Background: Percutaneous nephrolithotomy (PCNL) technique has become a routine treatment for upper urinary calculi. Objectives: To describe the socio-demographic characteristics of the patients and to compare the outcome of operated patients. Materials And Methods: This was a retrospective study, of patients underwent PCNL in our Urology Center, between January 2020 and December 2022. Data of age, side, location of stone, size of stone, operating time, hospital stay, post operation pain, residual stones, fever, fistula, blood transfusion, and postoperative infection were recorded and compared between the two groups. Data were analyzed by using the SPSS version 22. Independent t-tests were used to analyze continuous variables, while for categorical variables chi-square test was used to compare two groups and a p value of less than 0.05 was determined as statistically significant. Results: 51.1% of the patients were females and 48.9% were males, (P = 0.000). The mean age was 38.1 ± 11.1 years. The highest number of patients were in the age group 30 – 39 years (40.0%), (P = 0.000). The location of stones was in pelvic (48.9%), lower calyces (30.0%) and pelvic + lower calyces (21.1%), (P = 0.000). Pain was more common as moderate in both groups PCNL (42.2%). Residual stones were (23.4%) only in standard PCNL group, (P = 0.000). Fever was in (7.8%) standard PCNL and in tubeless PCNL was in (2.2%), (p = 0.045). Blood transfusion was provided to (5%) for the standard PCNL patients and (3.3%) for tubeless PCNL patients. Patients who had standard PCNL had postoperative infectious (2.2%) was found in standard PCNL patients. Mean operation-time and mean hospital stay of standard PCNL was predominant. Conclusion: Tubeless PCNL proved to be the safest and most effective. Keywords: Comparison, standard, tubeless percutaneous, nephrolithotomy.
Background: Testicular injury has been shown to occur in less than 1% of trauma. Objective: To evaluate the fertility of patients underwent unilateral orchiectomy and live with unilateral testis. Materials and method: In this retrospective study, 86 male trauma patients that admitted to Alsadi hospital and Hatroom Urology Center between January 2015 to December 2018 were studied. All patients underwent unilateral orchiectomy. Married patients were included in this study. Information was collected from the medical records of the patients. The following parameters were included: patient age (years), injury type (blunt vs penetrating), mechanism of injury, conceive and period of conceive after orchiectomy. SPSS program, version 22, was used to analyze the data. The data were tabulated and statistical analysis was done by estimating rates, means and standard deviations, Fisher test was used and p-value < 0.05 was considered as statistically significant. Results: The total study patients were 86. Their age at orchiectomy ranged between 20 – 35 and the mean age was 27 ± 4.3 years. Blunt trauma accounted for (79.1%), while penetrating trauma accounted for (20.9%). The causes were vehicle accident (25.6%), gunshot wounds (20.9%), pedestrian collision (18.6%), sport trauma (15.1%), work site (10.5%), and motor collision (9.3%). Most of unilateral orchiectomy men succeeded to conceive (73.3) while (26.7%) failed to conceive (p > 0.05). After 1 year (27.9%) occurred conceive then after 2 years (23.2%) occurred conceive and after 3 years (22.2%), (p < 0.05). Conclusion: The total study patients who underwent orchiectomy were 86. Blunt trauma was predominant. The causes of the testicular trauma were vehicle accident, gunshot wounds, pedestrian collision, sport trauma, and motor collision. We found the most of unilateral orchiectomy men succeeded to conceive. Further studies are in need. Keywords: Unilateral orchiectomy, male fertility, testicular trauma, Aden, Yemen
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