Dr Imran Memon - Academia.edu (original) (raw)

Papers by Dr Imran Memon

International Journal of Endorsing Health Science Research

Background: Renal Trauma is one of the significant causes of deterioration, morbidity, and mortal... more Background: Renal Trauma is one of the significant causes of deterioration, morbidity, and mortality in the pediatric age group around the globe. Firearm injuries are among one of the essential causes for renal trauma. Overall, trauma is the leading cause of death and accounts for approximately 50% of mortality in children over 1 year of age. Therefore, the current study aims to determine the frequency of morbidity, mortality and renal trauma in blunt and firearm accidents in pediatric population. Methodology: A total of 180 children, aged up to 15 years with blunt and penetrating trauma, including firearm injuries, were enrolled in our study. All patients with in the inclusion criteria of the study, who were presented in the emergency department were evaluated and resuscitated by a pediatric surgeon. Patients indicated with renal trauma were operated and were post-operatively managed in the pediatric surgery ward. All patients included were followed as an outpatient. The data of th...

International Journal of Endorsing Health Science Research, 2021

Background: After the introduction of simulators in urology, urology education has evolved signif... more Background: After the introduction of simulators in urology, urology education has evolved significantly. The development of Transurethral Resection of Prostate (TURP) skills has shifted to simulator-based learning from being directly on patients. We evaluated the outcome of simulation-based teaching of TURP procedural skills on virtual reality simulator and objectively assessed the operative skills on the Global Rating Scale (GRS). Methodology: In this prospective comparative study, high fidelity (VirtaMed | UroSim™) simulator was used. A total of 17 participants were enrolled in this study, 4 were urology faculty members, and 13 were post-graduate urology trainees. All participants performed five attempts of real-time TURP complete procedure and were allowed to resect the maximum possible prostate tissue (goal ≥ 85%). Skills were assessed in terms of resection, bleeding control and safety parameters. Objective assessment of simulative operative skills was done on GRS score sheets ...

The Professional Medical Journal, 2018

Awareness of patients regarding anesthesia & their attitude towards basic types of anesthesia tec... more Awareness of patients regarding anesthesia & their attitude towards basic types of anesthesia techniques. Objective: The purpose of this study was to assess the knowledge of patients regarding anesthesia, their attitudes towards basic types of anesthesia techniques and effect of previous experience of anesthesia on the awareness. Study design: Descriptive observational study. Place and duration of study: This descriptive, prospective study was conducted in the isra university hospital Hyderabad, Sindh, Pakistan from 2nd August 2013 upto 8th March 2014. Patients and Methods: Two hundred thirty one patients were included in the study after taking verbal informed consent. All patients who were scheduled for elective surgery were interviewed while patients who had refused from participation, have language barrier, psychiatric disease, had lack of sufficient mental capacity due to poor health status and patients undergoing emergency surgeries were excluded from the study. Patients were interviewed in their local language upon arrival in the preoperative area of operation theatre. Self made questionnaire was filled. All the data was entered on SPSS version 16. Frequency and percentages were calculated to show the results. Mean with SD of patients age was computed. Chi-square test was applied to assess the affect of previous experience of surgery on patient's knowledge regarding anesthesia. P value less than 0.05 was taken as significant. Results: Total 231 patients were included in the study. Mean age of the patients was 36 ± SD 1.01. Fifty one (22.1%) patients were illiterate; while 54 (23.4%) patients were graduate. 103(44.6%) patients had previous experience of surgery/ anesthesia while 128(55.4%) patients had no experience. Out of 231 patients, 111 (48.1%) patients were aware of different type of anesthesia techniques while 120(51.9%) patients were not aware. Out of 103 patients, who had previous exposure of anesthesia, 64 patients answered correctly about different types of anesthesia techniques while 81 patients who had no previous exposure of anesthesia, answered incorrectly (P value = 0.000). Fifty three patients who had previous exposure of anesthesia answered correctly that anesthetist is a qualified doctor, while 62 patients answered incorrectly who had no previous exposure (P value=0.546). Out of 231 patients, 91 (39.39%) patients were in favor of having general anesthesia while 52(22.51%) patients were in favor of regional anesthesia, while 88(38.0%) had left the choice on surgeon. Conclusions: Results of the study show poor knowledge of patients regarding anesthesia and anesthesiologists. Majority of the patients were in favor of having general anesthesia rather regional anesthesia. There is need to correct the misconceptions of patients and to educate the public.

