing him, the oppressor would then face
additional punishment from his Lord-God when he returned to Hira.
This IS the kind of world-order that the Lord-God wants mankind to
establish and sustain. Such a world-order, established by those who
possess faith in Allah Most High, would witness an essential harmony
between the heavenfy order above and tiie world-order below. The
implication is that whenever oppression is banished and justice is
established, mankind would enjoy a blessed state in which peace
and happiness would prevail Pax Qarnain — and the journey to the
East After describing the journey to the West, Surah al-Kahf then
proceeded to describe Dhfil Qamain 's journey to \he East, or to the
'rising of the sun'. There he found a people concerning whom Allah
Most High declared, "We did not provide for them, as a covering,
other than it." The story described D/7«/ Qamain 's response to
those people in language that is extreme^ difficult to interpret
"Kadhalika" was the first part of the response. And tins could mean
Internet Fd/tion http://www.imranhosein.org
 Ansari Memorial Series 191 thus did he find hem and hus
did he leave hem (undisturbed). The second part of the response
described DhiJl Qamain as having fulfy grasped and understood the
situation of these people. What was that 'covering' provided to the
people by Allah Most High, other than which they had no other
'covering'? And how do we interpret Dhill Qamain 's enigmatic
response to their situation? Our view, which we venture to explain
with the proviso that Allah Knows best, is that Surah al-Kahf ys, here
preparing the believers for the age oi Fitan when the modern world's
hunger for exploitation of all resources of the earth and, in particular,
oil, result m callous disregard for human rights. Primitive people,
whose onty possessions are land and homes, but whose territory is
oil-rich (for example), would find themselves dispossessed of both
land and homes. Dhill Qamain recognised the human person and
human rights to be superior to resources, and so he left those
people undisturbed in their possession of their land and homes.
When the Last Age comes, and the masses are reduced through
Riba to biting poverty, believers must ensure that they respect the
human person and human rights while they seek to ejq)loit (for
example) resources of the earth. Pax Qarnain — and the enigmatic
third journey After describing the two journeys to West and East,
and thus answering the question overtly posed by the Jewish Rabbis,
the Qur'an then proceeded to describe a third journey which was the
real target of the question, although it had not been overtly posed
by the Rabbis. Internet Edition http://www.imranhosein.org
 Ansari Memorial Series 192 It was while describing the third
journey that Surah al-Kahf mentions for the first time the names of
Gog and Magog. Their release into tiie world would herald a major
sign of the Last Day. It should be clear that knowledge of the signs
of the Last Day is a subject tiiat lies beyond the reach of human
intellect. Indeed such knowledge cannot but be the exclusive
preserve of the Prophets of Allah Most High. The Surah informs us
that Dhill Oamam, in his third journey, came upon a people living in
a pass between two mountain ranges. They complained to him
about Gog and Magog's Fasad m their territory. They requested him
to build a wall that would contain Gog and Magog and protect them.
They were prepared to pay Dhul Qamain to build the wall for them.
Gog and Magog are two communities of human beings who,
according to Prophet Muhammad (sallalahu 'alaihi wa sallam), are
descended from Noah ('alaihi al-Salam). As mentioned above, they
are agents of Fasad. But the blessed Prophet went on to disclose a
communication from Allah Most High reported in His direct speech
(Hadith al-Qudsi) to the effect tiiat, "/ have created creatures of
Mine (i.e., Gog and Magog) so powerful hatnone but I can destroy
hem. " With their invincible power they can thus destroy peace on
eartii. Hence their conduct is the opposite to that oiDhfd Qamain 's.
Dhul Qamain built a wall of iron and coated it with molten copper.
The wall blocked the entire pass, and as a consequence, Gog and
Magog were contained since they could neither penetrate nor scale
the wall. He then declared the construction of the wall and the
consequent containment of Gog and Magog to be a manifestation of
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 Ansari Memorial Series 193 Divine Mercy. But he went on to
disclose that Albh Himself would destroy the wall and re lease Gog
and Magog into the world at the time of the Last Age. The Surah
concluded with a descrption of what the world would witness when
Gog and Magog are released into \he world: j>^' (J t^^ J^^- (J
^>^ 9^^' J ^ f "On that day We shall leave them to surge like
waves on one another; Ihe tr"umpet will be blown, and We shall
collect tliein all togetlier. And We shall present Hell that day for
Unbehevers to see, all spread out, (Unbelievers) whose eyes had
beeii under a veil fioni Remembrance of Me, and who had been
unable even to hear." (Qur'an, al-Kahf, 18:99-101) When Gog and
Magog are eventual^ released into tiie world (in tiie Last Age)
mankind would w itness the emergence of a world-order tiiat would
be the opposite of what Islam would have delivered to mankind.
