Post Traumatic Glioma: An association questioned

Post traumatic glioma has been a matter of debate. Few reports favor its occurrence in previous head injury scar, subsequently developing into glioma. Here we report a case of young patient presented with headache, seizures and gradual loss of vision. On investigation found to have brain tumor. Patient had head injury occurred 3 yrs back. It fulfills all the criteria required to establish traumatic origin, further supporting the association

A study on the correlation between clinical outcome and residual prostatic weight ratio after transurethral resection of the prostate for benign prostatic hyperplasia

Objective: A prospective trial to determine the effect of the extent of tissue resection on symptom improvement after transurethral resection of the prostate in men with symptomatic benign prostatic enlargement and to evaluate any potential correlation between prostate size and outcome, a new variable the residual prostatic weight ratio (RPWR) Patients and Methods: From October 2002 to November 2003, a total of 50 patients (mean age 62.6 yrs., range 50-91) with symptomatic benign prostatic enlargement who underwent TURP participated in this prospective study. Patients were assessed preoperatively with the American Urological Association symptom Score, Urinary flow rate measurements (Qmax and Qavg) as well as prostate volumes by transabdominal ultrasound. The amount of tissue resected was weighted. RPWR was derived by dividing the weight afterTURP by the initial weight. Clinical outcome was evaluated by the difference in AUA score, Qmax and Qavg before and 2 months after Surgery. Results: There was a significant improvement in AUA score, Qmax and Qavg postoperatively. Maximum numbers of patients undergoing TURP had RPWR in the range of 51-60% (mean RPWR 49.9%). Mean overall change in AUA Score (DAUA), D Qmax and D Qavg was 12.04, 8.27 ml/sec and 6.64 ml/sec respectively. Smaller the RPWR larger is the DAUA, DQmax, DQavg and vice versa. There was negative correlation between the RPWR and the DAUA, DQmax and DQavg (r = -0.42, -0.067, and -0.09 respectively). Conclusion: Symptomatic improvement after TU RP will depend on the amount of tissue removed and the smaller the RPWR after TU RP the better the clinical outcome

Single stage substitution urethroplasty using buccal mucosa graft in management of stricture urethra

Buccal mucosa graft and the Berbaglis technique are recent development in treatment of urethral stricture. We report results of 14 patients who were managed by single stage substitution urethroplasty using buccal mucosa graft. Patients and Methods: From July 2002 to June 2004, 14 patients of mean age 27.02yrs (range 20 to 54) underwent dorsal onlay graft urethroplasty (Simple onlay in 12 patients and augmented type in 2 patients). All patients were evaluated preoperatively and postoperatively with uroflowmetry, retrograde and voiding urethrogram. Results: Overall success rate was 85.71% and only 2 patients had restricture. Out of 14 patients 3 patients had leak at repair site which was managed conservatively. Conclusion: Dorsal onlay graft urethroplasty is a versatile technique. The intrinsic properties of buccal mucosa also make it a better substitute for urethroplasty

BACTERIAL PATHOGENS AND THEIR ANTIMICROBIAL SUSCEPTIBILITY PATTERN ISOLATED FROM URINARY TRACT INFECTION IN A TERTIARY CARE CENTRE

ABSTRACT Urinary Tract Infection (UTI) remains the most common bacterial infection in human population. The squealae of complicated UTIs are substantial. It is well established that in the presence of obstruction, calculus, Diabetes mellitus, and other risk factors, UTIs can lead to progressive renal damage. The aim of this study was to determine bacterial agents responsible for urinary tract infection and to evaluate their susceptibility pattern. Urine sample was cultured on Cystine Lactose Electrolyte Deficient (CLED) media by calibrated loop technique. Antimicrobial susceptibility testing was performed by Kirby bauer disc diffusion method. Out of 320 samples, 155 samples revealed growth of one type of bacteria, and 15 showed growth of 2 types of bacteria. E. Coli was most common bacteria (115/185=62.16%) followed by other enterobacteriaceae, Pseudomonas and a few gram positive cocci. Many bacteria were found to be multidrug resistant while most of gram negative bacteria were susceptible to Imipenem, and most of gram positive bacteria were susceptible to linezolid

Giant Desmoid Tumor of the Anterior Abdominal Wall in a Young Female: A Case Report

Desmoid tumors (also called desmoids fibromatosis) are rare slow growing benign and musculoaponeurotic tumors. Although these tumors have a propensity to invade surrounding tissues, they are not malignant. These tumors are associated with women of fertile age, especially during and after pregnancy. We report a young female patient with a giant desmoid tumor of the anterior abdominal wall who underwent primary resection. The patient had no history of an earlier abdominal surgery. Preoperative evaluation included abdominal ultrasound, computed tomography, and magnetic resonance imaging. The histology revealed a desmoid tumor. Primary surgical resection with immediate reconstruction of abdominal defect is the best management of this rarity. To the best of our knowledge and PubMed search, this is the first case ever reported in the medical literature of such a giant desmoid tumor arising from anterior abdominal wall weighing 6.5 kg treated surgically with successful outcome