Bangladesh Journal of Urology 2012-06-28T07:41:10+00:00 Prof MA Salam Open Journal Systems <p>As far as we are aware, this journal is no longer being published.</p><p>Official journal of the Bangladesh Association of Urological Surgeons. Full text articles available.</p> Prospect of Renal Transplantation in Bangladesh 2012-06-28T07:41:10+00:00 Md Habibur Rahman (Dulal) Bangladesh Journal of Urology, Vol.14, No.1 January 2011 2012-06-28T06:52:45+00:00 ##submission.copyrightStatement## Comparison of Renal Function before and after Pyeloplasty determined by <sup>99m</sup>Tc-DTPA Renography 2012-06-28T07:41:10+00:00 MW Islam MN Hooda KR Abedin MF Islam SA Khan MS Islam P Sultana AKM Bhuiyan <p><strong>Objective:</strong> To evaluate the renal function before and after pyeloplasty using <sup>99m</sup>Tc-DTPA renography to determine the outcome of pyeloplasty done for pelviureteric junction obstruction.</p><p><strong>Materials and Methods:</strong> This study was done in the department of urology. National Institute of Kidney Diseases and Urology from July 2008 to June 2009. Forty eight patients were included in this study who underwent Anderson Hynes pyeloplasty for pelviureteric junction (PUJ) obstruction. All patients were evaluated with diuretic <sup>99m</sup>Tc-DTPA renogoam before and at 3 months after operation. Ultrasonography was performed to categorize the severity of hydronephrosis before renography. The outcome of pyeloplasty was evaluated by comparing preoperative and postoperative differential renal function determined by <sup>99m</sup>Tc-DTPA renogrpahy.</p><p><strong>Results:</strong> Forty eight patients with unilateral hydronephrosis were included in this study. Of these patients 32 male and 16 female with mean age 24.8 years (range 5 years to 42 years). Diuretic renography was done using <sup>99m</sup>Tc-DTPA in all patients preoperatively and at 3 months postoperatively. Preoperative mean differential renal function was 8.11% (range 0 to 22%) and postoperative mean differential function was 20.48% (range 0 to 42.8%) at 3 months. In 44 (91.67%) case there was significant improvement of renal function where in remaining 4 patients no charge was observed.</p><p><strong>Conclusion:</strong> Renal function improved after Anderson Hynes pyeloplasty regardless the age of the patient at surgery which was determined by <sup>99m</sup>Tc-DTPA renography. Pyeloplasty performed on patients with relatively better differential function had better results.</p> <p><strong></strong></p> <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.3-6</p> 2012-06-28T06:26:09+00:00 ##submission.copyrightStatement## Outcome of Orthotopic Neobladder after Radical Cystectomy 2012-06-28T07:41:10+00:00 MA Salam MS Islam MM Uddin MM Shafiqur S Hasan P Saha KR Abedin GM Maula <p><strong>Objective: </strong>To assess the results of patients underwent radical cystectomy and orthotopic neobladder reconstruction (ONR) after radical cystectomy for muscle invasive transitional cell carcinoma of urinary bladder.</p> <p><strong>Patients And Methods: </strong>The medical records were retrospectively reviewed for 154 suitable consecutive patients undergoing radical cystectomy and orthotopic neobladder reconstruction between July 1998 and June 2007 in BSMMU Hospital and in a private medical institution at Dhaka, Bangladesh. The operating time, transfusion rates, complications, mortality rates, continence rates, potency rates, disease specific survival and overall survival were reviewed.</p> <p><strong>Results: </strong>The median (range) follow-up was 48 (6–113) months; all patients had a reconstruction with a ‘Studer’ type of neobladder, Retrospective review was possible in 98 patients. Data of other patient were incomplete or inadequate for result of potency and continence review. Full continence was defined as being dry and with freedom from pads. Continence could be assessed in 98 patients after orthotopic neobladder reconstruction. 