Mankind would witness power in the hands of those who have no
faith in Allah Most High. Instead of using power to liberate the
oppressed and to punish the oppressor, that essentially godless age
would witness power used to oppress (in particubr) those who have
faith in Allah Most High and whose conduct is righteous. Internet
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 Ansari Memorial Series 194 We have argued in our book
entitled 'Jerusalem in the Qur'an' (see Ch. 10) that Allah Most High
released Gog and Magog into the world during the lifetime of
Prophet Muhammad (scdlalahu 'alahi wa sallam) . The Qur'an
provided believers with a momentous sign by which they would not
onty have concrete evidence of the release of Gog and Magog, but
more tfian that, they would have the evidence that the world was
now in the control of Gog and Magc^. They would thus be able to
identify Gog and Magog as the Ruling Power in the world. This is
located in the reference to Gog and Magc^ in Surah alAnbiyah: ^ ■
j_^L^ cX3 "But there is a ban on a City which We have destioyed:
that Ihey (^e residents) shall not return - until Gog and Magog are
let through (Iheir barrier) and they swiftly spread out m every
direction." (Qur'an, al-Anbiyah, 21 :95-6) When Gog and Magog
have been released and, in addition, "have spread out in every
direction", then at that time the people of the Town who were
punished by Allah Most High, and banished from their town or city
(which was destroyed by Allah Most High), would be brought back to
that town or city. There is onfy one such town or Internet Edition
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 Ansari Memorial Series 195 city (which was destroyed by
Alkh Most High) which is mentioned in the Ahadih pertaining to Gog
and Magog. And it is Jerusalem. Since no other town or city
(destroyed by Allah Most High) other than Jerusalem is mentioned in
the Ahadith pertaining to Gog and Magog, we have come to tiie
conclusion that the town or city mentioned m Surah al-Anhiyah
(verses 95 and 96) above can onfy be Jerusalem. From this
conclusion and identification of the town or city now emerges the
imphcation that the return of the Jews to tiie Hofy Land was made
possible through the intervention of Gog and Magcg. In other words,
the Euro-world-order that now rules the world from Washington is
the world-order of Gog and Magog. . The Qur'an proceeded to warn
that when these events take place, the world would witness the
countdown to the Last Day: k^j. ^ liU (3^i -^3^' s-i?^'3 ^ "Then
will the tme warning (of the. Day of Accounts) draw close (to
feilftJlment): then beholdl (on §iat day) the eyes of the Unbehevers
will stare in hoiTor: Ah! Woe to us! we were indeed heedless of tliis;
nay, we tiiily did wrong I" (Qur'an, al-Anbiyah, 21 :98) When Gog
and Magog are released they would 'spread out in every direction'.
This indicates that with their invincible power they Internet Editbn
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 Ansari Memorial Series 196 will take conttol of the whole
world and that, for the first time in history, one set of people would
rule all of mankind. That is precisefy our present world. The world
order of Gog and Magog would be one of Fasad (i.e., oppression and
wickedness). Silrah al-Kahf has described the two defining
characteristics of the Fasad of that world order as being the opposite
of the two defining characteristics of the world order oiDhul Qamain.
