Almost 80% of ectopic ureters are associated with duplicated system, and 5-17% of ectopic ureters are bilateral. Ectopic ureters usually open into urethra, vestibule and vagina in females and into posterior urethra and seminal vesicles in males. Bilateral single-system ectopic ureter (BSSEU) is a rare entity in urology. BSSEU opening into a vestibule with the absence of urinary bladder is an extremely rare occurrence. We report such a case and briefly discuss its management.
Background: Men in 5th and 6th decade of life experience a fall in the quality of life owing to Lower Urinary tract symptoms arising out of benign prostatic hypertrophy. The medical management protocol involves either monotherapy or combination. The present study was done to comparatively evaluate the efficacy of monotherapy as well as combination therapy in treatment of such patients using two drugs, namely Tadalafil and Tamsulosin. Methodology: The study comprised of 90 subjects divided equally in three groups. Group A and B were subjected to monotherapy using Tadalafil and Tamsulosin respectively, while Group C was provided a combination. Observations: There was statistically significant difference in subjects having Tamsulosin alone or in combination therapy as compared to subjects given Tadalafil alone. Conclusion: Tamsulosin alone or in combination therapy has shown a better outcome in the selected study subjects.
Keywords: BPH, LUTS, Tamsulosin, Tadalafil
Background: Urinary tract infections in pregnancy can be complications if the microbes causing it are proven to be resistant to standard use antibiotics. Routinely a multi-dose regimen of nitrofurantoin is used as a management protocol, however recent literatures have highlighted the relative efficacy of Fosfomycin in successful treatment. The present study was done to comparatively assess the efficacy of single dose Fosfomycin and standard dose nitrofurantoin in UTI among pregnant females, Methodology: Study employed a pool of 60 subjects divided equally in two groups. The groups were provided either with Fosfomycin or nitrofurantoin. Observations: Fosfomycin showed a lower rate of side effects and microbial resistance as compared to nitrofurantoin. The clinical and laboratory analysis revealed a statistically significant superiority of Fosfomycin in the selected study sample. Conclusion: Fosfomycin showed a better outcome compared to nitrofurantoin in the selected study sample.
Keywords: Fosfomycin, Nitrofurantoin, Pregnancy, UTI
Objectives: To evaluate the efficacy and safety of RIRS and PCNL in treatment of renal stone size between 1-2.5cm.
Methods: This comparative prospective study was conducted in the Department of Urology of a tertiary care teaching hospital of Rajasthan from January 2019 to June 2020. Patients were fully informed about the study protocol and a written informed consent has obtained from patients with renal stone disease without any co-morbid conditions, posted for RIRS and PCNL. Stone free rate, post operative complications, hospital stay, operation time and cost between RIRS and PCNL for treatment of renal stone size between 1-2.5cm were compared.
Results: Out of total 313 patients, 212 patients underwent PCNL and 101 patients RIRS. The stone clearance rate was significantly better in PCNL (92.45%) than RIRS (85.15%). The hospital stay was significantly less in RIRS (2.02±1.36 days) when compared to PCNL (3.89±2.18 days). Mean operative time for PCNL was significantly less i.e. 71.81±12.89 minutes as compared to 85.79±13.94 minutes in RIRS. Post-operative complications were more in PCNL group than RIRS.
Conclusions: This study concluded that PCNL when compared to RIRS both have advantages and disadvantages according to size and location of stone, post-operative complications, stone free rate and operation cost. Judicious use of PCNL and RIRS should be done according to above mentioned parameters.
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