Percutaneous nephrolithotomy, an endoscopic approach for renal stones extraction

In 18 months period, 152 percutaneous nephrolithotomy have been performed in 150 patients with a great variety of renal stones. Among the stones extracted successfully by this technique are multiple, bilateral, radiolucent and staghorn calculi. Stones in conyenitally abnormal renal unites were successfully removed, such as malrotated, duplex and horsesho kidney. Slipped ureteric stones could be retrieved by percutaneous renal route and or with ureterorenoscope from below. The different technical modalities will be reviewed to explain their individual indications. The success rate and complications were presented and discussed

Bstructive anuria, [management appraesal]

Post renal [obstructive] anuria is a common urologic emergency in Egypt. In this study, a retrospective analysis of 170 patients admitted with obstructive anuria is presented. The most common cause of obstrcution was stones [62.3%] and ureteral strictures presented 24.7% of the cause. Only 13% of the patients presented with bilateral obstruction and the remaining had single functioning obstructed kidneys. Most of the patients were drained with PCN with success rate of 90%. After drainage and correction of the uremic, half of the patients had corrective surgery for the obstructing factore, one fourth had spontaneous diuresis with of small stones and the remaining fourth had permenant nephrostomy for drainage in view of the poor renal function or the poor cardio-pulmonary status. Our policy is to use primarily the PCN for draingae ast it was observed that it is a simple; procedure that increases the overall cure rate and reduces the overall mobidity and mortality

Post traumatic stricture urethra long term follow up

68 patients with post-traumatic stricture urethra were included in the study. The different methods of scrotal inly urethroplasties utilized in their management are discussed. 40 patients completed the two stages while the remaining 28 patients are waiting for the second stage closure. The technical difficulties and the complications following the first as well as the second stage urethrroplasties are presented. An overall success rate of 85% was obtained with an average of 2. 2 operative procedures per patient that nearly parallels with that given in literature