Pakistan Armed Forces Medical Journal, 2020

Objective: To compare the frequency of patients with successful Trial of voiding without catheter... more Objective: To compare the frequency of patients with successful Trial of voiding without catheter (TWOC) after acute urinary retention secondary to benign prostatic hyperplasia in patients taking ketoconazole and tamsulosin vs tamsulosin alone. Study Design: A randomized controlled trial. Place and Duration: The current study was conducted at Urology Ward, Liaquat National Hospital, Pakistan for a period of six months. Methodology: A total of 162 patients presenting with acute urinary retention were divided into two groups. Group A received tamsulosin 0.4mg OD and ketoconazole 200mg while Group B received tamsulosin and placebo. Trial of voiding without a catheter was induced after one week of medication. SPSS version 20 was used for data compilation and analysis. Results: In Group-A, 85.2% of patients were able to void as compared to group B, where only 74.1% of patients were able to void (p<0.05). Successful trial of voiding without catheter was observed in 79.0% and 60.5% in ...

Journal of Ayub Medical College, Abbottabad : JAMC, 2019

BACKGROUND Urinary incontinence is an uncommon problem in males but has major impact on daily liv... more BACKGROUND Urinary incontinence is an uncommon problem in males but has major impact on daily living. This study aimed to highlight the outcome of surgical treatment in terms of safety, efficacy and cost-effectiveness in the management of urinary incontinence.. METHODS A Total of 48 patients, prospective experimental study, in the duration of 4 years conducted at Department of Urology, Liaquat National Hospital & Medical College. Patients having moderate to severe urinary incontinence for 1 year after transurethral resection of prostate, radical prostatectomy, road traffic accident with pelvic fracture causing neurologic damage were included in this study. Patients having mild incontinence, having multiple co-morbid conditions were excluded from this study. Outcome of surgery was noted during follow up visit after 13 month (median). The data was obtained and analysed by using SPSS version 20. Mean and standard deviation for quantitative data, frequency and percentage for categorical...

Rawal Medical Journal, 2019

Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for ma... more Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for management of male patients with urethral stricture. Methodology: This Randomized Controlled Trial was carried out at Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro from March 8 to September 7, 2017. Total 60 patients having urethral strictures were included and divided into Group-A (laser urethrotomy) and Group-B (internal optical urethrotomy). Operative time was noted. After 1 month, peak flow rate was recorded. Comparison for mean operative time and peak flow rate by using t-test was done. P-value ≤0.05 was considered as significant. Results: Mean stricture duration in Group-A was 7.36±1.06 weeks and 6.66±1.21 in group-B. Mean stricture length in Group-A was 10.30±2.98 mm while in Group-B 11.90±3.00 mm. Mean operative time in Group-A was 17.10±6.17 minutes and 29.76±8.89 minutes in group-B while mean postoperative peak flow rate in Group-A was 24.13±3.17 ml/sec and 22.06±2.92 ml/sec in group-B. There was significant mean difference in mean operative time and mean postoperative peak flow rate among groups. Conclusion: Laser Urethrotomy was effective in providing relief by significant shorter operative time and increased flow rate.

Pakistan Journal of Medical Sciences, Jul 2, 2021

Objectives: To determine the long-term outcome and complications of non-transecting anastomotic b... more Objectives: To determine the long-term outcome and complications of non-transecting anastomotic bulbar urethroplasty for the treatment of small bulbar urethral strictures presenting at

