ABSTRACT
Various techniques of ureteral reimplantation have been described for the correction of vesicoureteral reflux. We report our experience regarding the efficacu of Lich-Gregoir method in the treatment of vesicoureteral reflux. During the period September 1999 - May 2002, 14 patients [6 males and 8 females] were treated by the Lich-Gregoir method for the treatment of vesicoureteral reflux. The procedure consisted of suprahiatal detrusor myotomy and exposure of the bladder mucosa followed by placing the ureter over bladder mucosa and detrusor muscle was closed over it using 4/0 polyglycolic acid suture. This procedure was initially successful in all patients. However, one of our patients who had bilateral grade IV reflux continued to have mild degree of reflux in the left side, which was treated conservatively for one year with improvement. Thus the success rate was 93% after surgery and the one-year success rate was 100%. Urinary retention developed in one child and successful recovery after conservative management with urethral catheter drainage for 5 days. Hopitalization after surgery ranged from 1-3 days. The Lich-Gregoir method of extravesical ureteral reimplantation is successful, simple to perform, reproducible and associated with low morbidity. It also requires minimal hospital stay. These results should encourage the use of this technique when indicated to correct vesicoureteral reflux in children
Subject(s)
Humans , Male , Female , Ureter/surgery , Urologic Surgical ProceduresABSTRACT
Objective: To assess the efficacy of Transurethral Microwave Thermotherapy [TUMT] as a treatment modality of Benign Prostate Hyperplasia [BPH]
Patients and Methods: During the period between September 1999 to May 2002 inclusive, sixty six patients were treated with Transurethral Microwave Thermotherapy at KHMC using Prostasoft 2.5 on outpatient basis. Their ages ranged between 55 and 80 years, with a mean of 63 years. The treated prostate weight averaged 60 grams. No anaesthesia was needed, and the patients were discharged home with a Foley's catheter 2-3 hours after the treatment session. The patients were followed in a preassigned schedule for up to 6 months. Madsen scoring system was used to assess the subjective improvement
Results: The Prostate Specific Antigen [PSA] showed a mean reduction of 0.17 ng/ml from the baseline readings. The maximum symptomatic improvement was achieved 3 months after the treatment
Conclusion: TUMT is a safe and effective outpatient form of treating symptomatic BPH, and it is a quite accepted option for patients unfit for a major surgery such as TURP