ABSTRACT
OBJECTIVE: To determine the occurrence, symptoms, treatment and outcome in patients with urethral stones. PATIENTS AND METHODS: Fifty-one consecutive patients with urethral calculi were assessed prospectively; all were male and one was an infant. RESULTS: Acute retention of urine occurred in 78% of patients, urethral anatomical pathology in 6% and posterior urethral calculi in 88%. The urethral stones, solitary in each patient, consisted of calcium oxalate in 86%, struvite in 6%, mixed stones in 4%, calcium phosphate in 2% and uric acid in 2%. A methodical approach to therapy was used which aimed to clearly define the circumstances in which a given procedure was used, and the resulting success rate. CONCLUSION: The common belief that most urethral calculi in patients in developing countries originate from the bladder does not seem to be generally applicable. Urethral anatomical pathology does not seem to be a necessary condition for most of these calculi.
Subject(s)
Urethral Diseases/therapy , Urinary Calculi/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Child , Humans , Lithotripsy/methods , Male , Middle Aged , Prospective Studies , Treatment Outcome , Urethral Diseases/diagnosis , Urethral Diseases/ethnology , Urinary Calculi/diagnosis , Urinary Calculi/ethnology , Urinary Retention/etiology , Urinary Retention/therapyABSTRACT
We aimed to test the knowledge, attitude and practice (KAP) of physicians towards erectile dysfunction in the Eastern province of Saudi Arabia. At a scientific meeting about erectile dysfunction, 159 physicians from both government and private sectors answered a 34-item questionnaire in private. The mean total KAP score for the group was below the expected standard of 60%. Male physicians scored significantly higher than females. Urologists scored the highest, followed by andrologists. Surprisingly, physicians with higher qualifications scored lower than those with intermediate qualifications and even less than general practitioners. Those who had practised for > or = 10 years scored better than those with < 10 years practice. The role of cardiologists in the diagnosis and management of erectile dysfunction is discussed.
Subject(s)
Attitude of Health Personnel , Erectile Dysfunction , Health Knowledge, Attitudes, Practice , Physicians , Practice Patterns, Physicians'/organization & administration , Cardiology/education , Cardiology/organization & administration , Clinical Competence/standards , Cross-Sectional Studies , Curriculum , Education, Medical , Education, Medical, Graduate , Education, Medical, Undergraduate , Educational Measurement , Erectile Dysfunction/diagnosis , Erectile Dysfunction/epidemiology , Erectile Dysfunction/etiology , Erectile Dysfunction/therapy , Female , Health Services Needs and Demand , Humans , Male , Medicine/organization & administration , Physician's Role , Physicians/organization & administration , Physicians/psychology , Public Health , Saudi Arabia/epidemiology , Specialization , Surveys and QuestionnairesABSTRACT
We aimed to test the knowledge, attitude and practice [KAP] of physicians towards erectile dysfunction in the Eastern province of Saudi Arabia. At a scientific meeting about erectile dysfunction, 159 physicians from both government and private sectors answered a 34-item questionnaire in private. The mean total KAP score for the group was below the expected st and ard of 60%. Male physicians scored significantly higher than females. Urologists scored the highest, followed by and rologists. Surprisingly, physicians with higher qualifications scored lower than those with intermediate qualifications and even less than general practitioners. Those who had practised for >/= 10 years scored better than those with < 10 years practice. The role of cardiologists in the diagnosis and management of erectile dysfunction is discussed
Subject(s)
Cardiology , Clinical Competence , Cross-Sectional Studies , Curriculum , Education, Medical, Graduate , Health Services Needs and Demand , Erectile Dysfunction , Physician's Role , Public Health , Surveys and Questionnaires , Attitude of Health PersonnelABSTRACT
OBJECTIVE: To evaluate the efficacy of the diode laser as a new tool for treating urethral strictures. Patients and methods The study comprised 22 patients with urethral strictures; a diode laser was used to circumferentially ablate the scar tissue of the strictures. Through a cystoscope, a 400-600 micrometer semirigid fibre was used to transmit the laser energy in the direct-contact mode. The procedure was carried out with the patient under general or spinal anaesthesia, but the last three patients successfully tolerated local anaesthesia. A catheter was then left in place for 1-5 days. RESULTS: The patients were followed for a mean (range) of 26.7 (9-39) months; in the 14 with previously untreated strictures the procedure was successful in 11, with no recurrence during the follow-up. However, seven of the eight patients with a recurrent stricture after previous internal cold-knife urethrotomy had a further recurrence, but occurring at longer intervals than after the internal urethrotomy. Conclusion This experience with the diode laser for treating urethral strictures suggests that it is safe and reliable, especially as the first line of treatment.
