Symptomatic complications of ureteric stents

To calculate the frequencies of symptomatic complications of pigtail ureteral stents and to determine the effect of stent duration on symptomatic complications. All s tented adult patients [PTFE Coated Cook_ 6 Fr Double J Stent] presenting at the Institute of Kidney Diseases Hayatabad Peshawar were evaluated by history, examination, urine analysis and cultures, X-ray KUB and ultrasound KUB. SPSS version 11.0 was used for the data entry and analysis. Results are presented in the form of tables. Out of 100 patients, 68% were males and 32% females. Stent indications included stone surgery in 14% of cases, prior to extracorporeal shockwave lithotripsy [ESWL] in 36%, ureteric obstruction in 36%, pyeloplasty in 10%, and anuria in 4% of cases. Complications at 2 and 4 weeks were hematuria in 52% and 40% of cases, flank pain in 48% and 58%, frequency of micturation in 66% and 78%, dysuria in 72% and 80%, urgency in 60% and 72% and suprapubic pain in 42% and 50% of cases respectively. Ureteric s tenting is a life saving procedure but associated with significant morbidity. It's unnecessary and prolonged use should be avoided

Gestational trophoblastic disease: experience at a tertiary care hospital of Peshawar

To find out the frequency, clinical presentation, type, extent and treatment modalities of Gestational trophoblastic disease. This was a descriptive study of 45 patient with Gestational trophoblastic disease admitted in Gynae "B" unit of Lady Reading Hospital over a period of one year from first of August 1992 to thirty first July 1993. The case records of all these patients were analyzed regarding their clinical presentation, investigation, treatment and follow up. The frequency of Gestational trophoblastic disease was 11.8/1000 pregnancies or 17.6/1000 deliveries. Out of 45 cases of Gestational trophoblastic disease, 38 were hydatidiform mole [H. Mole] and 7 were choriocarcinoma. The commonest age group was 21-39 yrs [68.5%]. The disease was common in multigravida and grand multigravida [44%-40%]. Variable period of amenorrhea associated with vaginal bleeding was the main presenting symptom [99.5%]. Seventy three percent [73.3%] of patient had suction evacuation. Eighty percent [80%] of the patient did come for follow up. One patient died in case of choriocarcinoma due to complication. Frequency of trophoblastic disease was high in this study compared to world and national literature. Regular follow up and counseling is essential to decrease the mortality and morbidity from this condition