Comparison of Barcat-Redman technique with Duckett technique in the management of distal hypospadias

To compare the efficacy, safety and complication of Barcat-Redman technique with conventional duckett technique in the management of distal hypospadias. Prospective study carried out at urology department, services hospital, Lahore from 15th April 1998 to 14th April 2000. All Patients with distal hypospadias presenting to the Urology Department Services Hospital. Pediatric Surgery, Services Hospital and Mayo Hospital Lahore were included in the study. These patients were divided into two groups on alternate basis where Group-A patients underwent Barcat-Redman technique and Group-B Patients underwent Duckett technique for the management of hypospadias. Success of both procedures as good, fair and failure were assessed at 3 months follow up. A total of 60 patients were enrolled, 30 patients underwent Barcat-Redman technique [Group-A] and 30 patients were underwent Duckett technique [Group-B]. Ages of the patients ranged from 5 to 25 years with a mean of 11 +/- 5.8 Years. All the patients presented with dystopia of external urethral meatus and chordee [ventral curvature]. The subcoronal type of hypospadias was seen in 43[71.7%] patients and distal penile urethral opening 17[28.3%]. All patients had distal type of hypospadias associated with chordee. Of the 30 patients in Group-A who underwent Barcat-Redman technique, 21[70%] had good results, 5[16.6%] had fair results and 4[13.6%] were failure. In 30 patients of Group-B that underwent Duckett technique, 19[63.4%] patients had good result, 6[20%] had fair results while, 5[16.6%] were failure. The overall morbidity rate was 36.6% while, hospital stay was 3 days and the difference was statistically insignificant [P=0.860]. It is concluded that probably there will never be an operation for hypospadias that will be uniformly and totally successful, but Barcat-Redman technique is superior to Duckett technique

Trans vesical prostatectomy; judging the symptoms severity and quality of life

To determine the effectiveness of prostectomy in reducing symptom severity and quality of life. A prospective study. Urology department civil hospital Dadu. 2005 to 2007. 100 men under going prostectomy were assessed using the American urological Association [AUA] symptom index score and quality of life. The adverse events like urinary incontinence, erectile dysfunction and retrograde ejaculation also detected. The outcome was assessed after 3 month of prostectomy. Prostectomy was effective in reducing symptoms. Initial mean IPSS was 25 and reduced to 7 with p value < 0.001. Quality of life also assessed which showed majority of cases were mostly satisfied. Adverse events like transient incontinence 10%, retrograde ejaculation in 65% and erectile dysfunction in 25% respectively. Prostectomy is effective in reducing symptom severity and improve quality of life which was detected by IPSS and quality of life questionnaire

Prostatic hyperplasia transurethral electro vaporization: our experience

To asses the efficacy, safety and complication of TUEVP on the basis of subjective and objective parameters and to establish an alternative procedure in our setup. The study was conducted at Urology Department Services Hospital Lahore over a period of four years [I996-2000]. A total 50 patients suffering from Bladder outflow symptoms due to BPH were selected for the study. The TUEVP done by standard technique. The mean age was 64.16 with standard deviation of 7.86 years. The mean operating time in TUEVP was 20.6. Mean volume of irrigating fluid during the procedure was 8.28. Few patients require blood transfusion could be shorter resection time and less bleeding during TUEVP. Mean preoperative serum sodium was 138.8 mEq/1. After TUEVP mean changes in serum sodium was 1.1 mEq/1. Post operative mean volume of irrigant used was 11.12 liters. In TUEVP no patients developed significant haemorrhage during first 24 hours. Mean estimated cost of operation was Rs.4160/. Early complication rate like clot retention occurs in 4% and fever occurs [4%] while haemorrhage, TURP syndrome, retention of urine and DVT not reported. Late post operative complication included secondary infection [4%], Epididymoorchitis [4%], U.T.I in [12%], Retrograde ejaculation [24%] and stricture urethra [4%] patients. The mean symptomatic improvement in IPSS Score was 12.76 after two weeks, 8.72 after three month. Peak flow rate increased 13.4 ml/s after two weeks and 14.44 ml/s after three months. TUEVP is the effective and safe procedure with fewer complication and better recovery in our setup but required clinical trials to different urological centers to established its long term efficacy and safety

Mesalazine-induced eosinophilic variant of wegener's granulomatosis in an ulcerative colitis patient

A 24-year-old woman presented with two weeks history of progressive shortness of breath associated with sharp chest pain. She had been on mesalazine for two years for Ulcerative Colitis. Chest X-ray showed bilateral pulmonary infiltrates with left sided pleural effusion. Blood investigations revealed, positive pANCA, negative cANCA and peripheral eosinophillia. Video assisted thoracoscopic lung biopsy specimen was consistent with eosinophillic variant of Wegener's granulomatosis. She responded to combination of withdrawal of mesalazine and high dose steroids. To our knowledge this is the first reported case of mesalazine induced eosinophilic variant of Wegener's granulomatosis

On the incidence of parasitic infection among day care centres in Quetta, Pakistan

A total of 160 faecal samples were collected from different Day Care Centres. The incidence of parasitic injections were as: Entamoeba coli 30.00%, E. histolytica 4.00%, Iodamoeba butschilii 6.00%, Isospora sp. 6.00%, Blaswcystis hominis 6.00%, Chilmoastic mesnili 2.00%, Enterobious vermicularis 4.00% and Ascaris lumbricoides 14.00%. Mixed injection was also observed. Different epidemiological factors were also thoroughly studied during this survey

Observation on Plasmodium infection in students residing in the University Hostels, Quetta, Balochistan, Pakistan