Journal of the Liaquat University of Medical and Health Sciences, Mar 30, 2019

OBJECTIVE: To assess the effectiveness of honey dressing in Fournier's Gangrene against conventio... more OBJECTIVE: To assess the effectiveness of honey dressing in Fournier's Gangrene against conventional Edinburgh University solution of lime (EUSOL) dressing. METHODOLOGY: This was a prospective experimental study conducted in Liaquat National Medical College and Hospital Karachi for duration of 5 and half years. Total 44 patients having gangrene and no co morbid conditions were included in this study. Patients who had co-morbid conditions like deranged coagulation profile and CVA, who were not willing to participate or loss to follow up were excluded from the study. After getting baseline blood workup (i.e. CBC, S. Creatinine, S. Electrolytes, Urine D/R, C/S and Diabetic workup) done and taking consent, the patients were immediately shifted to operation theatre, the incision and drainage was performed, and the necrotic tissues were debrided. Pus cultures were sent, and patients were started on routine intravenous antibiotics (3 rd generation Cephalosporin and metronidazole). A Dressing of wound was done randomly by honey in Group A and by Eusol in Group B. Patients were discharged after wound was completely healed. The data were obtained and analyzed by using SPSS version 20. Mann-Whitney U-test and chi-square test was applied to find out the significance. RESUTS: The patients in Group A got slough cleared in4.82±0.96 days, on average requiring 3.22±0.75 number of debridement's, complete wound healing and duration of hospital stay being 9.54±0.74 days. The patients in Group B got slough cleared in 8±0.87 days, requiring 5.32±0.72 number of debridement's, complete wound healing and duration of hospital stay 13.68±1.09 days.There was a significant difference in slough clearance, number of debridement's required, time taken for complete wound healing and hospital stay between Group A and Group B (P-value <0.001). CONCLUSION: This study predicted that honey is very valuable in the management of Fournier's gangrene as it ensured early clearance of slough, required lesser number of debridement's, had early wound healing and had relatively shorter duration of stay in hospital than those treated with conventional EUSOL as dressing material

Isra Medical Journal, 2015

OBJECTIVE: To determine the common cause of iatrogenic genito-urinary fistula and its management ... more OBJECTIVE: To determine the common cause of iatrogenic genito-urinary fistula and its management in the term of success and failure rate. STUDY DESIGN: An interventional study.

Pakistan Journal of Medical and Health Sciences, Feb 26, 2022

between May 2018 to November 2019. About sixty patients with benign prostatic hyperplasia and cor... more between May 2018 to November 2019. About sixty patients with benign prostatic hyperplasia and correlated lower urinary tract symptoms were included. The participants were distributed into two groups (Group A was prescribed combined therapy while Group B was prescribed monotherapy). The therapy was considered as successful if there was an improvement in the International Prostate symptom scoring of more than 3 points from the baseline to 12 weeks. Statistical analysis was performed using Excel sheet and SPSS v. 26. Results: In group 1 (combined therapy), 22 (73.3%) (22/30) of the patients reported a significant reduction in International Prostate symptom scores after taking Tamsulosin with Sildenafil as compared to Group 2, where only 13 (43.3%) patients who were treated with Tamsulosin only reported improvement in the International Prostatic symptom scoring at 12 weeks of treatment. Conclusion: The current study indicates that Tamsulosin in combination with Sildenafil is more effective in relieving the lower tract urinary symptoms in patients with benign prostate hyperplasia as compared to monotherapy.

Rawal Medical Journal, 2021

Journal of Ayub Medical College, Abbottabad : JAMC, 2020

BACKGROUND Urethral stricture disease has significant economic impact throughout world. The bulba... more BACKGROUND Urethral stricture disease has significant economic impact throughout world. The bulbar urethra is the commonest site for urethral strictures (Approx 50%) followed by penile urethra in most of the published literature. In developing countries trauma (road traffic accident and iatrogenic) is the leading cause of urethral stricture disease. Younger patients have usually idiopathic type as compare to old age group, which present more frequently with iatrogenic and trauma related urethral strictures. METHODS This Qausi Experimental study was conducted from May2012-June2016 of duration at Liaquat National Hospital Karachi. All the patients diagnosed with short urethral strictures related to bulbar urethra were included in this study. All the patients underwent non transecting bulbar urethroplasty. All patients were assessed preoperatively, peri-operatively and postoperatively and on follow-up visits as; on 2nd, 8th and 24th week. All the data regarding outcome was recorded on ...