Subject(s)
Laser Therapy/methods , Urethral Stricture/surgery , Adolescent , Adult , Blood Loss, Surgical , Humans , Length of Stay , Male , Middle Aged , Recurrence , Treatment OutcomeABSTRACT
OBJECTIVE: To determine the chronic complication rate of anterior hypospadias repair and to explore whether the practice of placing the neomeatus at the tip of the penis should be applicable to all cases in our community where urination is in a sitting/squatting position. METHODS: Over a 10-year period commencing 1st September 1987, 312 patients had hypospadias repair of whom 72% had anterior hypospadias. The meatus was advanced to the tip of the penis in all repairs. The location of the meatus was also determined in 281 non-complaining men with a straight penis and normal sexual and reproductive functions. Following prior information that anterior hypospadias was not associated with sexual and reproductive dysfunction, 51 patients were given a choice between repair or no repair. RESULTS: Urethrocutaneous fistula occurred in 5% of patients, urethral stricture in 3% and meatal retraction in 3%, with 92% of patients having no complications. Forty six percent of non-complaining men had the meatus in locations other than the tip of the penis. Of 51 patients with the benefit of informed consent, 73% opted for no repair. CONCLUSION: Our results of anterior hypospadias repair compare favourably with those of other centers. Placement of the meatus at the tip of the penis for anterior hypospadias should not be applicable to all patients in this community where urination is in a sitting/squatting position. Before such repairs, an informed consent is warranted by making the patients and their parents aware of the non-association of sexual and reproductive disorders with these anomalies.
Subject(s)
Hypospadias/physiopathology , Hypospadias/surgery , Patient Selection , Posture , Urination , Adolescent , Adult , Case-Control Studies , Child , Child, Preschool , Chronic Disease , Coitus , Cutaneous Fistula/etiology , Erectile Dysfunction/etiology , Humans , Infant , Informed Consent , Male , Postoperative Complications/etiology , Surgical Flaps , Treatment Outcome , Urethral Diseases/etiology , Urethral Stricture/etiology , Urinary Fistula/etiologyABSTRACT
Full text is available as a scanned copy of the original print version.
ABSTRACT
A high proportion (43%) of postpubertal presentation of cryptorchid testes was found in 114 patients with undescended testes (UDT). Bilateral presentation of UDT was observed in 25% of patients. Orchiopexy was performed on 75% of postpubertal cases, the determinant factor for choice of operation being cosmetic and psychological. Follow-up results appear to be promising in this environment with very low incidence of testicular cancer.
Subject(s)
Cryptorchidism/surgery , Puberty , Adolescent , Adult , Age Factors , Child , Child, Preschool , Cryptorchidism/epidemiology , Cryptorchidism/pathology , Humans , Incidence , Infant , Male , Middle Aged , Prospective Studies , Testis/pathology , Testis/surgeryABSTRACT
Fracture of the penis is a rare injury, only 135 patients having been reported by 1985. Our recent experience with six patients who underwent emergency surgery, has been documented. The results of treatment were excellent with complete recovery of function. The study recommends operative management as the treatment of choice.