96 patient out of 98 (97.95%) were classified as being fully continent, and two (2.40%) patient who were fully incontinent. The daytime continence rate was 99% (97 patients) and the nocturnal continence rate was preserved in 90 patients (91.83%). Of the 98 patients, 93 patients could empty their bladder leaving a residual urine less than 100 ml with a mean flow rate 12.5 ml/ sec. Only five patients used (5.10%) intermittent self-catheterization (ISC). All of them had a very large neobladder, of 600 ml capacity or more. Of the 98 men with an orthotopic neobladder, 69 ( 70.40%) were potent before surgery (potency being defined as the ability to achieve and maintain an ‘unaided’ erection sufficient for sexual intercourse). Of these 69 patients, 57 (82.60%) were potent and 12(17.39%) were impotent after surgery. The patient who developed erectile dysfunction after surgery was given sildenafil 50 to 100 mg two hours prior to sexual contact. Of the 154 patients with malignancy after a median (range) follow-up of 48 (6– 113) months, 109 (70.77%) remained alive with no sign of disease recurrence. During this period of follow up 32 patients developed tumor recurrence died from disease progression confirms the disease specific mortality was 20.77%. about, and 13 (8.44%) died from other causes indicate the over all survival is 79.22%</p> <p><strong>Conclusions: </strong>Orthotopic neobladder reconstruction provides excellent continence rates, and both acceptable complication and mortality rates. Suitable patients undergoing radical cystectomy should be offered orthotopic neobladder reconstruction.</p> <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.7-13</p> 2012-06-28T06:37:16+00:00 ##submission.copyrightStatement## Incidence of Chips Positive Carcinoma of Prostate following Turp for Clinically Benign Prostatic Hyperplasia Patients with Normal Serum PSA 2012-06-28T07:41:10+00:00 HF Karim MN Hooda MW Islam MAK Sarker KR Abedin S Shahjamal S Nabi K Ara F Khatoon <p>A cross sectional study was performed to evaluate the frequency of chips positive carcinoma of prostate following TURP for clinically benign prostatic hyperplasia patient with normal serum PSA. A total of 250 patients were initially screened &amp; 100 patients were included into the study according to the selection &amp; exclusion criteria. They were evaluated by using IPSS, a physical examination including DRE &amp; neurological examination to exclude any neurological deficit &amp; neurologically related bladder dysfunction. The prostate was next assessed by transabdominal US. Serum PSA level was then measured &amp; at a cut off value of &lt; 4 ng/ml were enrolled in this study. In our study only 2 patients were found having adenocarcinoma. Therefore incidence of carcinoma prostate in clinically BPH patients with normal s. PSA is low. Low incidence in present series revealed the usefulness of s.PSA screening method. To avoid unusual systemic needle biopsy for diagnostic purpose s.PSA measurement should be done.</p> <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.14-18</p> 2012-06-28T06:46:02+00:00 ##submission.copyrightStatement## Closure of Abdominal Defect by using Native Detrusor Muscle for Bladder Exstrophy 2012-06-28T07:41:10+00:00 ATMA Ullah MIM Choudhury S Regmi AKMK Alam <p>Bladder exstrophy is a congenital anomaly that has been little bit difficult to correct. Advances in reconstructive surgery, have impacted on the care of these patients. The ideal reconstruction is directed to accomplish closure of the abdominal wall and bladder with subsequent correction of reflux, bladder neck revision for continence, and anatomical and functional repair of the epispadias. External and internal diversion may still be required for classical exstrophy when the bladder is represented by a fibrous patch and other complicating anomalies prevent closure or subsequent growth of the bladder.</p><p>In such case, repair of anterior abdominal wall defect is also challenge. We present here a case where we used the native detrusor muscle of the patient after stripping off its mucosa to cover the muscular defect in the lower abdomen, and then the wound was covered by using local skin flaps.</p> <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.19-21</p> 2012-06-28T06:50:31+00:00 ##submission.copyrightStatement## Dorsolateral Onlay OMG Urethroplasty through Unilateral Urethral Mobilization in Anterior Urethral Stricture - Our Experience in Dhaka Medical College Hospital and Salam Urology & Transplantation Foundation of Bangladesh (SUTF) 2012-06-28T07:41:10+00:00 MF Islam ME Haque MW Islam MN Hooda MS Alam MF Naser MA Awal A Rasul MS Alam MA Rahman I Kaisar MR Chow MM Rahman SMM Alam MA Salam <p><strong>Introduction:</strong> Circumferential urethral mobilization may result in ischemia of urethra in conventional anterior dorsal onlay urethroplasty. We performed dorsolateral onlay OMG urethroplasty in anterior urethral stricture through unilateral mobilization of urethra to preserve its vascular supply.