Rawal Medical Journal, 2019

Objective: To assess the awareness and find out the most familiar cause of vesicovaginal fistula,... more Objective: To assess the awareness and find out the most familiar cause of vesicovaginal fistula, factors responsible for delay in seeking treatment and the results of surgical treatment in our setup. Methodology: This cross sectional study was carried in Department of Urology, Liaquat National Hospital, Karachi, from August 10, 2011 to August 20, 2017 using non probability convenient sampling technique. After informed consent, 150 female patients presented with sign and symptoms of vesicovaginal fistula were included in the study. Data were analyzed using SPSS version 20. Results: Out of 150 patients, 67(44.56%) were of less than 20 years while 43(28.66%) belonged to 20-30 age group; 91(60.66%) were illiterate. Obstructed labor was the commonest cause of vesicovaginal fistula observed in 106(70.66%) of patients followed by abdominal hysterectomy, LSCS, forcep delivery and vaginal hysterectomy in 23(15.33%), 11(7.33%), 7(4.66%) and 3(2.0%) cases, respectively. Conclusion: Commonest ...

Rawal Medical Journal, 2019

Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for ma... more Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for management of male patients with urethral stricture. Methodology: This Randomized Controlled Trial was carried out at Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro from March 8 to September 7, 2017. Total 60 patients having urethral strictures were included and divided into Group-A (laser urethrotomy) and Group-B (internal optical urethrotomy). Operative time was noted. After 1 month, peak flow rate was recorded. Comparison for mean operative time and peak flow rate by using t-test was done. P-value ≤0.05 was considered as significant. Results: Mean stricture duration in Group-A was 7.36±1.06 weeks and 6.66±1.21 in group-B. Mean stricture length in Group-A was 10.30±2.98 mm while in Group-B 11.90±3.00 mm. Mean operative time in Group-A was 17.10±6.17 minutes and 29.76±8.89 minutes in group-B while mean postoperative peak flow rate in Group-A was 24.13±3...

International Journal of Endorsing Health Science Research

Background: Renal Trauma is one of the significant causes of deterioration, morbidity, and mortal... more Background: Renal Trauma is one of the significant causes of deterioration, morbidity, and mortality in the pediatric age group around the globe. Firearm injuries are among one of the essential causes for renal trauma. Overall, trauma is the leading cause of death and accounts for approximately 50% of mortality in children over 1 year of age. Therefore, the current study aims to determine the frequency of morbidity, mortality and renal trauma in blunt and firearm accidents in pediatric population. Methodology: A total of 180 children, aged up to 15 years with blunt and penetrating trauma, including firearm injuries, were enrolled in our study. All patients with in the inclusion criteria of the study, who were presented in the emergency department were evaluated and resuscitated by a pediatric surgeon. Patients indicated with renal trauma were operated and were post-operatively managed in the pediatric surgery ward. All patients included were followed as an outpatient. The data of th...

International Journal of Endorsing Health Science Research, 2021

Background: After the introduction of simulators in urology, urology education has evolved signif... more Background: After the introduction of simulators in urology, urology education has evolved significantly. The development of Transurethral Resection of Prostate (TURP) skills has shifted to simulator-based learning from being directly on patients. We evaluated the outcome of simulation-based teaching of TURP procedural skills on virtual reality simulator and objectively assessed the operative skills on the Global Rating Scale (GRS). Methodology: In this prospective comparative study, high fidelity (VirtaMed | UroSim™) simulator was used. A total of 17 participants were enrolled in this study, 4 were urology faculty members, and 13 were post-graduate urology trainees. All participants performed five attempts of real-time TURP complete procedure and were allowed to resect the maximum possible prostate tissue (goal ≥ 85%). Skills were assessed in terms of resection, bleeding control and safety parameters. Objective assessment of simulative operative skills was done on GRS score sheets ...

