ABSTRACT
ABSTRACT Background: We analyzed the outcome and complications of rigid (R-URS) and flexible (F-URS) ureteroscopic lithotripsy for treatment of proximal ureteric stone (PUS). Subjects and methods: Retrospective data of 135 patients (93 males and 42 females) submitted to R-URS and F-URS for treatment of PUS in the period between July 2013 and January 2015 were investigated. (R-URS, group 1) was performed in 72 patients while 63 patients underwent (F-URS, group 2).We compared the 2 groups for success, stone characteristics, operative time, intraoperative and postoperative complications. Results: The overall stone free rate (SFRs) was 49/72 (68%) in group 1 and 57/63 (91%) patients in group 2, (P=0.005). The operative time was shorter in group 1 in comparison to group 2 with statistically significant difference (P=0.005). There was not any statistically significant difference between 2 groups in complication rate (P=0.2). Conclusıon: Both R-URS and F-URS could be a feasible option for treatment of PUS. R-URS is less successful for treatment of PUS and should be used cautiously and with availability of F-URS.
Subject(s)
Humans , Male , Female , Adult , Lithotripsy/methods , Ureteral Calculi/therapy , Ureteroscopy/methods , Postoperative Complications , Lithotripsy/adverse effects , Lithotripsy/instrumentation , Retrospective Studies , Treatment Outcome , Ureteroscopy/adverse effects , Ureteroscopy/instrumentation , Disease-Free Survival , Operative Time , Intraoperative Complications , Length of Stay , Middle AgedABSTRACT
The goal of the study was to assess asthma control using asthma control test [ACT] and to explore the factors that effects asthma control among participants with bronchial asthma in the outpatient clinic setting. This cross-sectional descriptive study was conducted in the outpatient primary care clinic at King Abdulaziz Medical City in Riyadh. Adult patients who were diagnosed with bronchial asthma by their primary treating physician were recruited over a 6-month period. Patients completed the ACT and questionnaires, which identified factors that affect asthma control. Four hundred asthmatic patients [n = 400] were enrolled, and 70% of these patients were women. Fifty-four percent of patients inappropriately used the inhaler device. The estimated prevalence of uncontrolled asthma at the time of the study was 39.8%. Inappropriate device use by the patient was more frequently associated with uncontrolled asthma [P - value = 0.001]. Active smoking [P - value = 0.007], passive smoking [P - value = 0.019], unsealed mattress [P - value = 0.030], and workplace triggers [P - value = 0.036] were also associated with uncontrolled asthma. However, the extent of asthma control did not appear to be related to the existence of regular follow-ups, bedroom carpets, outpatient clinic visits, age, body mass index [BMI], or duration of asthma. The present study identified a high prevalence of uncontrolled asthma in the primary outpatient clinic setting and common risk factors that may contribute to poor asthma control
ABSTRACT
Isolated injury of the posterior cruciate ligament [PCL] of knees is an extremely uncommon occurrence. Majority of such injuries follow motor vehicle collision and sports associated accidents. Magnetic resonance imaging [MRI] is the most reliable and highly sensitive cross sectional imaging modality to confirm the diagnosis. The case under review emphasises the use of MRI in knee injuries involving ligaments and menisci