Transurethral resection versus transurethral incision of the prostate: a subjective and objective analysis

To assess and compare the outcome and complications of transurethral prostatectomy [TURP] versus transurethral incision of the prostate [TUIP] in patients having bladder outlet obstruction. Fifty patients suffering form benign prostatic hyperplasia [BPH] with prostate size of <30 gms were included in this study. Group a [25 patients] underwent TURP while in group B [25 patients] TUIP was performed. The patients were assessed using International Prostatic Symptoms Scoring System [IPSS], uroflownetry, TRUS and postvoid residual urine volume. Follow up was done at 1,3,6 and 9 months intervals. There was no statistically significant difference in the mean age among the two groups. IPSS score dropped by 81.55% for group A and 85.71% for group B at 9 months postoperatively from baseline. The overall improvement in maximum flow rates as recorded for both groups was 172.60% and 249% respectively while it was 182.8% and 279% for group A and B in average flow rates. The mean drop in postvoid residual urine volume for group A was -88.50% and -99.02% for group B. Overall 84% of patients in group A and 92% of patients in group B were well satisfied with the outcome of procedures. TUIP is an effective and comparable treatment modality for BPH with gland size of < 30 grams. Results of TURP and TUIP were comparable, but TUIP was simple and easier to perform, with less morbidity and shorter operation time than TURP

Effect of noise on heart rate

The objective of the study was to observe the effect of short-term noise on heart rate. One Hundred and seventeen [117] medical students were selected as subjects. Subjects having normal resting heart rate and blood pressure were included in the study. Subjects with, hearing defect were excluded from study. Auditory aquity was confirmed by audiometry before the start of experiment for each subject. A noise of a 90 dB intensity and 4000Hz frequency was produced for 10 minutes. Heart rate was recorded before, during and after exposure to noise. Heart rate increased in 104 [88.9%] subjects, with an average rise of 8.938+ 1.037. In 73 subjects [70.19%] it came back to basal level within 02 minutes. Increase in heart rate was observed in more number of males as compared to females; however, the difference was statistically insignificant. Heart rate increases during exposure to noise