Background: Renal calculi are a significant urological burden globally, with percutaneous nephrolithotomy (PCNL) being the treatment of choice for large stones. Intracorporeal lithotripsy is critical step during PCNL, where pneumatic and EMS Swiss LithoClast Trilogy commonly used. Although several studies have compared these modalities internationally, data on their efficacy safety within local clinical settings remain limited. This study was undertaken to address this gap provide...

Objective The objective of this study was to compare the STONE score (Size stone, Topography or location, degree Obstruction urinary system, Number stones, and Evaluation Hounsfield units), Guy's stone (GSS), Clinical Research Office Endourological Society (CROES) nomogram, Seoul National University Renal Stone Complexity Score (RSCS) in prognosticating multiple tract mini-percutaneous nephrolithotomy (mPCNL) outcome. Methodology This descriptive retrospective analysis carried out at Urology...

To determine the degree of agreement between multi-detector computed tomography angiography and transthoracic echocardiography in diagnostic evaluation congenital heart disease with extracardiac findings.Descriptive cross-sectional study.Radiology Department, Doctors Hospital Medical Centre, Lahore, from May to November 2016.Patients clinical suspicion cardiovascular malformation were included study. All patients had thoracic done diagnose disease. Agreement was labelled true positive...

Objectives: To describe the clinical and neuro-radiological patterns of orbital invasion by sino-nasal diseases. Study Design: Descriptive, Retrospective study. Period: 2004 to 2009. Subjects Methods: We retrospectively reviewed fifty four cases nasal paranasal sinus diseases invading orbit. The medical charts were analyzed. data considered for study was age, sex, ocular presentation associated systemic problems patients. results correlated with picture. Results: age range from 6 85 years...

Objectives: To describe the demographic profile, patterns of visual disturbance and imaging studies patients with Macroadenoma. Design: Retrospectively. Reviewed clinical charts neuroradiologic 125 who were diagnosed as cases Duration: 2000 to 2009. Subjects Methods: 100 selected had disturbances along Macroadenomas. Age, sex, symptoms other associated systemic problems these reviewed. The Neuroimaging data (Magnetic Resonance Imaging) was correlated picture. analysed using Statistical...

Weber’s syndrome with vertical gaze palsy is rarely reported in literature. We present a case of 47-year-old female who developed sudden onset left exotropia, right sided hemiplegia and palsy. Magnetic resonance imaging (MRI) showed multiple infarcts involving both thalami extending caudally into the midbrain. This presents diverse clinical picture following midbrain infarcts.

Purpose: To highlight the clinical and neuro-imaging patterns of Meningiomas ofvisual pathway.Materials Methods: It was a descriptive retrospective study conductedduring 2007 to 2013. 94 patients with intra cranial affecting thevisual pathway were selected for study. Clinical data included history, ocular andsystemic examinations reports. Special attention givento neurological data, which only source available us fordiagnosing Meningiomas. Histological confirmation Meningioma availablein...

Background Renal calculi therapy has advanced significantly in recent years, with mini-percutaneous nephrolithotomy (PCNL) emerging as a minimally invasive treatment modality. Mini-PCNL been subjected to several modifications achieve the best possible outcomes and reduce morbidity. This study aimed compare efficacy safety of Swiss LithoClast Trilogy™ pneumatic LithoClast™ managing renal stones mini-PCNL. Methodology descriptive retrospective was conducted at Department Urology, Lady Reading...

Aim: To observe the complication rate of conventional percutaneous nephrolithotomy (PCNL) in a tertiary care Hospital. Methods: This Retrospective study conducted from January 2016 to 2020 Department Urology at Lady Reading Hospital Peshawar, Pakistan.The research included total 449 patients who underwent PCNL.Non-contrast CT KUB was performed on all before surgery. After passing 6fr Ureteric catheter through cystoscope lithotomy position patient then shifted into prone position. Under...

Objectives: The objective of the study was to reveal reversal histo-morphological changes in mice liver induced by combined isoniazid-rifampicin (INH-RIF) therapy with sildenafil treatment. Methods: Twenty-one weighing between 25–35 g were enrolled study. Randomisation carried out simple balloting method. selected sorted into three groups 7 mice, each group. In group C (n=7) control group, administered 0.4ml saline per kg body weight daily intra peritoneally for 21 days. R INH-RIF rifampicin...

The purpose of our study was to analyze current indications for surgery in pleuropulmonary tuberculosis (TB). We present experience with TB patients presenting between 1998 and 2003. Material Methods: surgical intervention included 220 cases empyema, mediastinal lymphadenopathy 48 cases, hemoptysis 25 destroyed lung 24 undiagnosed pleural effusion bronchiectasis 18 cavitary lesion MDRTB 13 pulmonary aspergilloma 10 cases. Thirteen multidrug-resistant required intervention, although 26 were...

