Chances of successful RUS were low in patients with ureteric obstruction in the presence of tumour recurrences or elevated serum creatinine. Even if ureteric stenting was successful, their life expectancy was short.
IntroductionOne of the core indicators of monitoring universal access to safe, affordable surgical care is access to timely, essential surgery. Analysing the waiting time for elective operations is one way to determine access to surgical services in a country. Aims of this study were to determine the access to surgical services in a urology unit of Sri Lanka by analysing waiting time for elective surgical operations and to determine whether waiting time is related to income categories and social classes.
ObjectiveTo identify the clinico-pathological profile of urological malignancies treated in the urology unit of a tertiary care hospital in Sri Lanka.
Materials and methodsData related to all newly diagnosed and histologically confirmed malignancies in a urology unit of a tertiary care hospital in Sri Lanka were recorded prospectively over a
ResultsThere were 386 prostate cancers, 193 bladder tumours, 173 renal tumours, 13 upper urinary tract carcinomas, eight penile cancers, seven testicular malignancies, one urethral carcinoma and two urachal carcinomas during the study period. Gleason score of 8 or more prostate cancers were seen in 164 (42.5%) patients. Metastases were present in 59.8% of patients with prostate cancer. Muscle invasive urothelial cancers constituted 31.4% patients with bladder carcinoma. Primary carcinoma-in-situ of the bladder was seen in only one patient. Average age at diagnosis of renal cell carcinoma was 56.9 years with a male to female ratio of 3.5:1.
Latar Belakang dan Tujuan. Benign Prostatic Hyperplasia (BPH) merupakan pembesaran jinak kelenjar prostat akibat proliferasi sel epitel dan stroma sehingga menimbulkan gejala Lower Urinary Tract Symptoms (LUTS). Salah satu penanganan BPH adalah terapi medikamentosa dengan alpha-1 blocker. Keberhasilan terapi medikamentosa dipengaruhi banyak faktor salah satunya adalah Intravesical Prostatic Protrusion (IPP).
Metode. Penelitian prospektif komparatif yang bertujuan untuk mencari pengaruh IPP terhadap respon terapi alpha-1-blocker pada pasien BPH. IPSS dipakai sebagai alat ukur tersebut. IPP diperiksa dengan menggunakan USG transabdominal. Penelitian dilakukan dari Juli 2020 sampai Desember 2020. Data dianalisis dengan uji perbandingan rata-rata one way anova dan uji korelasi Pearson.
Hasil. Dari sampel 30 orang, pasien dibagi menjadi 3 kelompok berdasarkan derajat IPP yaitu, derajat I (<5mm), derajat II (5-10mm) dan derajat III (>10mm). Tidak terdapat perbedaan bermakna skor rata-rata IPSS awal pada masing – masing kelompok, yaitu 19.6, 18.90, dan 21,30 (p=0.216). Terdapat penurunan bermakna rata-rata IPSS setalah 1 bulan terapi dengan alpha-1 blocker. Terdapat korelasi yang bermakna nilai IPP terhadap penurunan IPSS akhir dengan arah korelasi negatif.
Kesimpulan. Terdapat hubungan bermakna antara derajat IPP terhadap penurunan IPSS pada pasien BPH setelah mendapatkan terapi aplha-1 blocker, semakin tinggi derajat IPP maka semakin rendah perbaikan IPSS akhir.
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