The Professional Medical Journal, 2018

Awareness of patients regarding anesthesia & their attitude towards basic types of anesthesia tec... more Awareness of patients regarding anesthesia & their attitude towards basic types of anesthesia techniques. Objective: The purpose of this study was to assess the knowledge of patients regarding anesthesia, their attitudes towards basic types of anesthesia techniques and effect of previous experience of anesthesia on the awareness. Study design: Descriptive observational study. Place and duration of study: This descriptive, prospective study was conducted in the isra university hospital Hyderabad, Sindh, Pakistan from 2nd August 2013 upto 8th March 2014. Patients and Methods: Two hundred thirty one patients were included in the study after taking verbal informed consent. All patients who were scheduled for elective surgery were interviewed while patients who had refused from participation, have language barrier, psychiatric disease, had lack of sufficient mental capacity due to poor health status and patients undergoing emergency surgeries were excluded from the study. Patients were interviewed in their local language upon arrival in the preoperative area of operation theatre. Self made questionnaire was filled. All the data was entered on SPSS version 16. Frequency and percentages were calculated to show the results. Mean with SD of patients age was computed. Chi-square test was applied to assess the affect of previous experience of surgery on patient's knowledge regarding anesthesia. P value less than 0.05 was taken as significant. Results: Total 231 patients were included in the study. Mean age of the patients was 36 ± SD 1.01. Fifty one (22.1%) patients were illiterate; while 54 (23.4%) patients were graduate. 103(44.6%) patients had previous experience of surgery/ anesthesia while 128(55.4%) patients had no experience. Out of 231 patients, 111 (48.1%) patients were aware of different type of anesthesia techniques while 120(51.9%) patients were not aware. Out of 103 patients, who had previous exposure of anesthesia, 64 patients answered correctly about different types of anesthesia techniques while 81 patients who had no previous exposure of anesthesia, answered incorrectly (P value = 0.000). Fifty three patients who had previous exposure of anesthesia answered correctly that anesthetist is a qualified doctor, while 62 patients answered incorrectly who had no previous exposure (P value=0.546). Out of 231 patients, 91 (39.39%) patients were in favor of having general anesthesia while 52(22.51%) patients were in favor of regional anesthesia, while 88(38.0%) had left the choice on surgeon. Conclusions: Results of the study show poor knowledge of patients regarding anesthesia and anesthesiologists. Majority of the patients were in favor of having general anesthesia rather regional anesthesia. There is need to correct the misconceptions of patients and to educate the public.

Pakistan Armed Forces Medical Journal, 2020

Objective: To compare the frequency of patients with successful Trial of voiding without catheter... more Objective: To compare the frequency of patients with successful Trial of voiding without catheter (TWOC) after acute urinary retention secondary to benign prostatic hyperplasia in patients taking ketoconazole and tamsulosin vs tamsulosin alone. Study Design: A randomized controlled trial. Place and Duration: The current study was conducted at Urology Ward, Liaquat National Hospital, Pakistan for a period of six months. Methodology: A total of 162 patients presenting with acute urinary retention were divided into two groups. Group A received tamsulosin 0.4mg OD and ketoconazole 200mg while Group B received tamsulosin and placebo. Trial of voiding without a catheter was induced after one week of medication. SPSS version 20 was used for data compilation and analysis. Results: In Group-A, 85.2% of patients were able to void as compared to group B, where only 74.1% of patients were able to void (p<0.05). Successful trial of voiding without catheter was observed in 79.0% and 60.5% in ...

Journal of Ayub Medical College, Abbottabad : JAMC, 2019

BACKGROUND Urinary incontinence is an uncommon problem in males but has major impact on daily liv... more BACKGROUND Urinary incontinence is an uncommon problem in males but has major impact on daily living. This study aimed to highlight the outcome of surgical treatment in terms of safety, efficacy and cost-effectiveness in the management of urinary incontinence.. METHODS A Total of 48 patients, prospective experimental study, in the duration of 4 years conducted at Department of Urology, Liaquat National Hospital & Medical College. Patients having moderate to severe urinary incontinence for 1 year after transurethral resection of prostate, radical prostatectomy, road traffic accident with pelvic fracture causing neurologic damage were included in this study. Patients having mild incontinence, having multiple co-morbid conditions were excluded from this study. Outcome of surgery was noted during follow up visit after 13 month (median). The data was obtained and analysed by using SPSS version 20. Mean and standard deviation for quantitative data, frequency and percentage for categorical...

