Prevalence of different clinical symptoms in patients with prostatic hyperplasia

Present study was carried out at Mayo Hospital Lahore in which 100 consecutive patients admitted to the department of Urology for prostatectomy for BPH were examined to see the prevalence of different presenting clinical features. Age of the patients ranged from 45 to 85 years with average age being 61.7 years and maximum patients were of the age between 60-69 years. Urinary retention was the most common presenting feature present in 73.8% patients of age below 60 years and 84.5% in patients of age above 60 years. Obstructive symptoms were more common in older age group than younger patients where irritative symptoms were more prevalent. Figures recorded in this series for urinary frequency and poor urinary stream in younger patients were 85.7% and 80.9% respectively and these were 79.3% and 86.2% for those above 60 years of age

Efficacy of extracorporeal shock wave lithotripsy in paediatric urolithiasis

To determine the efficacy of extracorporeal shock wave lithotripsy with reference to stone size and radiodensity in children. Design: Patients of either sex were treated with ESWL from April 1994 to January 1995. Setting: Department of Urology, Mayo Hospital, Lahore. Twenty five patients of age below twelve years presenting with renal, ureteric and bladder stone of size between '5-20 mm along their long axis were included. Main outcome measure: Efficacy. Single treatment session was sufficient in 40%, two in 28% and three in 8% patients. No stone clearance was observed in 20% patients after three sessions and 4% patients had to be operated after one session. There were 60% low density stones, 28% stones were equibone dense and 12% stones had radiodensity more than that of bone. Among low density stones 77.78% renal, 100% ureteric and 100% bladder stones were successfully fragmented with overall success rate of 86.6% [13/15]. Out of equibone density stones 14.28% renal, 14.28% ureteric and 42.86% bladder stones were successfully fragmented. So the success rate for equibone dense stone was 71.4% [5/7]. There were 3 [12%] stones with radiodensity greater than that of bone and had successful fragmentation rate of 33.33% [1/3]. Kidney stones 5-10mm in size were cleared in aII [100%] cases after one treatment session and those 11-15mm in size needed more shock waves on an average 1.8 treatment session. Stones 15-20 mm in size required 2-3 treatment session. Success rate for 5-10mm size ureteric stones was 100% but it was 0% for those of size 11-15mm. Bladder stones which measured 10-15 mm in size required one session while those measuring 15-20 mm were fragmented during1.16 treatment session. ESWL is an effective modality for treatment of urinary stones as monotherapy in selected patients