Nadeem Iqbal

Comparison of outcomes of tubed versus tubeless percutaneous nephrolithotomy in children: A single center study

ObjectivenTo evaluate and compare the effectiveness of tubeless percutaneous nephrolithotomy (PCNL) and tubed PCNL by using small bore nephrostomy tube (12Fr) in children for the management of nephrolithiasis.nnnMaterial and methodsnThis study was a retrospective analysis of 35 children where tubed PCNL (Group 1) was done in 18, and tubeless PCNL (group 2) in 17 patients from January 2010 to December 2016. Charts were reviewed for age, mass, stone size, operative time, hospital stay and stone-free rates. These variables were compared between the two groups. SPSS version 21 was used for data analysis. The data were shown as mean±standard deviation for continuous variables. Categorical variables were presented in percentages.nnnResultsnThere is no difference in terms of age, stone sizes, operative times, hospital stays, stone-free rates and post-PCNL complications between the two groups (p>0.05). The mean drop in hemoglobin level was 0.7±0.1 g/dL and 1.3±0.2 g/dL in Groups 1 and 2, respectively (p=0.01).nnnConclusionnTubeless PCNL in children is a safe option in well selected cases.

Comparison of ureteroscopic pneumatic lithotripsy and extracorporeal shock wave lithotripsy for the management of proximal ureteral stones: A single center experience

OBJECTIVEnTo evaluate and compare the effectiveness of ureteroscopic (URS) pneumatic lithotripsy versus extracorporeal shock wave lithotripsy (ESWL) in the management of the proximal ureteral stones in terms of stone- free rates, complications and costs involved.nnnMATERIAL AND METHODSnWe included 200 patients in Group 1 who underwent ESWL and 200 patients in Group 2 who underwent URS intervention. We used Modulith SL X lithotripter 3rd generation Storz medical for ESWL group while Swiss pneumatic lithoclast was used to break the stone in the URS group. Stone-free status was defined as stone fragment of less than 4 mm on follow- up kidney ureter and bladder X-ray after 3 months of procedure. SPSS version 16 was used for statistical analysis.nnnRESULTSnThe mean age in ESWL and URS groups were 39.21±13.36, and 43.13±13.65 years respectively. Mean stone size was 10.47±3.7 mm (ESWL) and 13.6±6.6 mm (URS). Stone- free rate after single procedure was (125/200 patients) 62.5% for ESWL and (168/200 patients) 84% for URS group (p=0.001). Complications included post procedure sepsis in 3 (1.5%) patient of ESWL, while 7 (3.5%) patients of URS groups. Steinstrasse was seen in 4 (2%) patients of ESWL group. No mortality was seen in both groups. Mean costs for ESWL were US

Clinicopathological Characteristics Of Prostate Cancer In Patients Presenting To A Tertiary Care Private Sector Hospital

320±50 while US

Partial Nephrectomy In Adults - A Single-centre Experience

1100±150 for URS group (p=0.001).nnnCONCLUSIONnThe stone-free rates after single procedure were significantly higher for the URS group while the complication rates were comparable in both groups. Treatment costs were significantly lower for the ESWL group.

Extracorporeal shock wave lithotripsy in the treatment of pediatric nephrolithiasis: Comparison of the outcome between preschool and schoolgoing children: A single-center study

Prostate cancer (PCa) is one of the leading cancers in older males. The aim of this study was to evaluate the clinico-pathological characteristics of prostate cancer and rate of detection of prostate cancer by DRE (digital rectal exam) in patients presenting to a tertiary care private sector hospital in Islamabad, and determine the awareness about PCa in these patients. There were 226 patients who presented from December 2009 to December 2015 having mean age of 68.63 ±8.76 years and median Prostate Specific Antigen (PSA) value of 19.12 ng/mL (IQR=35.8). Median prostatic volume was 49 (IQR=22) gram/cc in the subjects. DRE was abnormal in 164 (72.56%) patients and normal in 62 (27.43%) patients only. Majority of patients presented relatively late, which may be due to lack of screening programme or public awareness.

Managing A Large-size Adrenal Cyst By Hand-assisted Laparoscopic Surgery In A Young Male

Partial nephrectomy is the preferred procedure in benign renal lesions requiring surgical removal. It has also been accepted procedure for malignant renal conditions of smaller size. The aim of this observational study was to determine the outcome of partial nephrectomy in terms of complications and recurrence rates. Twenty patients with renal mass underwent this procedure from January 2010 till June 2014 at our Department, with mean age of 46.51 ±1.53 years. There were 14 males and 6 females. Renal mass on CT scan had the mean size of 3.80 ±1.15cm. The mean hospital stay in this series was 5.11 ±1.42 days, while mean operative time was 247 ±79.71 minutes. Twelve patients had malignant histology. They were followed using CT scan abdomen and pelvis with contrast at six and 12 months. Out of these, 10 (83.3%) patients were found to have no recurrence after six months.

Emphysematous Cystitis In A Non-diabetic Male

Aim: This study aimed to retrospectively evaluate the effectiveness of extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal stones, between preschool and schoolgoing children. Methods: From January 2007 to March 2015, a total of 103 ESWL-treated children were considered for the study. Stone clearance rate, number of retreatment required, complication rate, and ancillary procedures used were evaluated. Results: Of the 103 patients with age limits of 2-14 years, 36 were <5 years (preschool group) and 67 were ≥5 years (schoolgoing group) of age. The mean age and mean stone size in preschool group was 3.26 ± 1.29 years and 0.97 ± 0.25 cm, respectively, whereas in schoolgoing group, it was 10.31 ± 3.01 years and 14 ± 0.68 cm, respectively. The stone-free rate in preschool and schoolgoing group was 34/36 (94.4%) and 57/67 (85%), respectively, with no statistical difference between the two (P = 0.2076). Post-ESWL complications, including hematuria, mild fever, flank pain, steinstrasse requiring ureteroscopy, and sepsis were seen in both preschool and schoolgoing groups, at varying rates that failed to reach statistical significance among the two (P > 0.05). Mean number of shock waves required for stone clearance was significantly less in preschool group (P = 0.0001). Conclusion: ESWL is equally effective for managing nephrolithiasis in both <5-year or ≥5-year aged children.