ABSTRACT
OBJECTIVES: To evaluate the outcome of Bracka's procedure in patients with penile hypospadias
MATERIAL AND METHODS: All the patients from urology, plastic surgery and Pediatric Surgery Departments at LUHMS Jamshoro from October 2007 to September 2008 having penile shaft hypospadias were included in this study. Patients who were above age 15 years, other congenital and already circumscribed penis were excluded from this study. Detailed examination of the patients such as position and size of abnormal meatus, the presence of chordee, the quality and width of urethral plate and the configuration of glans penis were noted. All the patients were operated under general anesthesia. The surgical technique applied on the basis of stage 1 and 2. The data were entered and analyzed in Statistical Program SPSS version 16.0
Results: Total number of 30 cases was included in this study. Twenty one [70%] patients had the Distal Penile Hypospadias, 6 [20%] had the Proximal penile and 3 [10%] patients had mid penile Hypospadias. Various post-operative Complications were noted, chordee 2 [6.7%], lnfection 1[ 3.3%], and loss of split thickness skin graft 1[3.3%], while after stage II, 2[6.7%] developed fistula formation and in 2 [6.7%] developed edema. In this study the outcomes of Bracka's procedure include Voiding direction and meatal opening, 29 out of 30 patients had straight voiding direction and one patient had deviated voiding direction, similarly 29 out of 30 patients had near normal meatal opening and one had abnormal meatal opening
CONCLUSIONS: From our results we concluded that on the whole Bracka's two stage technique is simple, safe and versatile adjuvant to all types of hypospadias with minimal risk of complications and better out come
ABSTRACT
OBJECTIVES: To detect the frequency of different types of urinary stone, and location in urinary tract in patients admitted at Liaquat University Hospital Jamshoro
MATERIAL AND METHODS: This descriptive study was conducted at the department of urology of Liaquat University Hospital Jamshoro from February 2011 to July 2012 [18 months]
The study was carried out on 100 patients. All the patients age 15 years and above with urinary calculi, admitted for surgical procedure for stone disease were included in the study. All the demographic data including investigation, surgical procedure and chemical analysis of stone was noted on questionnaire form. Data was analyzed on SPSS program version 16.0
RESULTS: Out of 100 patients, male were 71 and female were 29. Mean age of the patients was 45.0 years. This study noted: 85% calcium, 78% oxalate, 53% uric acid stones in high percentage, and according to location the kidneys were the most affected part for stone disease as compared to ureter and bladder
CONCLUSIONS: In this study we noted calcium, oxalate, and uric acid were the most common components of urinary stone, kidneys were mostly affected as compared to ureter and bladder
Information and results of this study can help in the improvement of urinary stone prevention
ABSTRACT
To compare the outcome of three way foleys catheter removed on 2[nd] and 5[th] day after Transurethral resection of Prostate for BPH regarding postoperative retention of urine, urine culture and hospital stay. Quasi Experimental study. This study was carried out in Department of Urology, University of Medical and health sciences Jamshoro from July 2010 to December 2011. This study consisted of 50 patients were divided in two groups. Group A for catheter was removed on 2nd post operative day of Trans Uretheral resection of prostate and group B for catheter was removed on 5th Post Operative Day of Trans Uretheral resection of prostate, each group consist of 25 patients. Detailed History was taken from all the patients with special regard to the urinary retention. Inclusion criteria were that all diagnosed as case of BPH on the basis of history and investigations. Exclusion criteria included unfit patients for general anesthesia, presented with chronic urinary retention, hematological disorders, pre operative infected urine and concurrent uretheral structure. Re-catheterization were in 2 patients [8%] group A and 1 patient [4%] in group B. Post operative urine culture growth of organism [bacteriuria] were 1 patient [4%] A and 3 patients [12%] in group B. Duration of hospital stay in group A was 5.68 as compared to the patients in group B was 8.44 days. In conclusion, early catheter removal had a dramatic impact on hospital stay. Catheters can be removed early after transurethral resection of prostate with no increase in morbidity and maintain the efficacy of the procedure, resulting in considerable savings to their patients. Our study confirms the safety of an irrigation-free and early catheter removal policy after TURP