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Papers by Swanand Chaudhary

Research paper thumbnail of Intravesical foreign body(a complete ball pen) - A rare case report

PANACEA JOURNAL OF MEDICAL SCIENCES, 2014

Abstract: Urologist, Department of The lower urinary tract is the recipient of a variety of forei... more Abstract: Urologist, Department of The lower urinary tract is the recipient of a variety of foreign bodies which almost defies imagination. They include Surgery, all types of objects. The frequency of such cases and the nature of objects are an important addition to the diseases of the urinary organs. Intravesical foreign bodies provide a challenge to the urologist in both diagnosis and management Keywords Intravesical foreign bodies, Urinary bladder, Foreign bodies.

Research paper thumbnail of Acute Appendicitis: A Comparison of Role of Ripasa and Modified Alvarado Score in Accurate Diagnosis

International Journal of Surgery and Medicine, 2020

Background: Acute appendicitis is the most common surgical emergency traditionally diagnosed clin... more Background: Acute appendicitis is the most common surgical emergency traditionally diagnosed clinically with laboratory and imaging method with a negative appendicectomy rate of 15-20%.These facts lead to the development of multiple scoring systems of their two commonly used RIPASA and Modified Alvarado score are being compared in the present study. Methods: In a hospital-based longitudinal study, clinically suspected cases of acute appendicitis that underwent appendicectomy were included as cases. Pre-operative assessment Modified Alvarado score, and RIPASA score were study factors. And Histopathology of the appendix was the outcome factors. Apart from the descriptive statistic, diagnostic accuracy was calculated for both scores with validation of cut off score were carried out by plotting of ROC curve. Results: Total 129 patients with a mean age of 31±9.71, male to female ratio of 1.8:1 were enrolled. Negative appendicectomy rate was 6.2%, and accuracy of RIPASA score was 80.5%, and Modified Alvarado score was 50.39%. The validated cut off for both scores was >7.5. Conclusions: RIPASA scoring system has higher sensitivity and specificity compared to the Modified Alvarado score. It also has higher diagnostic accuracy and a better scoring system for accurate diagnosis of acute appendicitis in the local population.

Research paper thumbnail of Unilateral hydronephrosis in adults: etiology, clinical presentations and management

International Surgery Journal, 2019

Background: Hydronephrosis is dilatation of renal pelvis and calyces resulting from intermittent ... more Background: Hydronephrosis is dilatation of renal pelvis and calyces resulting from intermittent and incomplete obstruction to the urine outflow with incidence of 1:100. This study aims to evaluate etiological factors, clinical presentations, diagnostic modalities and management options of unilateral hydronephrosis.Methods: In a tertiary care based observational study, patients more than 18 years age of either gender with unilateral loin pain with or without lump in loin were clinically diagnosed as unilateral hydronephrosis and confirmed on imaging studies were enrolled as subjects. Pregnant patients and patients not consenting were excluded. Patients with mild unilateral hydronephrosis were managed conservatively. Those of moderate to severe grade were investigated with CT urography and those with no excretion of dye in affected kidney were further investigated with DTPA scan. In patients with function of less than 10% on DTPA scan were subjected for nephrectomy.Results: Of the to...

Research paper thumbnail of Single-System Ectopic Ureter: A Late Diagnosis and Successful Management

The Journal of Obstetrics and Gynecology of India, 2015

An ectopic ureter is characterized by an ectopic ureteric orifice outside the posterolateral extr... more An ectopic ureter is characterized by an ectopic ureteric orifice outside the posterolateral extremity of bladder trigone and present predominantly in female children with duplicated kidney. If ectopic ureter drain a single kidney, it is called single-system ectopic ureter (SSEU) [1].

Research paper thumbnail of A rare case of irreparable vesico-vaginal fistula of 45 years duration successfully managed by urinary diversion

Journal of Mid-life Health, 2011

In developing countries most of the fistulas occur as a catastrophic complication of obstructed l... more In developing countries most of the fistulas occur as a catastrophic complication of obstructed labor in young women. Constant dribbling, wetness, and stink lead to social outcasting of patients of vesico-vaginal fistula (VVF) making their life miserable. In most of the cases, timely surgery taking all required precautions is successful. In small number of cases, fistula is irreparable. Under such circumstances urinary diversion helps. Very few cases are reported in literature, where patients have endured fistula for more than 40 years. A case report of a patient of VVF, who suffered for 45 years without seeking any treatment because of prevailing circumstances is presented here. The fistula was irreparable. Urinary diversion was the only option available. She was successfully managed by urinary diversion with an ileal conduit. Now patient is leading a contented life.

