ABSTRACT
Increased use of the DJ stent in urological problems has been associated with a marked increase in DJ related complications. Spontaneous fragmentation of DJ stent is a rare complication and removal of upper fragmented part is technically difficult and frustrating. We report a case of fragmentation of DJ stent and passage of upper coiled portion from renal pelvis to urinary bladder spontaneously
Subject(s)
Humans , Male , Urinary Bladder , Kidney PelvisABSTRACT
To compare the results of Tubularized Incised Plate Urethroplasty with Mathieu repair. Prospective Randomized comparative study. Department of Urology Allied Hospital, Faisalabad from May 2001 to April 2005.Patients: 48 patients with distal hypospadias were included in the study. Twenty four patients were treated with Tubularized Incised Plate Urethroplasty [TIPU] and 24 were managed with Mathieu repair. The mean age at presentation was 7 years. Good cosmetic and functional results were achieved by all techniques. The overall success rate of TIPU was 83.33% and that of Mathieu repair 79.16% for the management of distal hypospadias. In Mathieu repair, urethrocutaneous fistula developed in 04 patients and total disruption in 01 patient. Meatal stenosis occurred in 02 cases who responded well to regular dilatation. In TIPU, 03 patients developed urethrocutaneous fistula. Total disruption was seen in 01 patient and meatal stenosis in 03 cases which responded well to regular dilatation. All the techniques are good for hypospadias repair. However TIPU proved to be the best technique for management of all type of hypospadias
ABSTRACT
To ascertain the efficacy of transurethral ureterorenoscopy [URS] in the management of ureteral obstruction. This study was conducted from June 2005 to August 2006 at the Department of Urology and Renal Transplantation, Allied Hospital/Punjab Medical College, Faisalabad. A total number of 198 patients with ureteral obstruction due to any cause were included in the study. Cause of ureteral obstruction was stones in 172 patients, encrusted and upward migrated Double J [DJ] ureteric stent in 06 patients, ureteric tumors 03 patients and ureteric injuries in 10 patients. Ureteral obstruction was relieved by completely clearing the stone in 98% patients; encrusted and upward migrated ureteric stents were removed in 100% patients. latrogenic ureteric obstruction was bypassed in 30% of patients. There was failure to negotiate ureteric orifice by ureterorenoscopy in 07 patients due to oedema at ureteric orifice. There was no significant complication during the procedure. Ureterorenoscopy is superior procedure in the diagnosis and treatment of ureteric obstruction due to any cause at any level except the iatrogenic ureteric obstruction where it has limited role
ABSTRACT
To compare the results of Mathieu s repair and Tubularized incised plate urethroplasty for distal Hypospadias. Prospective, randomized, comparative study from May 2004 to June 2005. Department of Urology, Allied Hospital, Faisalabad. Twenty patients with distal Hypospadias. Out of the 20 patients, half were managed by Mathieu s repair and the other half by tubularized incised plate urethroplasty. The mean age at presentation was 5.45 years. Good cosmetic and functional results were achieved by both the techniques. The overall success rate was 80% by Tubularized incised plate urethroplasty. UrethroclItaneous fistula developed in two patients and meatal stenosis in one case, which responded to regular dilatation. In the case of Mathieu s repair the overall success rate was 70%; fistula occurred in two and total disruption in one case, while one patient developed meatal stenosis which responded to regular dilatation. Both techniques are good for distal Hypospadias repair. However, Tubularized incised plate urethroplasty proved better than the Mathieu s repair
ABSTRACT
To demonstrate various etiological factors of urethral stricture II. To evaluate the various modes of treatment of stricture urethra. A prospective study of 150 cases. The study was carried at Urology Department of Allied Hospital Faisalabad. Period: From 01-01-2001 to 30-06-2002. Patient and One hundred and fifty male patients with urethral stricture were included in the study. An analysis was carried out of the etiological factors responsible for urethral stricture formation and of the various treatment modalities. The age range from 3 to 85 years with a mean age of 43 years. 58% patients presented with urinary retention Trauma caused stricture formation in 52 [34%] patients. Previous catheterization, pyuria, Trans vesical prostectomy and TURP were responsible for stricture formation in 35, 25, 19 and 16 cases respectively. Anterior urethra was involved in 112 cases and 36 patients had posterior urethral involvement. Optical internal urethrotomy was treatment of first choice in strictures of <1 cm and it was successful in [92.7%] patients. Anastomotic urethroplasty was performed in 37 cases with success rate of 94% while substitution urethroplasty was successful in 80% cases. Anatomical sites and etiological factors of stricture urethra are comparable with other studies. Optical internal urethrotomy is reliable procedure in short and simple stricture. For long and complex stricture urethroplasty is the preferred treatment.