Chronic radiation proctitis with bleeding is a common problem encountered following radiotherapy for pelvic malignancy. Sucralfate-steroid enema and formalin dab are two nonsurgical treatments. A randomized trial was conducted to compare the efficacy of these methods.This prospective controlled in Jawaharlal Institute Postgraduate Medical Education & Research (JIPMER) from August 2005 May 2007. One-hundred patients chronic proctitis, presenting as rectal after carcinoma cervix, were...

Objectives To evaluate the ability of magnetic resonance spectroscopic imaging to improve prostate cancer detection rate. Methods A retrospective analysis was carried out 278 men with prostate‐specific antigen in range 4–10 ng/mL and normal digital rectal examination who underwent transrectal ultrasound‐guided biopsy. Outcomes were compared between had a standard biopsy versus those also prebiopsy imaging. Men an abnormal voxel on ultrasound biopsies plus directed voxels. Results The study...

Venous hypertension (VH) is a distressing complication following the creation of arteriovenous fistula (AVF). The aim management to relieve edema with preservation AVF. Extensive increases surgical morbidity loss hemodialysis access. We present our experience in VH.A retrospective study was conducted on 37 patients VH managed between July 2005 May 2014. Patient demographics, evaluation, and procedures performed were noted. A successful outcome ligation (SL), angioembolization (AE), balloon...

To report our technique that helps locate the guidewire into ureter enabling safe dilatation during PCNL.Cases in which failed to pass following successful puncture of desired calyx were subjected this technique. A second was passed through outer sheath a 9 Fr. metallic dilator cannula, over first guidewire. The cannula and removed, followed by percutaneous passage 6/7.5 Fr ureteroscope between two guidewires, monitoring its progress both endoscopic fluoroscopic monitors. Once stone...

Background: Premature ejaculation is the most common cause of sexual dysfunction. There no consensus on treatment protocol due to poor understanding underlying mechanisms. Therefore, present pilot study was conducted compare efficacy topical eutectic mixture for premature (TEMPE) spray with lidocaine gel ejaculation. Methods: After obtaining ethics approval and written informed consent, 100 patients meeting inclusion exclusion criteria were included. Baseline values intravaginal time (IELT)...

Background: Double-faced urethroplasty offers improved outcomes for the management of complex urethral strictures. In our study, we compared two different techniques double faced buccal mucosal graft (BMG) urethroplasty. Methods: 46 patients who underwent BMG at Ramaiah Medical College were retrospectively reviewed and grouped into A (Enzo Palminteri technique) B (Joel Gelman technique). Post operatively, followed up with AUA-SS, uroflowmetry postvoid residual assessment. The data analysis...

Arteriovenous fistula (AVF) is the gold standard vascular access for hemodialysis (HD). A thrill or murmur immediately after creation of AVF considered a predictive sign success. However, this does not ensure final maturation successful HD. Our objective was to determine different clinical and duplex parameters within predict subsequent HD.A prospective observational study conducted on 187 patients who had formation from July 2012 May 2013. Following surgery, all Doppler ultrasound (DU) Days...

Laparoscopic donor nephrectomy is now a commonly performed procedure in most of renal transplantation centers. However, the suitability laparoscopy for donors with abnormal venous anatomy still subject debate.Between August 2007 and 2014, 243 laparoscopic nephrectomies were our institution. All evaluated preoperative three-dimensional spiral computed tomography (CT) angiography Thirteen (5.35%) had left vein anomaly. A retrospective analysis was to collect recipient demographics...

Fossa navicular strictures can be a challenging problem for reconstructive urologists in which there is need to achieve good cosmetic results along with consistent stream. Our aim was retrospectively evaluate the outcome of Jordan meatoplasty management fossa navicularis strictures.A total 25 patients who underwent between 2011 and 2016 were reviewed. All evaluated uroflometry. Preoperative retrograde urethrogram performed all exclude proximal urethral strictures. The operative details...

To describe the effectiveness and safety of our novel technique simultaneous percutaneous cystolithotripsy with transurethral resection prostate (TURP) for patients benign prostatic hyperplasia (BPH) complicated large vesical calculi.This was a retrospective analysis 25 who underwent TURP between January 2012 2016. Technique: A 28-F Amplatz sheath inserted percutaneously into bladder after sequential dilatation under cystoscopic guidance. Percutaneous using nephroscope pneumatic lithoclast...

We report a case of 12-year-old girl who presented with the history hirsutism. On evaluation, she was found to have testosterone secreting adrenal gland tumor. Histopathological examination adrenalectomy specimen revealed lipoadenoma.<br>

This is the first reported case of vesicouterine fistula presenting with a fully formed dead fetus in urinary bladder.

Extracorporeal shock wave lithotripsy (SWL) is considered the standard of care for treatment small upper ureteric and renal calculi. A few centers have extended its use to bile duct calculi pancreatic The complication rates with SWL are low, resulting in wide spread acceptance usage. However, some serious complications reported 1% patients include acute pancreatitis, perirenal hematoma, urosepsis, venous thrombosis, biliary obstruction, bowel perforation, lung injury, rupture aortic aneurysm...

Herein we present a case of 7-month-old baby girl, with left single system ectopic ureter, in whom the ureter was dilated to such an extent that it presented as abdominal mass. Diagnosis established by means computed tomography. Work up completed renal scan and micturating cystourethrography. The patient operated nephorureterectomy performed. Hydroureter has be considered differential diagnosis mass infant.

We report the case of a 29-year-old male who presented to us with hematuria, dysuria and bilateral flank pain. On evaluation, patient was found have primary pleomorphic undifferentiated sarcoma bladder calcified pulmonary metastasis, confirmed computerized tomography scan immunohistochemistry.

Background: Assessment of sperm deoxyribonucleic acid (DNA) damage post varicocelectomy, has brought about new prospects in treating men with infertility. Improvements spermatogenesis decrease DNA been demonstrated which led to significant enhancement fertility rates. Therefore, we evaluated the efficacy microscopic varicocelectomy on reduction concurrence conventional improvement semen parameters. Methods: All patients a diagnosis varicocele leading infertility and planned for from January...

Background: Benign prostatic hyperplasia (BPH) is common amongst the elderly. Even after transurethral resection of prostate (TURP), retention urine may persist in some leading to significant morbidity adversely affecting quality life. The role alpha blockers this situation as a combination unclear. present study was conducted evaluate and compare efficacy tamsulosin versus deflazacort relieving postoperative following TURP. Methods: After obtaining ethics approval written informed consent,...

Background: Retrograde intrarenal surgery (RIRS) is the standard of care for renal stones less than 1.5 cm and 1000 Hounsfield units (HU). Most virgin ureters do not allow flexible ureteroscope in first setting. Placement a D-J stent ureter dilates ureter. Therefore, our study aimed to compare stone clearance rates symptom complex passive ureteral dilation following 4.5 French/Fr versus 6 double J (DJ) placement. Methods: After obtaining ethics approval written informed consent, 100 patients...