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 Ansari Memorial Series 197 CHAPTER NINE SURAH AL-
KAHF: THE BEGINNING The blessed Prophet fsallakthu 'alaihi ^^■a
saUam) advised the behevers to recite the first ten Ayat (verses) of
Surah al-Kahf and declared that such would protect them from the
Fitnah (le., tests and trials) of Dajjal the false Messiah or Anti-Christ:
"Abu Darda reported that Allah's Messenger said: If anyone
memorizes the first ten Ayat (verses) of Siirah al-Kalif, he would be
protected from Dajjal." (Sahili Muslim) "He who among you survives
to see him (i.e., Dajjal) should recite over him the opening veises of
Surah al-Kahf." (Saliili MusHm) We now examine those first ten Ayat
(verses) to locate the substance of the message that they convey
concerning Dajjal and the danger that he poses to the believers. The
first thing that we notice about the ten Ayat (verses) of the Silrah is
that, assuming that the Basmalhh is not counted as the first verse,
they end with a Du 'ah or prayer. Here is the story which e:^lains
that Du 'ah. There were some young men who, despite being young,
had faith in Albh Most High. They lived in an age that was waging
war on Islam and was forcing believers to submit to a godless way
of life. They resisted until they were forced to flee from tiieir homes
and town in order to preserve their faith in Islam. They fled into a
cave (and Internet Edition http://www.imranhoseiii.org
 Ansari Memorial Series 198 caves are usua% located in
mountains) and they then made a Du 'ah (prayer) to Allah Most High
for help, protection and guidance. It is with that Dm 'fl/j (prayer)
that the first ten^a^ (verses) end: "Behold the youlhs betook
themselves to Ihe Cave and th^ prayed: Our Lord! Bestow on us
Mercy fiom Thyself and dispose of our aflah^ for us in ther'^ht
way!" (Qm'an,al-Kahf, 18:10) This Du'ah (prayer) must be
recognized as tiie very key with which a Muslim canwinDivme
protection from Daya/ at moments of danger and great trial. For
example, if a Muslim is traveling by air and he arrives at an airport
and approaches an unfriend^ immigration officer who is hostile to
Islam and is preparing to harass him, it is this Duah (prayer) in
particular which should be recited on such an occasion. If one has
the time to do so one can then follow this up by reciting allten^yaf
atthe beginning oi Silrah al-Kahf. Here are tiie first isn Ayat (verses)
of the Surah together with our comments in which we attempt to
locate their link withDo/ya/ the false Messiah or Anti-Christ (if the
reader is of the view that the first verse of the Surah is the
Basmallah then, of course, the following would be tiie second verse):
1'' Verse Internet Edition http://www.imranhosein.org
 Ansari Memorial Series 199 "Praise is due to Allah Who sent
down the Book (i.e., the Qur'an) on His Sei"V"aiit (i.e., Prophet
MtiliaTimiad) and did not allow (and also will not allow) therein any
'Iwaj (crookedness, tortuousness, deviation from the path of truth,
distortion, devtousness, internal or externa! contradictions, etc.). "
The verse begins with drama as Allah Most High praises Himself for
having sent down die Qur'an on His Servant Muhammad (sallalabu
'alaihi wa sallam). But Muhammad the Arab (sallalahu 'alajhi M-a
sallam,) was not a Jew, and, as a consequence, tiiis Divine act
placed the Jews in a frustrating dilemma. The Qur'an has accused
the Jews of having corrupted the text of the Torah through rewriting
it with their own hands: LUjjLi ^ J-J ^ $aJI J^ H"^ Ij^JJi ^:^.ajl J j-
i )> "But they, who acted wickedly, changed the (Divine) word from
tliat which had been given Hieni (i.e., the Torah)\ so We sent on
those who acted so wickedly a plague from heaven, (and §iiswedid)
because of theii' intractable sinfulness." (Qur'an, al-Baqaiali, 2:59)
Those who corrupted the text of the Torah ('Iwaj) had, in the
process, made it impossible for a believer in the tainted Torah to
accept a Prophet who was not a Jew. After all, they believed that the
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 Ansari Memorial Series 200 Israelite people were he chosen
people of Allah. They were the spiritual elect of mankind whose
destiny it was to eventual^ rule the world at the end of history. Non-
Jews had a spiritual status, when compared with Jews, that was
manifest^ inferior, and so it was impossible for Jews to conceive of
Divine revelation coming down on a gentile, or for a gentile to be
chosen as a Prophet of Allah. In particular the Torah had made it
impossible for an Arab to be accepted as a Prophet smce Arabs were
descended from Ishmael r 'alaihi al-Salamj and the Torah had been
rewritten to explicit^ declare that Allah's covenant was with Isaac
('akdhi cd-Salam) and not Ishmael ('alaihi alSalain). In addition it
had slandered Ishmael ("a/oi/ij (iZ-So/omy as "a wild ass of a man -
his hand against everyman, and every man 's hand againsthim"
(Genesis, 16:12). Yet it was frustratingly clear to the Jewish Rabbis
in \he Arabian city of Yathrib (now known as Madina) that
Muhammad, the Arab, was indeed a true Prophet of Allah. Jews
were enraged that Allah Most High chose an Arab to be the recipient
of the last revelation since, in recognizing him as a true Prophet, it
forced them to accept that they had distorted the Torah. Second^,
their assumption of racial superiority over the Arabs would no longer
have any scr^tural support. The Qur'an recognized this frustration of
the Jews and responded to it: Internet Fd/tion
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 Ansari Memorial Series 201 ^i f f jiT-'^ l' ' -*T'''' '' M' l'-^
^Si-f'-u-'^^ * "Miserable is the price for which they have sold their
souls in that they deny (the revelation) which AUah has sent down.
