Clinicopathological characteristics of prostate cancer in patients presenting to a tertiary care private sector hospital

Prostate cancer [PCa] is one of the leading cancers in older males. The aim of this study was to evaluate the clinicopathological characteristics of prostate cancer and rate of detection of prostate cancer by DRE [digital rectal exam] in patients presenting to a tertiary care private sector hospital in Islamabad, and determine the awareness about PCa in these patients. There were 226 patients who presented from December 2009 to December 2015 having mean age of 68.63 +/-8.76 years and median Prostate Specific Antigen [PSA] value of 19.12 ng/mL [IQR=35.8]. Median prostatic volume was 49 [IQR=22] gram/cc in the subjects. DRE was abnormal in 164 [72.56%] patients and normal in 62 [27.43%] patients only. Majority of patients presented relatively late, which may be due to lack of screening programme or public awareness

Partial nephrectomy in adults - a single-centre experience

Partial nephrectomy is the preferred procedure in benign renal lesions requiring surgical removal. It has also been accepted procedure for malignant renal conditions of smaller size. The aim of this observational study was to determine the outcome of partial nephrectomy in terms of complications and recurrence rates. Twenty patients with renal mass underwent this procedure from January 2010 till June 2014 at our Department, with mean age of 46.51 +/- 1.53 years. There were 14 males and 6 females. Renal mass on CT scan had the mean size of 3.80 +/- 1.15cm. The mean hospital stay in this series was 5.11 +/- 1.42 days, while mean operative time was 247 +/- 79.71 minutes. Twelve patients had malignant histology. They were followed using CT scan abdomen and pelvis with contrast at six and 12 months. Out of these, 10 [83.3%] patients were found to have no recurrence after six months

Stone-free-rate after extracorporeal shockwave lithotripsy in the management of pediatric renal stones in lower pole and other locations - a comparative study

Objective: To determine a difference in the stone-free-rate among different renal locations in children after extracorporeal shockwave lithotripsy [ESWL]

Study Design: A descriptive study

Place and Duration of Study: Urology Department, Shifa International Hospital, Islamabad, Pakistan, from January 2007 to June 2015

Methodology: The study included children who underwent ESWL, divided into three groups based on location of stones in kidney as group A [lower pole stones], group B [upper and mid pole stones] and group C [renal pelvis stone], respectively. ESWL was done by standard technique using Storz Modulith SLX lithotripter 3rd generation. Data was collected by chart review. SPSS version 16 was used for data analysis

Results: Among 76 children with mean age of 7.55 +/- 4.16 years, 55 [72.4%] were males whereas 21 [27.6%] were females. Mean stone size was 1.08 +/- 0.59 cm. There were 34, 17 and 25 cases in groups A, B and C, respectively. Post-ESWL stone-free-rate was 47% in lower pole stones, 70.58% in upper and mid pole stones, and 68% in renal pelvis stones. Hematuria was seen in one patient from each group, sepsis in two patients from each of the mid pole/upper pole and lower pole group, while Steinstrasse in one patient from each group

Conclusion: ESWL is a safe and effective way of treating renal stones in all poles in pediatric population