Post-PCNL renal artery pseudoanurysm

A renal artery pseudoaneurysm is a rare but important complication that can occur after renal trauma, renal biopsy, percutaneous nephrostomy, percutaneous nephrolithotomy [PCNL], and partial nephrectomy. The incidence of this potentially life-threatening complication is less than 1%, but is likely to increase with the increasing popularity of endoscopic renal procedures. We present a case of a 30-year female who underwent right PCNL for a right renal pelvic stone. Two weeks later, she presented with massive hematuria. Renal angiography revealed psuedoanurysm of interlobar artery which was successfully treated with coil embolization

effects of spinal mobilization with and without manual traction in patients with cervical radiculopathy

To determine the effectiveness of Spinal Mobilization with manual traction on pain and disability in patients with cervical Radiculopathy. Randomized control trial [RCT]. The study was conducted at Helping Hand for Relief Rehabilitation Centre Mingore Swat from IstJanuary to 30th June 2014. A total of 40 patients [23 males and 17 females] with mean age 35+8 were randomly selected and placed into two groups A and B. The inclusion criteria was patients with diagnosed cervical radiculopathy on physical examination were included. The Group A was treated with spinal mobilization with manual traction, while group B was treated with spinal mobilization alone for 6 weeks at 3 days per week. The Neck Disability Index [NDI] and Numeric Pain rating Scale [NPRS] were used to measure disability and radiating pain. SPSS version 21 was used for the analysis of data and paired t-test was applied at 95% level of significance to determine the statistical outcomes. The results of both groups were significant but group of patients treated with the spinal mobilization and traction managed pain [from NPRS mean score 6.2 to 2.5] and disability [from NDI mean score 29.18 to 13.45] more than the group of patients treated with the spinal mobilization alone [Pain from NPRS mean score 6.1 to 3.15 and disability from NDI mean score 30.5 to 18.21]. Statistically the group A showed more significant results [p= 0.001] than group B [p= 0.054]. It is concluded that Spinal mobilization combined with manual traction is more effective than spinal mobilization alone for the management of radicular pain and disability in patients with cervical radiculopathy

Iatrogenic Foreign Body in the Urinary Bladder

A 60 years old man presented with a history of suprapubic pain, painful micturition, perineal pain, and acute retention of urine followed by catheterization. On abdominal ultrasound, there was a metallic needle found in the urinary bladder which was confirmed on pelvis X-ray. The needle was found to be a metallic piece of a resectoscope cutting loop which was removed through cystourethroscopy. Key Words: Urinary bladder. Metallic foreign body. Acute retention of urine. Resectoscope tip

Effect of abdominal obesity on fasting blood glucose levels in type-2 diabetes mellitus patients treated with oral hypoglycemic agents

Objective: to observe the effect of abdominal obesity on fasting blood glucose levels in T2DM patients who are on treatment with oral hypoglycemic agents

Material and Methods: the study included 55 T2DM patients, who were taking oral hypoglycemic drugs for the last 3 to 5 years. Abdominal obesity was assessed by measuring waist circumference. Fasting blood glucose levels were measured in all patients

ResuIts: according to our observation there were 41.81% non-obese, 23.63% overweight and 34.54% obese T2DM patients. The obese T2DM patients had significantly higher mean fasting blood glucose level as compared to nun-obese and overweight T2DM patients [p<0.001]. Overweight T2DM patients though had higher mean fasting plasma glucose levels as compared to non-obese T2DM patients but it was not significant

Conclusion: Abdominal obesity is associated with significantly higher fasting blood glucose levels in T2DM patients who are on treatment with oral hypoglycemic agents

Primary adrenal lipoma

A case report of primary adrenal lipoma is being presented. A 35-year-old male, initially presented with pain in right loin and was admitted to Urology Unit of Prince Abdullah Bin Abdul Aziz Hospital, Bisha, KSA, for frank hematuria. The tumour was suspected on IVU and ultrasound abdomen and confirmed on CT-scan of abdomen. Right adrenalectomy was successfully performed and histopathology confirmed the diagnosis of adrenal lipoma

Effect on plasma testostrone level by heroin addiction and its restoration by withdrawal

Heroin is considered to be the most addictive of all known drugs. It has adverse effects on all major systems of the body including impairment of sexual functions. The current investigation explores the relationship of heroin addiction with plasma testosterone levels in addicted persons. The effect of withdrawal of the drug on plasma testosterone level has also been investigated. Plasma testosterone levels in subjects with heroin addiction [n=15] were determined on presentation, and after 15 and 30 days of heroin withdrawal. The plasma testosterone level of addicts was significantly lower than that age and sex matched control group [p<0.001] on presentation. Progressive increase in the level was observed after 15 days [p>0.05] and 30 days of withdrawal [p<0.01]. In young adult group [age 19-29 years] there was significant increase in testosterone level after 15 and 30 days of withdrawal. However the level in older groups [30-39 and 40-50 years] did not change after 15 and 30 days of withdrawal

Management of idiopathic detrusor instability by bladder drill

Detrusor instability which is characterized by involuntary detrusor contraction is managed by behavioral-oriented technique so called bladder drill. Twenty patients were treated by bladder drill for eight weeks, 09<45%] had complete cure and 11<55%] had partial cure of their symptoms when compared both before and after treatment. Overall success was found to be 100%

Management of unstable bladder by flavoxate hydrochloride

Detrusor instability which is characterized by involuntary detrusor contraction is managed by drug therapy [Flavoxate Hydrochloride], attempt is made to control the symptoms of unstable bladder. Twenty patients were treated by Flavoxate Hydrochloride for eight weeks. Nine patients [45%] had complete cure of their symptoms, while six patients [30%] had partial cure of their symptoms but five patients [25%] remained unsuccessful when compared by both before and after treatment. Role of drug therapy especially Flaxovate Hydrochloride for the management of unstable bladder is highlighted and efficacy of drug therapy for control of symptoms of unstable bladder is discussed

Modified radical mastectomy; morbidity during early postoperative period

Modified radical mastectomy is the operation of choice in an operable breast cancer in this part of the world. This operation has fewer complications than radical mastectomy

Objectives: To identify the early complications of Patey's modified radical mastectomy. Design: Descriptive study. Setting: Department of Surgery, Allama Iqbal Medical College/Jinnah Hospital, Lahore. Period: From Nov 1998 to Aug 2003

Material and Methods: 114 consecutive patients undergoing modified radical mastectomy were studied and followed up to 30[th] post operative day. All patients were female, with age range of 35-67 years. The hospital stay was 8-21 days

Results: Wound infection was the commonest complication occurring in 19 patients [16.6%]. Seroma formation occurred in 17 patients [14%]. While haematoma occurred in 4 patients [3.5%]. Marginal necrosis of flap was seen in 6 patients [5.2%], where as the extensive flap necrosis occurred in 2 patients only [1.75%]. One patient developed early lymph edema of the arm and partial limitation of the shoulder joint movements. At the end of 30th day, all complications resolved except for lymph edema of arm

Conclusions: The procedure of modified radical mastectomy gave good results as far as early morbidity due to surgical procedure itself is concerned. Morbidity can be further deceased by detailed assessment of the patients preoperatively