A survey of malaria parasites was conducted in the residential Hostels of Balochistan University during the years 2001-2003, Blood smears from 1000 students were takes. Giemsa's stain was used. The overall incidence was 25.00% Ring stages and gametocytes were observed. Plasmodium falciparum and P. vivax both were present. The hygienic conditions and epidemiological factors were also discussed

Incidence of Gastrointestinal Parasitic Infection in Hazara Tribe A Central Asian Race Settled in Quetta, Pakistan

445 Faecal samples were examined for the gastrointestinal parasites. Both protozoan and helminthic infections were recorded. Overall incidence was 48.76%. The Parasites recovered were; Entamoeba colt 27.41%, E. histolytica 8.3%, Giardia lamblia 13.48%, lodamoeba butschlii 0.22%, Chilomastix mesnellii 0.22%, Hymenolepis nano 12.13%, Taenia saginata 0.22%, Ascaris lumbricoides 3.60%, Enterobious vermicularis 1.35% and Trichiuris trichiura 0.22%. Epidemiological factors were also considered

Parasitic infections in relation to socio-cultural diversity in local populace of Quetta, Pakistan

Epidemiological studies were conducted in 160 persons mostly children belonging to age groups from 3 months to 40 years. All these belonged to Day-care Centers and Disabled Centers situated in Quetta. Parasitic survey through faecal samples revealed the presence of eight species of protozoans and six species of helminths. Among these Entamoeba coli 26.19% and Ascaris lumbricoides 7.92% were the most common affecting all age groups and both sexes. Various factors affecting different communities were observed. Lack of knowledge, increasing pollution, faulty sewerage system, lack of personal hygiene, large family number size and joint family systems are accountable towards parasitic infections in these areas

Incidence of intestinal parasitic infection in Tajik Tribe, a Central Asian Settled in Quetta, Pakistan

445 faecal samples, collected from Tajik tribe, were processed and examined for intestinal parasites. The parasites found were Entamoeba coli 28.31%, E. histolytica 12.58%, lodamoeba butschlii 1.12%, Giardia lamblia 12.13%, Chilomastix mesnili 0.6%, Hymenolepis nana 7.86%, H. diminuta 0.22%, Taenia saginata 1.12%, Ascaris lumbricoides 4.27%, Enterobius vermicularis 2.02% and Ancylostoma duodenale 0.45%. Epidemiological factors are also discussed

Gastrointestinal parasitic infections in Uzbek tribe, a Central Asian race settled in Quetta, Pakistan

Observations made on 445 faecal sampes, collected from Uzbek Tribe residing in different residential areas in Quetta. This revealed the incidence of Giardia lamblia 19.55%, Entamoeba histolytica 12.58% E. coli 50.78%, Iodamoeba butschlii 0.22%, Chilomastix mesnili 0.45%, Blastocystis hominis 4.49% and Endolimax nana 0.45%. Among helminthic infections Hymenolepis nana 20.22 perecnt, Ascaris lumbricoides 6.51%, Enterobius vermicularis 4.04%, Trichuris trichiura 0.67% and Taenia saginata 0.22% were found in this tribe. Epidemiological factors were also considered

Observation on cutaneous leishmaniasis in Balochistan, Pakistan

50 cases of cutanous leishmaniasis were observed coming from different areas in the Province of Balochistan. Causes of pervalence as well as suggestive measures for prevention are also discussed

Amebiasis and other intestinal protozoal and helminthic infection in randomly selected populations in Quetta, Pakistan

Faecal samples from 600 persons of different age groups settled in Quetta, were examined for parasitic infection in the years 1986-87. Frequencies of pathogenic protozoan and helminthes were as follows: Entamoeba histolytica 35.0%, mixed infection with other protozoan and helminth were: 7.0% with E. coli, 6.0% with Giardia lamblia, 8.50% with Hymenolepis nana, 3.50% with Enterobius vermicularis, 9.0% with Ascaris lumbricoides and 1.0% with Ancylostoma duodenale

Observation on incidence of intestinal parasitic infection in school going children of Quetta district, Pakistan

Stool samples from 450 children were examined coming from different areas in District Quetta. Frequencies of infection of pathogenic protozoan and helminthes were as follows: Giardia lamblia 20.01%, Entamoeba histolytica 19.0%, E. coli 32.50%, Ascaris lumbricoides 34.60%, Ancylostoma duodenale 2.60% Enterobius vermicularis 5.20%, Trichuris trichiura 2.40%, and Hymenolepis nana 18%

Comparative study on gastrointestinal parasites among different tribes settled in Quetta, Pakistan

Very little information on parasitic infection exists in Pakistan, particularly in the Province of Balochistan. An attempt has been made on a faecal survey of different ethnic groups settled in Quetta. A total of 4,147 faecal samples were collected, examined and processed through different methods and techniques for the preservation and observation of parasites ova, cysts and trophozoites. The recorded result showed that 57.99% persons suffered from either protozoan or helminthic infections. Three species of pathogenic and four species of non-pathogenic parasites were observed. Among protozoans, the highest incidence was E. coli 3b. 57, followed by G. lamblie 16.29 and E. histolytica 14.01. Helminthic infection was lower than protozoan and the highest incidence was of H. nora 11.16 followed by A. lumbricoides 6.25, E. vermicularis 2.30, T. saginata 1.25, H. diminuta 0.85, A. duodenale 0.20 and T. trichiura 0.16. Mixed infection among protozoan and helminthic was also observed. Blastocystis hominis with the incidence of 2.33, H. diminuta, T. saginata are reported for the first time from this province during the investigation. Incidence of parasitic infection according to tribes was observed. An attempt was also made to consider the role of age, sex, unhealthy environment and other socie-economic conditions or variations obtained among these incidences