</p> <p><strong>Objective:</strong> To evaluate the feasibility and short term outcome of using dorsolateral onlay OMG urethroplasty in anterior urethral stricture through unilateral urethral mobilization.</p> <p><strong>Method:</strong> In this prospective study, 27 patients with average age of 38 years underwent anterior dorsolateral onlay OMG urethroplasty through unilateral urethral mobilization in tertiary care hospital. In all patients, the surgical approach to the anterior urethra was made only along one side leaving the urethra attached to the corpora cavernosa on the opposite side thus preserving its vascular supply intact on one side. The cause of stricture was instrumentation in four cases (14%), lichen sclerosis in thirteen cases (48%), unknown in seven cases (25%) and infection in three cases (11%).The stricture site was bulbar in 10 cases and panurethral in 17 cases. Average length of the stricture segment was 4cm and 9 cm in bulbar and panurethral respectively. Of 27 patients, 20 received previous treatment. Clinical outcome was considered a failure when postoperative Qmax was &lt;10ml/sec and/ any instrumentation were needed. Patient who underwent previous urethral reconstruction surgery was excluded from the study.</p> <p><strong>Result:</strong> Of the 27 patients, 25 had (92%) successful outcome and 2 (8%) were failure. Two failed cases underwent successful optical internal urethrotomy. Follow up period was 4 months to 20 months.</p> <p><strong>Conclusion:</strong> Dorsolateral onlay urethroplasty of anterior urethral stricture preserving vascular supply along one side of its entire length of reconstruction is a simple and may be a reliable solution for better outcome.</p> <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.22-25</p> 2012-06-28T07:13:41+00:00 ##submission.copyrightStatement## Clinical Profile and Management of Uterovaginal Prolapse with Lower Urinary Tract Symptom (LUTS) 2012-06-28T07:41:10+00:00 S Begum S Sharmin P Sultana AN Chowdhury P Sultana S Nabi MN Uddin MM Hasan <p>Genital prolapse affects the quality of life of many women during their pre-menopausal and post menopausal years. The aim of the study is to record the aetiological aspect, precipitating factors in the causation of genital prolapse. The objective is to evaluation of cases in terms of clinical profile, different modalities of treatment and the complication associated with prolapse. It is a prospective type of study was carried out in the Department of Obst. &amp; Gynae in district hospital Comilla from January 2009 to December 2009. 72 cases of uterovaginal prolapse admitted in the study period were enrolled in this study. In this study most of the cases (36.11%) were in the age group between 51-60 yrs, having 5-9 children (54.16%) and early resumption of activity after delivery (52.77%), prolonged labour (22.22%) and chronic cough (27.77%) is the common cause. In this study maximum cases were poor (56.94%) and something coming down per-vagina (100%), urinary problem (72.22%) and backache (62.50%) is the main symptom. Most of the patient had 2<sup>0</sup> uterovaginal prolapse and vaginal hysterectomy with ant colporrhaphy with or without posterior colpoperiniorrhaphy is the main method of treatment.</p><p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.26-30</p> 2012-06-28T07:22:56+00:00 ##submission.copyrightStatement## Common Neuroginic Bladder Disorder due to Spinal Cord Injuries - A Review 2012-06-28T07:41:10+00:00 ATM A Ullah MS Hasan TMS Hossain MS Rahman <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.31-34</p> 2012-06-28T07:35:06+00:00 ##submission.copyrightStatement## Vesical Injury during Total Abdominal Hystrectomy - A Case Report 2012-06-28T07:41:10+00:00 MW Islam MN Hooda KR Abedin MS Islam AKMZI Bhuiyan <p>Bangladesh Journal of Urology, Vol. 14, No. 1, January 2011 p.35</p> 2012-06-28T07:39:36+00:00 ##submission.copyrightStatement##