ABSTRACT
Objective: To determine the frequency of sexual dysfunction after transurethral resection of prostate and frequency of factors leading to sexual dysfunction after transurethral resection of prostate [TURP]
Patients and Methods: This study was carried out in the Department of Urology, Ghazi Khan Medical College, DG Khan during the period from January 2015 to June 2015. A total of 138 patients with benign prostatic hyperplasia were included in the study
Results: The mean age of the patients was 61.33 +/- 7.03 years. Most common factor leading to erectile dysfunction was older age [>60 years] found in 75 [54.3%] cases followed by capsular perforation which was evident in 19 [13.8%] patients. Frequency of erectile dysfunction after TURP was 13% in patients with benign prostatic hyperplasia. Out of total 75 older patients, 8 [10.7%] had erectile dysfunction after surgery. Out of the total 19 patients with capsular perforation, 7 [36.8%] had erectile dysfunction after surgery
Conclusion: Older age has no significant effect on the occurrence of erectile dysfunction while erectile dysfunction was significantly more in cases having capsular perforation
ABSTRACT
To share our experience regarding the safety and efficacy of Percutaneous Nephrolithotomy for the treatment of renal stones of larger than 2.5 cm and to study the frequency of any postoperative complications associated with this procedure. This is a descriptive study conducted during the period from June 2007 to December 2009. Using non-probability convenient sampling, total 88 patients with renal stones of more than 2.5 cm were selected for PCNL. Data was analyzed on SPSS version 10 for windows XP. In a cohort of 88 patients [57 male and, 31 female] PCNL was performed for renal stone treatment. The mean age was 33.5 [9 - 65] years. The mean operative time was 85 [60 - 180] minutes and the mean stone size was 3.2 cm range [2.5-4.8] cm. There were 37 staghorn and 51 non staghorn stone. PCNL via a single access tract was accomplished in 86% [76/88] of procedures, with upper pole calyx in 30, middle calyx in 27 and lower pole calyx in 19 procedures, while multiple tracts were used in 14% of procedures [12/88] with 09 procedures using the upper and middle calyxes and 05 procedures using lower and middle calyxes. The stone-free rates for staghorn stone at discharge and at 3 months were 83.7% and 90.8% respectively, while for non staghorn stone the figures were 85.8% and 92.5% respectively. Postoperative complications were observed in 9% of the procedures [8/88], the commonest of which was bleeding necessitating blood transfusion in 4 patients. PCNL is safe and Effective treatment for renal calculi associated with less morbidity, shorter hospital stay and is cost effective