Early and delayed management of penile injuries

Trauma literature regarding management of penile trauma affecting all age groups in the face of coexisting life-threatening injuries is underdeveloped. Furthermore it had potential for significant complications including infection, incontinence, erectile dysfunction and infertility. presuming these facts we intend to assess the efficacy, safety, and complications of penile injuries and its proper management in our setup. Thirty patients of penile injuries having age of 4-64 years were selected from department of urology services hospital, Lahore. Patients having genital tumors or injured due to radiation and bums were excluded from study. Demographic details, brief clinical history and thorough local and systemic examination were carried out in these patients. Each subject was investigated for blood complete picture, urinalysis, and radiographic studies. Taken as a whole two third of our study population result shows fine outcome. Following the result of early and delayed management of cases, significant number of patients shows excellent outcome as compared to patients who were presented late in hospital. early presented patients to hospital shows promising outcome with reduced risk of long term sequelae as compared to patients presented late

Pyeloplasty: 8 years experience at Lahore and Larkana, Pakistan

To determine the subjective and objective improvement in signs and symptoms following pyeloplasty and determine complications of pyeloplasty. One hundred patients having obstruction at pelviureteric junction [PUJ Obstruction] underwent pyeloplasty to trelieve obstruction at Department of Urology Services Hospital Lahore and Chandka Medical College and Teaching Hospital Larkana. Of 100 patients, 70 were males and 30 females. The ages of the patients ranged from 5 to 55 years. The presenting features were abdominal pain in 75 cases, abdominal mass in16, urinary tract infection in 5, and in 4 cases it was detected incidentally. The cause of obstruction was narrow PUJ in 63 patients, high insertion in 16, ureteric stricture in 1 and crossing vessels in 20 patients. Post operatively all patients improved symptomatically and objectively. Pyeloplasty is a safe and effective surgery for relieving obstructive urological symptoms in our patients