(Tliey have done so) in insolent envy that Allah of His Grace should
send it to any of His seivants He pleases (i.e., MuhanuiKid the Arab),
Hius have they drawn on tlieniselves wrath upon wrath. And
humiliating is the punishment ofthose who reject Faith." (Qur'an, al-
Baqarah, 2:90) And SO, right from the very beginning there is a ckar
indication that the Surah is addressing the Jewish rejecters of
Muhammad (sailalabu 'alaihi ^^■a scdlam) and the Qur'an. And wc
must rccogjuze that these very people are Dajjal's primary target.
This verse directs attention to all the corruption that occurred in the
sacred scrq)tures which were sent down prior to the Qur'an, in
particular the Torah. And so a major clue in understanding Doya/,
and in understanding tiie attacks which he would launch against his
targets, is located in the concocted texts and m particular the Torah.
Secondly, since the Qur'an is free from crookedness, and will forever
remain so, the Qur'an can best e^q^ose the distortions with which
previous scrq)tures (the Torah inparticubr) have been corrupted. It is
therefore a matter of paramount importance that the Qur'an be used
to locate all that is corrupted in previous scriptures. This requires
that we make an indepth study, not only of the Qur'an, but also of
the previous now-corrupted scr^tures such as the Torah. Internet
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 Ansari Memorial Series 202 Unless we study the Torah and
discover the changes made to it by human hands, we would never
be able to understand and e?q)]ain the emergence of an age of the
universal prevalence of 'Riba\ alcoholism, and drug addiction. We
would be unable to understand the Imk between alcoholism and the
'End of History'. Nor would we be able to understand the emergence
of the Riba economy with its 'paper money' (soon to become
invisible and intangible electronic money) and a usurious 'banking
system' that has taken control of economic life everywhere. 'The
Prophet said: The knots of Islam would be undone one by one until
eveiy one of them is undone, and the first one to be undone would
be the rules in tlie Book of AUah and the last one would be Salat
(prayer)." (Musnad Ahmad) One of the signs of the approach of the
Last Day (when the world would come to an end), as predicted by
the Prophet Muhammad (sallalahu 'alaihi wa salktni), is that the
ruling of the Book of Allah banning consumption of alcohol would be
ignored and there will be universal consumption of alcohol and other
intoxicants: "Anas told that he heard the Messenger of Allali say:
Among the S^ns of the Last Hour wiU be tlie removal of knowledge,
the abundance of ignorance, the prevalence of fornication, the
prevalence of wine-diinkiiig, tlie small numbei of men and the large
numbei of women, so that fitly women will have one man to look
after them." (Bukhari, Muslim) It IS quite clear to those who pursue
the Islamic spiritual quest (al-Ihsan or Tasawwiif) that we now live in
that age described by the Prophet (sallalahu 'alaihi ira saliamj as the
Last Age. One in every six Internet Editbn
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 Ansari Memorial Series 203 homes m America, for example,
is now affected by alcoholism, and the number is constant^
growing. The rest of mankind seems destined to embrace,
tomorrow, whatever America has embraced today, and that, also, is
a Sign from Allah. But most people are heedless of the Signs of
Allah: / '-s^ --^ "i • "ill-- ''i-- ' ■' i^iT ''" \^ -^"^ 1' \ t©^^^^^^
^^^'^^y^ot^Lji ^ 1^ Ob f ". . . . but veiily most people are
heedless of Our Signs !" (Qur'aii,Yuniis, 10:92) The reason for this
curse of alcoholism is the rewriting of the divine scr^tures sent by
Allah Most High. This was done in order to delete the divine
prohibition against the consumption of intoxicants as well as usury
(Riba). Whoever did the rewriting of the Torah was so evil that he
false^ accused a righteous Prophet of becoming drunk. In that state
of intoxication he slept with and impregnated his own two daughters
one after the other! That was blatant falsehood! It was a very grave
insult to Lot ('alaihi al-SaJam), a Prophet of Alkh, and it blasphemy
against Allah Most High (See book of Genesis m the Torah). Allah
responded to that wickedness by cleansing Lot Calaihi alSaldmj of
the fiMi that had been smeared on him : C--ji^jXjl ^3^' ^ . jA dJJL-
ji^3 '^^-'^3 '^^*'5^ ^'-^'^ '^J^J ^ Internet Edition
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