Research paper thumbnail of Intravesical foreign body(a complete ball pen) - A rare case report

PANACEA JOURNAL OF MEDICAL SCIENCES, 2014

Abstract: Urologist, Department of The lower urinary tract is the recipient of a variety of forei... more Abstract: Urologist, Department of The lower urinary tract is the recipient of a variety of foreign bodies which almost defies imagination. They include Surgery, all types of objects. The frequency of such cases and the nature of objects are an important addition to the diseases of the urinary organs. Intravesical foreign bodies provide a challenge to the urologist in both diagnosis and management Keywords Intravesical foreign bodies, Urinary bladder, Foreign bodies.

Research paper thumbnail of Acute Appendicitis: A Comparison of Role of Ripasa and Modified Alvarado Score in Accurate Diagnosis

International Journal of Surgery and Medicine, 2020

Background: Acute appendicitis is the most common surgical emergency traditionally diagnosed clin... more Background: Acute appendicitis is the most common surgical emergency traditionally diagnosed clinically with laboratory and imaging method with a negative appendicectomy rate of 15-20%.These facts lead to the development of multiple scoring systems of their two commonly used RIPASA and Modified Alvarado score are being compared in the present study. Methods: In a hospital-based longitudinal study, clinically suspected cases of acute appendicitis that underwent appendicectomy were included as cases. Pre-operative assessment Modified Alvarado score, and RIPASA score were study factors. And Histopathology of the appendix was the outcome factors. Apart from the descriptive statistic, diagnostic accuracy was calculated for both scores with validation of cut off score were carried out by plotting of ROC curve. Results: Total 129 patients with a mean age of 31±9.71, male to female ratio of 1.8:1 were enrolled. Negative appendicectomy rate was 6.2%, and accuracy of RIPASA score was 80.5%, and Modified Alvarado score was 50.39%. The validated cut off for both scores was >7.5. Conclusions: RIPASA scoring system has higher sensitivity and specificity compared to the Modified Alvarado score. It also has higher diagnostic accuracy and a better scoring system for accurate diagnosis of acute appendicitis in the local population.

Research paper thumbnail of Unilateral hydronephrosis in adults: etiology, clinical presentations and management

International Surgery Journal, 2019

Background: Hydronephrosis is dilatation of renal pelvis and calyces resulting from intermittent ... more Background: Hydronephrosis is dilatation of renal pelvis and calyces resulting from intermittent and incomplete obstruction to the urine outflow with incidence of 1:100. This study aims to evaluate etiological factors, clinical presentations, diagnostic modalities and management options of unilateral hydronephrosis.Methods: In a tertiary care based observational study, patients more than 18 years age of either gender with unilateral loin pain with or without lump in loin were clinically diagnosed as unilateral hydronephrosis and confirmed on imaging studies were enrolled as subjects. Pregnant patients and patients not consenting were excluded. Patients with mild unilateral hydronephrosis were managed conservatively. Those of moderate to severe grade were investigated with CT urography and those with no excretion of dye in affected kidney were further investigated with DTPA scan. In patients with function of less than 10% on DTPA scan were subjected for nephrectomy.Results: Of the to...

Research paper thumbnail of Single-System Ectopic Ureter: A Late Diagnosis and Successful Management

The Journal of Obstetrics and Gynecology of India, 2015

An ectopic ureter is characterized by an ectopic ureteric orifice outside the posterolateral extr... more An ectopic ureter is characterized by an ectopic ureteric orifice outside the posterolateral extremity of bladder trigone and present predominantly in female children with duplicated kidney. If ectopic ureter drain a single kidney, it is called single-system ectopic ureter (SSEU) [1].

Research paper thumbnail of A rare case of irreparable vesico-vaginal fistula of 45 years duration successfully managed by urinary diversion

Journal of Mid-life Health, 2011

In developing countries most of the fistulas occur as a catastrophic complication of obstructed l... more In developing countries most of the fistulas occur as a catastrophic complication of obstructed labor in young women. Constant dribbling, wetness, and stink lead to social outcasting of patients of vesico-vaginal fistula (VVF) making their life miserable. In most of the cases, timely surgery taking all required precautions is successful. In small number of cases, fistula is irreparable. Under such circumstances urinary diversion helps. Very few cases are reported in literature, where patients have endured fistula for more than 40 years. A case report of a patient of VVF, who suffered for 45 years without seeking any treatment because of prevailing circumstances is presented here. The fistula was irreparable. Urinary diversion was the only option available. She was successfully managed by urinary diversion with an ileal conduit. Now patient is leading a contented life.