ABSTRACT
OBJECTIVE: To assess the role of flexible cystoscopy in the diagnosis of lower urinary tract pathologies and its suitability as a routine diagnostic protocol in outdoor patients. METHODS: The quasi-experimental study was conducted at the Urology Department, Pakistan Ordinance Factory Hospital, Wah Cantt., from June 2009 to June 2010. All adult patients presenting with lower urinary tract symptoms to outdoor department were included on the basis of universal non-probability sampling technique. Cystoscopy was performed as a clinic-based procedure without sedation. SPSS 17 was used for data analysis. RESULTS: Of the 1500 patients in the study, 810(54%) were females and 690(46%) were male. Lower urinary tract pathologies were found in 480(32%) patients. The most common pathology among males was enlarged prostate in 127(8.4%) patients. Among females, urethral stenosis was the most common pathology in 57(3.8%) patients. Transitional cell carcinoma was seen in 57(3.8%) patients having haematuria with inconclusive ultrasound and intravenous urography. All patients tolerated the procedure well. CONCLUSIONS: Flexible cystoscopy is an effective, well-tolerated and easy way of detecting lower urinary tract pathologies among outpatients.
Subject(s)
Carcinoma, Transitional Cell/diagnosis , Cystitis/diagnosis , Cystoscopy , Lower Urinary Tract Symptoms/diagnosis , Prostatic Hyperplasia/diagnosis , Urethral Stricture/diagnosis , Urinary Bladder Neoplasms/diagnosis , Carcinoma, Transitional Cell/complications , Cystitis/complications , Female , Humans , Lower Urinary Tract Symptoms/etiology , Male , Prostatic Hyperplasia/complications , Urethral Stricture/complications , Urinary Bladder Calculi/complications , Urinary Bladder Calculi/diagnosis , Urinary Bladder Neck Obstruction/diagnosis , Urinary Bladder Neck Obstruction/etiology , Urinary Bladder Neoplasms/complicationsABSTRACT
OBJECTIVE: To share our experience of treating patients with Fournier's Gangrene and their outcomes at POF Hospital, Wah Cantt. METHODS: A descriptive study was conducted at the Urology Department, POF Hospital, Wah Cantt from October 2006 to March 2007. A total of 22 patients, all men with ages ranging from 30-75 years, were included in the study. The diagnosis was established on the basis of history and clinical examination. The gangrenous patches with crepitus due to subcutaneous collection of seropurulent fluid was a diagnostic sign. RESULTS: A total of 22 patients were included in the study. All patients were men of ages ranging from 30 to 75 years. Of the 22 patients, 10 were diabetic, 02 had history of CVA and 10 had no co-morbids. In 10 patients, genitals and anterior abdominal wall was involved whereas 04 patients had genital and perineal involvement. In 05 patients only genitals were involved whereas 03 patients presented with scortal infection. All patients received broad spectrum antibiotics and underwent regular debridement. Secondary suturing was done in 13 patients, 07 patients needed skin grafting whereas orchidectomy was done in 02 patients. CONCLUSION: Fournier's gangrene is an uncommon but life threatening condition with high associated mortality and morbidity. Early diagnosis and treatment decrease the morbidity and mortality of this life threatening condition.
