Residual prostatic symptoms; persisting after transurethral resection of prostate for prostatic hyperplasia

To see the residual prostatic symptoms after TURP for PH. DESIGN: Case study period from Nov 1994 to Dec 1995. SETTING: Department of Urology Mayo Hospital Lahore. PATIENTS AND METHODS: One hundred consecutive patients admitted for BPH underwent TURP and were followed for four months after removal of catheter on first day, one week, one month, two months and four months. They were asked about the symptoms and were examined thoroughly at each visit. Patients with neurological deficits, diabetes, external genital pathology, urethral strictures and malignancy were excluded form the study. Patients were divided into two groups. Group I [below 60 years] and group II [above 60 years] to see the effect of age on symptoms. Out of preoperative symptoms, retention, frequency, urgency, sense of incomplete emptying, poor urinary stream were found in 73.8%, 85.7%, 23.8%, 9.5% and 80.9% respectively for patients of group I [age below 60 years]. These figures for patients of group II [age above 60 years] were 84.5%, 79.3%, 20.7%, 13.8% and 86.2% respectively. At fourth month of follow up for group I, urinary retention [0%], mild degree of straining at micturition [4.8%], poor urinary stream [2.4%], frequently [14.3%], sense of incomplete emptying [7.1%]. For group II these figures are 0%, 3.5%, 3.4%. 24.2% and 6.9% respectively

Nodular goitre. Presentation and prevalence of complications.

OBJECTIVE: To evaluate the presentation and prevalence of different preoperative complications in patients with nodular goitre. DESIGN: Patients of either age and sex with nodular thyroid swelling [goitre] admitted from January 1992 to November 1992. SETTING: Surgical Unit-Il of Services Hospital, Lahore SUBJECTS: Forty patients of either sex and age presenting with nodular goitre were included. MAIN OUTCOME MEASURE: Mode of presentation and prevalence of different preoperative complications in patients with nodular goitre. Peak incidence of nodular goitre was in age group between 20-40 years. 75% patients belonged to this group with male to female ratio being 1:4. Simple non toxic multi-nodular goitre was present in 57.50%, adenoma in 27.50%, toxic adenoma in 2.50%, secondary toxic goitre in 2.50% where as 10% patient had malignant goitre. 70% of patients of present study did not have any symptoms other than a swelling in front of neck. 30% patients had some symptoms like respiratory obstruction in 50%, dysphagia in 8.33%, hoarseness in 16.66%, weight loss and anorexia in 33,33%, toxicity in 16.66"lo, histo-pathological evidence of malignancy was found in 10% of patients and papillary carcinoma was heading the list