Objective: To determine the stone free rate by PCNL in pediatric population. Study Design: Descriptive Study. Setting: Department of Urology & Kidney Transplantation, Faisalabad Medical University and Affiliated Hospitals. Period: July 2019 to December 2019. Material & Methods: Total 55 patients were enrolled. After history, examination, relevant pre-operative investigations and informed consent, the patients underwent standard prone PCNL, with ureteral catheter placement, system puncture under fluoroscopic/ultrasound guide, tract dilatation, nephroscopic stone manipulation and retrieval. Pre and post operative images were compared for determinations stone clearance. Other relevant data operative time, need of blood transfusion & complications were recorded. All the information was documented on a proforma. Results: In our study, of 55 cases, 87.27% (n=48) were between 2-10 years of age whereas 12.73% (n=7) were between 11-14 years of age, mean+sd was calculated as 8.44+2.31 years. 56.36% (n=31) were male and 43.64% (n=24) were female. Frequency of stone clearance was recorded in 80% (n=44) whereas 20% (n=11) didn’t stone clearance. Conclusion: Frequency of stone clearance is high with percutaneous nephrolithotomy (PCNL) in pediatric population.
Objectives: Our objective was determination of the correlation between mean bladder wall thickness and mean IPSS in BPH diagnosed patients. Study Design: Cross sectional study. Setting: Department of Urology & Renal Transplantation, Punjab Medical College / Allied Hospital, Faisalabad. Period: Six months from 01-04-2016 to 30-09-2016. Material & Methods: Total 70 patients were enrolled for study from outpatient department of Urology, AHF. IPSS was calculated and recorded. Transabdominal ultrasound KUB was done to measure bladder wall thickness. Urine complete examination and culture was done to rule out UTI. Existence of bladder tumor was ruled out by previous history and ultrasonography. The data was collected on a Proforma by myself. Results: Out of 70 enrolled cases, 47.14% (n=33) were aged 50-60 years whereas 52.86% (n=37) were 61-70 years of age. Mean age was calculated as 61.27+5.31 years. Mean Bladder Wall thickness was 3.64+0.72 and IPSS was calculated to be 12.84+2.79 (r0.9056). Correlation between mean bladder wall thickness and mean IPSS in patients having benign prostatic hyperplasia was calculated as significant. Conclusion: In patients suffering from BOO due to BPH, we have found a very strong positive correlation between mean IPSS and mean BWT. However, bigger studies using standardized techniques are required to establish this fact.
Background: Urothelial carcinoma is the most common malignancy encountered in genitourinary tract. Urinary bladder cancer is the 7 th most common malignant tumor worldwide. It is a disease of older age group. Objective: To determine the demographic characteristics of urinary bladder cancer and to analyze the cases of urothelial carcinoma according to gender, age, grade, invasion, histologic subtype, presenting complaints and pathologic stage of specimens. Study Design: Retrospective study.
Introduction: Benign prostatic hyperplasia (BPH) is a common disease in ageing men and prostate resection is common surgical procedure for it. The symptoms of the enlarge prostate can be assessed by using International Prostate Symptoms Score (IPSS). Some studies show that the resected volume of prostate correlates with the prostate symptoms while some show no correlation between symptoms and volume resected. Objective: To find the correlation between resected volume of prostate and IPSS after resection. Study Design: Cross-Sectional Study. Study Setting: Department of Urology, Institute of Kidney Diseases, Peshawar, Pakistan. Study Duration: 01-10-2020 to 30-03-2022. Material and Methods: Pre-operatively, weight and height were measured by digital weight machine and inches tap. Patients symptoms assesses with IPSS for mild, moderate and severe symptoms. Prostate tissue resected during surgery was put in a 60cc syringe and sent to pathologist for exact volume. Post-operatively, patients were followed after one month for symptoms. The difference between pre and post-operative IPSS was calculated. Results: Mean age, prostate volume and change in IPSS were 57.89±14.18 years, 41.05±6.28 ml and 14.84±3.20. There were 34.1% patients each in 30-49 and 50-59 years age groups and 31.8% in 70-80 years group. Pre-operatively, 68.2% patients presented with severe symptoms, 22.7% with moderate symptoms and 9.1% with mild symptoms. Post-operatively, severe symptoms were reduced to 11.4% while moderate symptoms were seen in 52.3% patients. Mean prostate resected was 41.05 grams. Correlation of change in IPSS and prostate volume was 0.280. Conclusion: There was positive correlation between change in prostate volume and IPSS but it was very weak. In other words, the strength of association between these two is very low i.e. r = 0.280 or 7.8% (0.2802) and not statistically significant i.e. P = 0.065. Keywords: Benign prostatic hyperplasia, enlarge prostate, BHP, IPSS, TURP.
Azoospermia, the complete absence of sperms in the ejaculate is found in 1% ofnormal males and 10-15% of infertile couples. Surgical sperm retrieval (SSR) and use of spermsfor ICSI/IVF offers an opportunity of parenting to the male factor infertile couples. Micro-TESEgives higher surgical sperms retrieval rates in those patients in whom the chances of spermretrieval otherwise are very low. Objectives: To evaluate the outcome of Microscopic TesticularSperm Extraction (Micro-TESE) in different patients groups of non-obstructive azoospermia,in terms of testicular volume, histopathology, hormones levels as well as cytogenetic variants.Study Design: Retrospectively reviewed. Setting: Urology Division, King Fahd Medical City,Riyadh in collaboration with King Abdullah Reproductive Medical Unit (RMU). Period: January2011 to January 2016. Material & Methods: Fifty-four patients of primary and secondary infertilityage range of 29 to 65 years who had undergone Microscopic Testicular Sperm Extraction(Micro-TESE). Outcome measures: Finding of sperm in testicular specimen extracted bymicroscopic testicular dissection. Results: Out of 54 patients, hormonal abnormalities werefound in 45% patients and 65% had low volume testes. Abnormal histology was found in 23%patients and 9% had chromosomal abnormalities. Overall sperm retrieval rate in all groups was33%. Sperm retrieval rate was 34 % in patients with small volume testes (<15ml), 42% patientswith abnormal hormones (FSH), 33% patients with abnormal histology and 38% in patientswith chromosomal abnormalities. Minor complications (small hematoma and orchalgia) wereobserved in two (3.7%) patients. Conclusion: Micro-TESE is a valid option for sperm retrieval inpatients in which probability of sperm retrieval is otherwise very low.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.