RESUMO
To compare the results of Tubularized Incised Plate Urethroplasty with Mathieu repair. Prospective Randomized comparative study. Department of Urology Allied Hospital, Faisalabad from May 2001 to April 2005.Patients: 48 patients with distal hypospadias were included in the study. Twenty four patients were treated with Tubularized Incised Plate Urethroplasty [TIPU] and 24 were managed with Mathieu repair. The mean age at presentation was 7 years. Good cosmetic and functional results were achieved by all techniques. The overall success rate of TIPU was 83.33% and that of Mathieu repair 79.16% for the management of distal hypospadias. In Mathieu repair, urethrocutaneous fistula developed in 04 patients and total disruption in 01 patient. Meatal stenosis occurred in 02 cases who responded well to regular dilatation. In TIPU, 03 patients developed urethrocutaneous fistula. Total disruption was seen in 01 patient and meatal stenosis in 03 cases which responded well to regular dilatation. All the techniques are good for hypospadias repair. However TIPU proved to be the best technique for management of all type of hypospadias
RESUMO
To ascertain the efficacy of transurethral ureterorenoscopy [URS] in the management of ureteral obstruction. This study was conducted from June 2005 to August 2006 at the Department of Urology and Renal Transplantation, Allied Hospital/Punjab Medical College, Faisalabad. A total number of 198 patients with ureteral obstruction due to any cause were included in the study. Cause of ureteral obstruction was stones in 172 patients, encrusted and upward migrated Double J [DJ] ureteric stent in 06 patients, ureteric tumors 03 patients and ureteric injuries in 10 patients. Ureteral obstruction was relieved by completely clearing the stone in 98% patients; encrusted and upward migrated ureteric stents were removed in 100% patients. latrogenic ureteric obstruction was bypassed in 30% of patients. There was failure to negotiate ureteric orifice by ureterorenoscopy in 07 patients due to oedema at ureteric orifice. There was no significant complication during the procedure. Ureterorenoscopy is superior procedure in the diagnosis and treatment of ureteric obstruction due to any cause at any level except the iatrogenic ureteric obstruction where it has limited role