diagnosis and management of the urological complications of renal transplantation: a series of 1100 patients

To analyse the Urological Complications after Renal Transplantation and their management. A retrospective analysis of 1150 consecutive live donor renal transplants was performed. The study period extended from December 1995 to December 2004. The surgical procedure for ureteral reimplantation was modified Lich anastomosis. Ultrasonography, renal scanning, antegrade pyelography, retrograde pyelography and cystography were the diagnostic tools. Overall, 68 primary urological complications [5.9%] were identified during the 15-year experience in 65 patients. The Urological Complications in our series included 35 ureteral obstruction [3.0%], 25 ureteral or bladder leaks [2.17%], 05 out flow obstruction, 02 cases of vesicoureteral reflux and 01 case of ureteral stone. The incidence of Urological Complications in our study is 5.9%. Early exploration of the ureteric leaks and timely intervention to obstructed kidney reduced the morbidity and improves graft su rvival. The causes of these complications and techniques for their prevention are discussed in this study

Transrectal ultrasound guided biopsy of the prostate

Transrectal ultrasonography is a useful method of imaging the prostate gland. Endorectal ultrasonography may be used in the assessment of the enlarged or nodular prostrate. Benign prosttatic hyperplasia, prostatitis and prostatic cancer can be evaluated by this technique. In the management of patients with prostatic cancer, transrectal ultrasound scanning is invaluable in the diagnosis, staging, treatment and follow-up of the disease. We at Jinnah Hospital/Lahore General Hospital Lahore are using this technique for the imaging of prostate for the last many years. In this paper we will describe our experience regarding the value of transrectal ultrasound guided biopsy of the prostate in the diagnosis of prostatic cancer. A consecutive series of 200 ultrasound-guided biopsies of the prostate have been analysed. In 121 patients, in whom malignancy was suspected by both digital examination and ultrasound, 72 cancers were confirmed histologically. In 33 patients in whom digital rectal examination suggested cancer but ultrasound was normal, 3 cancers were confirmed. In 30 patients with a normal digital examination but a suspicious ultrasound appearance, 5 cancers were proven

Value of transrectal ultrasonography in prostatic diseases

Transrectal ultrasonography is a new addition in the armamentarium of urologists. We at Jinnah Hospital/Lahore General Hospital, are using this technique for the imaging of the prostate for the five years. In this paper we have described our experience regarding its value in the detection of prostatic diseases and precision of the transperineal biopsy under its guidance. Two hundred and seventy two transerctal prostatic ultrasonograms were received and the findings compared with the final pathological or clinical diagnosis. A high degree of accuracy was achieved in diagnosing benign prostatic hyperplasia. Transrectal ultrasonography proved invaluable in staging proven prostatic carcinomas but it was disappointing as a primary diagnostic tool for cancer with a high false positive and negative rates of 11.98% and 33.72% respectively. These finding are discussed in the light of other workers' results