Objective: To identify the role of povidone iodine-soaked gauze following transrectal digital guided prostate biopsy in prevention infectious complications. Methodology: This prospective comparative study was conducted urology department Lady Reading Hospital including 201 patients. Patients who had indications for biopsy, an elevated pros­tate-specific antigen (PSA) or abnormal prostatic nodule on rectal findings were included. distributed into two groups by closed envelop method. Group, I...

Purpose: To analyze the need of neuro-imaging in patients presenting with headache. Study Design: Retrospective observational study. Place and Duration study: Heart body scan Ghurki trust teaching hospital, Lahore 2008 to 2015. Material methods: We retrospectively reviewed clinical charts 5289 patients, who were sent radiology department for from 2015. The major complaint was headache but associated signs symptoms included vertigo, weakness limbs, unconsciousness, Proptosis, road traffic...

The aim of this study is to identify the effectiveness perioperative pneumoperitoneum prevent air leak after lobectomy-bilobectomy operations for lung cancer. A prospective was designed on consecutive 50 patients who had cancer and whose remnant failed fill half hemithoracic cavity under 30 Cm H20 positive pressure ventilation during operation with totally relaxed diaphragm. were divided into two groups: group 1(25 patients) pneumoperitoneum, 2(25 without pneumoperitoneum. statistical...

Mini PCNL (mPCNL) procedures now often employ miniature nephroscopes that were originally created to treat paediatric kidney stones. There is scarcity of knowledge regarding complications mPCNL in renal stones larger than 3 cm. Objective: To determine the common mini performed for 3.0cm. Methods: This descriptive case series study was conducted over a period one year from November 2022 October 2023 registered patients aging 4 14 years undergoing with >3cm. The underwent and followed weeks...

Stones may block the ureter causing pain and discomfort. Ureteric laser lithotripsy, a notable breakthrough in urology, has transformed treatment of urinary tract stones. Objectives: To compare efficacy ureteroscopic lithotripsy with without stone cone. Methods: This retrospective analysis was done at LRH Peshawar's urology department from 1st December 2022 to 31th October 2023. Over time, 50 patients had holmium lithotripsy. Our research comprised adults over 18 proximal ureteric stones...

Posterior urethral distraction deficits are a difficult and complex clinical condition that necessitates specialized care in urological therapy. End-to-end anastomotic urethroplasty has emerged as critical procedure for treating posterior abnormalities, providing thorough successful approach restoring normal function. Objective: To assess the outcome of end-to-end defects. Methods: This study was conducted at departments Urology, MTI LRH, Peshawar from 1st November 2017 to 31st December...

Objective: The goal of this study is to compare the number operative urological emergencies in pre-covid and peri-covid 19 pandemics, as well pattern pandemics. Methodology: Retrospective was conducted urology department Medical Teaching Institute at Lady Reading hospital Peshawar. All emergency procedures performed between July 18, 2019 February 25, 2020 (pre-covid) 26, September (peri-covid). Total numbers 73 patients were operated emergency. Mean patient age 38 years (range 15 70) male...

There are quite a number of neurological diseases, which initially present to the ophthalmologists. Based on proper history and clinical findings ophthalmologist have suggest ancillary neuro-imaging support their provisional diagnosis reach site lesion. Unless ophthalmologists aware right imaging at time area focus, there many pitfalls. MRI CT brain orbit important investigations in neuro-ophthalmology if intelligently ordered can add diagnostic management process. In general, is most...

Objective: To compare the efficacy of Paroxetine and Dapoxetine in premature ejaculation.Methodology: We enrolled One hundred twenty-six patients this study from January 2019to December 2021 urology department Medical teaching institute Lady Reading hospitalPeshawar by using convenient sampling technique. Patients were assigned to take either 20mgOD (n =158) or 30mg OD Dapoxetine(n=159). On follow-up after six weeks, all thepatients assessed for improvement intravaginal ejaculation latency...

Objective: The study sought to determine the efficacy of Martius flap in treating difficult VVF (Vesicovaginal fistula) greater than 2.5 cm size. Study design: A descriptive case series Place and duration study: From January 2018 December 2020, this was conducted department urology at Khalifa Gulnawaz Teaching Hospital Bannu. Methodology: patients' records were evaluated. Following a vaginal examination establish leakage, all patients had cystoscopy fistulae, location, tissue scarring. All...