Vesicovaginal fistula [VVF]: a prospective analysis

Vesico vaginal fistula disease is as old as antiquity, VVF has a profound effect on the patient's emotional well being. The main object of our study was to find out the etiology, success of repair, in our set up. A total of 26 patients were included in our study, with the mean age of 30 years, all were almost illiterate [88.56%], Multiparous [57.69%], with the height more than 151cm [53.84%]. The cause of injury noted for birth trauma was, Obstructed labor [42.30%]. The time interval for the presentation of the patient for the treatment in 61.54% was 2-10 month. The success rate noted was 92.30%

Transuretheral resection of prostate [TURP] - a treatment modality for benign prostatic hyperplasia [BPH]

This prospective study was done to know the complications of TURP as a treatment modality for BPH. 1200 patients having TURP at Jinnah and Mayo Hospital, Lahore from 1996 to 2002 were included. All the patients were evaluated by history, examination and investigations. Age range included from 45 to 115 years. Retention of urine was commonest indication for the procedure followed by raised prostatic symptom score. Seventy-two% patients had prostate size between 31 to 50 gram on DRE and Ultrasonography. Hypertension, DM and pulmonary diseases were common comorbid conditions in these patients. In early complication clot retention in 8% and ITTI in 7.6%, and failure to void in 4.7%. In the late complication stricture 6%, impotence 2.3% and incontinence 0.5%. Histopathology detected carcinoma of the prostate in 6% patients