Rawal Medical Journal, 2019

Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for ma... more Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for management of male patients with urethral stricture. Methodology: This Randomized Controlled Trial was carried out at Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro from March 8 to September 7, 2017. Total 60 patients having urethral strictures were included and divided into Group-A (laser urethrotomy) and Group-B (internal optical urethrotomy). Operative time was noted. After 1 month, peak flow rate was recorded. Comparison for mean operative time and peak flow rate by using t-test was done. P-value ≤0.05 was considered as significant. Results: Mean stricture duration in Group-A was 7.36±1.06 weeks and 6.66±1.21 in group-B. Mean stricture length in Group-A was 10.30±2.98 mm while in Group-B 11.90±3.00 mm. Mean operative time in Group-A was 17.10±6.17 minutes and 29.76±8.89 minutes in group-B while mean postoperative peak flow rate in Group-A was 24.13±3.17 ml/sec and 22.06±2.92 ml/sec in group-B. There was significant mean difference in mean operative time and mean postoperative peak flow rate among groups. Conclusion: Laser Urethrotomy was effective in providing relief by significant shorter operative time and increased flow rate.

Pakistan Journal of Medical Sciences, Jul 2, 2021

Objectives: To determine the long-term outcome and complications of non-transecting anastomotic b... more Objectives: To determine the long-term outcome and complications of non-transecting anastomotic bulbar urethroplasty for the treatment of small bulbar urethral strictures presenting at

Journal of the Liaquat University of Medical and Health Sciences, Mar 30, 2019

OBJECTIVE: To assess the effectiveness of honey dressing in Fournier's Gangrene against conventio... more OBJECTIVE: To assess the effectiveness of honey dressing in Fournier's Gangrene against conventional Edinburgh University solution of lime (EUSOL) dressing. METHODOLOGY: This was a prospective experimental study conducted in Liaquat National Medical College and Hospital Karachi for duration of 5 and half years. Total 44 patients having gangrene and no co morbid conditions were included in this study. Patients who had co-morbid conditions like deranged coagulation profile and CVA, who were not willing to participate or loss to follow up were excluded from the study. After getting baseline blood workup (i.e. CBC, S. Creatinine, S. Electrolytes, Urine D/R, C/S and Diabetic workup) done and taking consent, the patients were immediately shifted to operation theatre, the incision and drainage was performed, and the necrotic tissues were debrided. Pus cultures were sent, and patients were started on routine intravenous antibiotics (3 rd generation Cephalosporin and metronidazole). A Dressing of wound was done randomly by honey in Group A and by Eusol in Group B. Patients were discharged after wound was completely healed. The data were obtained and analyzed by using SPSS version 20. Mann-Whitney U-test and chi-square test was applied to find out the significance. RESUTS: The patients in Group A got slough cleared in4.82±0.96 days, on average requiring 3.22±0.75 number of debridement's, complete wound healing and duration of hospital stay being 9.54±0.74 days. The patients in Group B got slough cleared in 8±0.87 days, requiring 5.32±0.72 number of debridement's, complete wound healing and duration of hospital stay 13.68±1.09 days.There was a significant difference in slough clearance, number of debridement's required, time taken for complete wound healing and hospital stay between Group A and Group B (P-value <0.001). CONCLUSION: This study predicted that honey is very valuable in the management of Fournier's gangrene as it ensured early clearance of slough, required lesser number of debridement's, had early wound healing and had relatively shorter duration of stay in hospital than those treated with conventional EUSOL as dressing material

Isra Medical Journal, 2015

OBJECTIVE: To determine the common cause of iatrogenic genito-urinary fistula and its management ... more OBJECTIVE: To determine the common cause of iatrogenic genito-urinary fistula and its management in the term of success and failure rate. STUDY DESIGN: An interventional study.

