Open Access Method Article

Retained Urethral Catheter: Novel Method of Removal Using Trans-rectal Ultrasound Guidance

N. P. Agwu, A. Khalid, I. A. Mungadi

Asian Journal of Research and Reports in Urology, Page 1-5

 

Background: Urethral catheterization is a common procedure in medical practice. Retention of urethral catheter due to inability to deflate the balloon can be a distressing complication for the patient on prolonged indwelling urethral catheter. Several techniques have been devised for removal of such retained urethral catheters.

Objective: The aim of this study is to present our experience in the management of retained urethral catheters using trans-rectal ultrasound-guided balloon puncture at the Urology unit of Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.

Methods: This was a prospective case series of five men referred to the unit with non–deflatable urethral catheters between July 2013 and January, 2014.

Results: Five men were referred with retained urethral catheters. The mean age of the patients was 46.4 years with a range of 25-80 years. Indications for catheterization were benign prostatic hyperplasia, burns, and paraplegia. All had successful catheter removal by ultrasound-guided balloon puncture.

Conclusion: Retained urethral catheter can be successfully managed by trans-rectal ultrasound guided balloon puncture which is minimally invasive and does not require regional or general anaesthesia.

Open Access Short Research Article

Osteodystrophy in Children with the Renal form of Primary Hyperparathyroidism

Abdusattor A. Nosirov, Izzatullo Z. Sobitov

Asian Journal of Research and Reports in Urology, Page 1-5

Introduction: PHPT was diagnosed on the basis of a study of the content of total calcium and inorganic phosphorus in the blood and in daily urine, ionized calcium in the blood, exercise tests with calcium and sodium chloride, the content of parathyroid hormone (PTH), calcitonin (CT), vitamin D and cyclic 3,5 β-adenosine monophosphate (cAMP) in serum.

Materials and Methods: A total of 2100 children aged 1 to 15 years with patients with urolithiasis were examined, of which 52 (2.5%) children were diagnosed with primary hyperparathyroidism (PHPT). The renal form (RF) of PHPT was 29 (55.7%) and the mixed form (MF) (damage to the kidneys and bones) of PHPT was 23 (44.2%) patients. To detect bone damage, we studied the activity of alkaline phosphatase (ALPL) and X-ray densitometry of the bones of the hand and ultrasound osteometry of the bones.

Results: High rates of alkaline phosphatase (ALPL) and low rates of echoosteometry were observed in children with impaired renal function and had a direct relationship with the number and size of formed stones and osteoporosis of bones.

Discussion: The study of alkaline phosphatase (ALPL) activity and bone echoostometry makes it possible to assess the severity of osteystrophy and accordingly, to differentiate PHPT by forms (renal and mixed) and the severity of the disease.

Open Access Original Research Article

Pattern of Erectile Dysfunction and Associated Factors among Primary Care Clinic Attendees in South-west Nigeria

Temitope Oluwafemi Olajubu, Ibrahim Sebutu Bello, Aanuoluwapo Omobolanle Olajubu

Asian Journal of Research and Reports in Urology, Page 1-10

Background: Erectile dysfunction (ED) impairs sexual fulfilment and may predispose to disruption in relationships and family life. The condition appears under-recognized among primary care patients in this clime resulting in missed opportunities for prompt intervention.

Aims: This study sought to ascertain how common and the extent of recognition of ED among men attending a Family Medicine clinic in south-west Nigeria.

Methodology: A cross-sectional study of 414 men recruited by simple random sampling. Data was obtained using a questionnaire which incorporated the 6-item erectile function domain of the International Index of Erectile Function (IIEF) scale. The height, weight, body mass index, blood pressure and blood glucose were measured. Factors associated with ED were identified with the use of Pearson Chi square test and significant factors were subjected to multivariate logistic regression to determine the independent predictors of ED.

Results: The result showed that 168 (40.6%) had erectile dysfunction. The associated factors include age, hypertension, diabetes, the use of anti-hypertensives, smoking, alcohol consumption and low level of physical activity. A significant proportion (42.3%) of the men with ED had never raised the issue with their primary care physician. Multivariate logistic regression analysis showed that increasing age, diabetes and alcohol use were independent predictors of ED.

Conclusion: ED is relatively common among adult men in the study setting and a significant proportion of them were reluctant to raise the issue with their health care provider. Routine sexual evaluation of men with identified risk factors should be considered.

Open Access Original Research Article

Urinary Tract Infection among Pregnant Women Attending Antenatal Care Service Visit on Selected Hospital of Kathmandu, Nepal

Shikha Thakur, Ramanand Pandit, Komal Lata Nagpal, Ashok Pandey

Asian Journal of Research and Reports in Urology, Page 1-6

Background: Urinary Tract Infection during pregnancy may cause serious complications including pyelonephritis and delivery of premature or low-birth-weight infants.

Aim: The main objective of the study was to identify the Urinary tract infection among pregnant women attending the antenatal care service visit in a selected hospital in Kathmandu, Nepal.

Study Design: Cross-sectional descriptive study.

Place and Time of Study: The study was carried out under the supervision of University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019.

Methods: The cross-sectional study was performed at the Norvic Hospital and Baidya and Banskota hospital from March 2019 to October 2019. The most frequent isolates were determined in 510 first urine samples from clinically suspected pregnant women by urine dipstick analysis, microscopic and by culture method. The identification of isolates was performed by the standard microbiological testing and the standard methods of descriptive statistics as well.

Results: Out of 510 clinically suspected urinary tract infection cases, 320 (62.6%) were culture negative. According to the microscopic examination of urine samples among gram-negative pathogens, the majority 177 (35%) Escherichia coli was the most common pathogens followed by Enterobacter cloacae 114 (22.4%) whereas among gram-positive pathogens; majority 93 (18 Staphylococcus negative coagulase was the most common pathogens.

Conclusions: The high prevalence of urinary tract infection in pregnant women warrant the need to screen all pregnant women and treat those infected with appropriate antimicrobial regimens to reduce its complications. Urinary Tract Infection screening is essential in pregnant women.

Open Access Review Article

Role of Fenugreek Seeds on both Ovarian and Vaginal Cytology on Rat's Reproductive System: Histological Review

Naser A. ElSawy

Asian Journal of Research and Reports in Urology, Page 1-11

Background: Reports in the published literature indicate that fenugreek seeds possess significant medicinal effects. The present review showed that fenugreek (Trigonella Foenum-graecum L) seeds contain rich number of steroids and have an estrogen and progestogen like effect.

Objective: Objective of this review was to evaluate the effects of fenugreek seeds on rat’s reproductive system.

Conclusion: This review revealed that that fenugreek seeds contain estrogen like action.