RESUMO
Objective: to assess urinary flow rate/uroflowmetry in patients undergoing transurethral resection of the prostate [TURP] for benign prostatic hyperplasia [BPH], during three postoperative months
Study design: prospective observational study
Materials and methods: this study was conducted at Department of Urological Surgery and Transplantation, Jinnah Postgraduate Medical Centre [JPMC] Karachi-Pakistan, between March 2002 and March 2005. Fifty consecutive clinically diagnosed cases of BPH who never went in retention of urine and underwent TURP were included in this study. Preoperative urinary flow rate was measured. Uroflowmetry was postoperatively carried out after every month for three months period and observations were analyzed
Results: mean +/- SD age of the subjects was 63.62 +/- 6.75 years. Preoperatively mean +/- SD values were maximum flow rate 7.60 +/- 2.41 ml/sec, average flow rate 4.44 +/- 1.28 ml/sec and voided volume 165.54 +/- 49.60 ml. Post-TURP mean +/- SD values after three months were maximum flow rate 27.24 +/- 5.11 ml/sec, average flow rate 13.48 +/- 2.08 ml/sec and voided volume 240.32 +/- 49.91 ml. The variation in means of uroflowmetry parameters from first to third post-TURP month found statistically significant [P<0.001]
Conclusion: we conclude that the effects of post-transurethral resection of prostate, all the obstructive uroflowmetry parameters return towards normal levels. It indicates that there is excellent improvement relief in both obstructive and irrelative symptoms
RESUMO
The aim of this study was to know sociodemographic data and causes of failure of surgical procedure for vesico vagina fistulae so that a better methodology be applied to improve the results. This study was conducted at Shaikh Zayed Women Hospital, [Gynaecology and Obstetrics Department] Chandka Medical College, Larkana from May 1997 to May 2002 Seventy patients of vesicovaginal fistula. [VVF] were managed in 5 years. Patients with stress incontinence, urgency and overflow incontinence were excluded. The age, parity, duration of fistula, causes of fistula, size, site of fistula, route of operation, type of operation, duration of operation, blood loss and results of surgery were recorded. The total admissions with gynaecological ailment were 4768 in five years. The relative frequency of VVF cases was 1.4%. The mean age was 34.6 years [Range 17 60 years]. The mean parity was 5 [Range 1 21]. Fifty four cases reported within 1 2 years time [Range 3 months to 20 years]. In Fifty one cases [72.8%] delivery took place at home. Most common site was midvagina 58.57 90 [41 cases]. Fifty four cases [91.42%] were obstetric fistulae caused by prolonged and obstructed labour. Sixty four cases [91.4%] were operated vaginally. Success rate was 85.5% [60 cases].Vesicovaginal fistula is a common health problem of developing countries caused by obstructed labour. Vaginal approach, utilizing basic surgical principles is simple and easy technique with better results