Pakistan Journal of Medical and Health Sciences, Feb 26, 2022

between May 2018 to November 2019. About sixty patients with benign prostatic hyperplasia and cor... more between May 2018 to November 2019. About sixty patients with benign prostatic hyperplasia and correlated lower urinary tract symptoms were included. The participants were distributed into two groups (Group A was prescribed combined therapy while Group B was prescribed monotherapy). The therapy was considered as successful if there was an improvement in the International Prostate symptom scoring of more than 3 points from the baseline to 12 weeks. Statistical analysis was performed using Excel sheet and SPSS v. 26. Results: In group 1 (combined therapy), 22 (73.3%) (22/30) of the patients reported a significant reduction in International Prostate symptom scores after taking Tamsulosin with Sildenafil as compared to Group 2, where only 13 (43.3%) patients who were treated with Tamsulosin only reported improvement in the International Prostatic symptom scoring at 12 weeks of treatment. Conclusion: The current study indicates that Tamsulosin in combination with Sildenafil is more effective in relieving the lower tract urinary symptoms in patients with benign prostate hyperplasia as compared to monotherapy.

Rawal Medical Journal, 2021

Journal of Ayub Medical College, Abbottabad : JAMC, 2020

BACKGROUND Urethral stricture disease has significant economic impact throughout world. The bulba... more BACKGROUND Urethral stricture disease has significant economic impact throughout world. The bulbar urethra is the commonest site for urethral strictures (Approx 50%) followed by penile urethra in most of the published literature. In developing countries trauma (road traffic accident and iatrogenic) is the leading cause of urethral stricture disease. Younger patients have usually idiopathic type as compare to old age group, which present more frequently with iatrogenic and trauma related urethral strictures. METHODS This Qausi Experimental study was conducted from May2012-June2016 of duration at Liaquat National Hospital Karachi. All the patients diagnosed with short urethral strictures related to bulbar urethra were included in this study. All the patients underwent non transecting bulbar urethroplasty. All patients were assessed preoperatively, peri-operatively and postoperatively and on follow-up visits as; on 2nd, 8th and 24th week. All the data regarding outcome was recorded on ...

Rawal Medical Journal, 2019

Objective: To assess the awareness and find out the most familiar cause of vesicovaginal fistula,... more Objective: To assess the awareness and find out the most familiar cause of vesicovaginal fistula, factors responsible for delay in seeking treatment and the results of surgical treatment in our setup. Methodology: This cross sectional study was carried in Department of Urology, Liaquat National Hospital, Karachi, from August 10, 2011 to August 20, 2017 using non probability convenient sampling technique. After informed consent, 150 female patients presented with sign and symptoms of vesicovaginal fistula were included in the study. Data were analyzed using SPSS version 20. Results: Out of 150 patients, 67(44.56%) were of less than 20 years while 43(28.66%) belonged to 20-30 age group; 91(60.66%) were illiterate. Obstructed labor was the commonest cause of vesicovaginal fistula observed in 106(70.66%) of patients followed by abdominal hysterectomy, LSCS, forcep delivery and vaginal hysterectomy in 23(15.33%), 11(7.33%), 7(4.66%) and 3(2.0%) cases, respectively. Conclusion: Commonest ...

Rawal Medical Journal, 2019

Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for ma... more Objective: To compare the outcome of internal optical urethrotomy versus laser urethrotomy for management of male patients with urethral stricture. Methodology: This Randomized Controlled Trial was carried out at Department of Urology, Liaquat University of Medical and Health Sciences, Jamshoro from March 8 to September 7, 2017. Total 60 patients having urethral strictures were included and divided into Group-A (laser urethrotomy) and Group-B (internal optical urethrotomy). Operative time was noted. After 1 month, peak flow rate was recorded. Comparison for mean operative time and peak flow rate by using t-test was done. P-value ≤0.05 was considered as significant. Results: Mean stricture duration in Group-A was 7.36±1.06 weeks and 6.66±1.21 in group-B. Mean stricture length in Group-A was 10.30±2.98 mm while in Group-B 11.90±3.00 mm. Mean operative time in Group-A was 17.10±6.17 minutes and 29.76±8.89 minutes in group-B while mean postoperative peak flow rate in Group-A was 24.13±3...