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

Calculus anuria and its remedy

Urinary lithiases have been a major urological problem. The objective was to determine the out come of treatment for patients with calculus anuria. A descriptive study was conducted at Department of Urology Chandka Medical College Hospital, Larkana from March 2007 to April 2009. All patients with a diagnosis of calculus anuria of all ages and either sex were included in the study. Detailed history, physical examination and examination of genitourinary tract was performed. Investigations included complete blood examination, blood urea, serum creatinine, ultrasonography of KUB area, and X-Ray KUB. Among the 66 patients the cause of anuria was bilateral obstruction by the calculi in 46 cases, unilateral obstruction with small/absent/nephrectomised contralateral kidney in 20 cases. In most of the cases, ureteric catheterisation was done to relieve the obstruction. Five deaths were observed, despite emergency urinary diversion and appropriate treatment. Calculus anuria is a urological emergency. Prompt and early intervention can save the life of patient and prevent to develop chronic renal failure