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   1986| January-June  | Volume 2 | Issue 2  
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Indwelling double 'J' ureteral stent for temporary urinary drainage as adjunct to upper urinary tract surgery.
NP Gupta, R Ahlawat
January-June 1986, 2(2):73-75
Indwelling double 'J' ureteral stent has become a useful adjunct to the urologic armamentarium. We used these stent in 25 cases: as adjunct to upper tract reconstructive surgery in 17, calculous surgery when complicated or associated with anuria in 4, and in treatment of persistent urinary fistula in postoperative phase in 4 cases. When used as adjunct to open procedure stents frequently resulted in markedly reduced postoperative urinary drainage and thus in shorter hospital stay. Two of 4 urinary fistulae healed after the use of the stent. Mild to moderate irritative symptoms were noted in 3 cases. Failure to insert, passage into a wrong plane, obstruction, downward migration, and urinary tract infection were the problems and complications observed with the use of these stents.
[ABSTRACT]   Full text not available   
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Massive haematuria from acute haemorrhagic cystitis.
SK Pal, G Menon, NP Kumar
January-June 1986, 2(2):90-90
Massive haematuria from acute haemorrhagic cystitis does not find mention in the English urologic literature of the past decade. We documented such a case where large volume blood transfusions and evacuation of bladder clot and debris achieved control. The probable reasons for such a rare presentation of acute cystitis are briefly discussed.
[ABSTRACT]   Full text not available   
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Application of mastery concept in urological training of M.S. General Surgery postgraduate students.
SP Tandon, S Vaidyanathan, MS Rao, V Natarajan
January-June 1986, 2(2):76-78
The present system of teaching urology to M.S. General Surgery postgraduates is associated with certain drawback: (1) What these students are expected to learn in urology is not clearly defined, (2) Their actual competence in performing even a common urological emergency operation is not tested systematically, (3) Formative test which reinforce the learning of high achievers and which serve as a basis for the corrective prescriptions given to individual students are not used to improve learning. Application of the concept of mastery learning will make learning more efficient than conventional approaches, will enable students learn more material in less time and will produce markedly greater student interest in the subject learned than the conventional methods.
[ABSTRACT]   Full text not available   
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Evaluation of the present M. Ch. (urology) academic and training programme at PGIMER, Chandigarh by its former residents as indicators towards desirable change.
AK Goel, MS Rao, SP Tandon, A Kumar, K Krishan, S Vaidyanathan
January-June 1986, 2(2):79-84
The learning value of various teaching sessions and the influence of working environment on learning were rated in an ordinal scale of 1-5 by twenty-one M. Ch. Urology residents. The responses revealed that the learning process was stimulated when residents were given direct responsibility in patient care with guidance of teachers available as and when needed (4.619 plus minus 0.188). On the other hand, learning while working under constant supervision was rated low (2.404 plus minus 0.27; p less than 0.005). Case discussion, attending to and discussing consutlations received from other clinical services immediately afterwards with a senior, and urological training by performing surgery while being assisted by a senior colleague were allotted high score of greater than 4. Learning during statistical meeting, and working in an environment of constant criticism were allotted significantly low score of less than 2. The value of journal club in imparting knowledge was significantly low as compared to case discussion (p less than 0.005) and so was the case of seminars (p less than 0.005). The assessment of a training programme by trainees gives valuable feedback towards modifying and improving the existing system at its weak points. The teaching sessions which were not graded high enough as regards their utility towards attainment of knowledge require drastic reorientation. The work environment also should be made more conducive to learning. Application of mastery concept in urologic training and the use of the journal club/seminar as a tool to achieve competence over a pre-determined topic are likely to increase the learning value of these sessions.
[ABSTRACT]   Full text not available   
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Seasonal variation in the occurrence of testicular torsion at Chandigarh, India.
GC Malakindiah, RK Jindal, S Vaidyanathan
January-June 1986, 2(2):69-72
Retrospective analysis of patients operated upon for testicular torsion during 1979-84 by Hewitt rank sum criterion of seasonality showed an incraesed occurrence of testicular torsion during October to March (rank sum: 50.5; p less than 0.05). Cases of testicular tumors admitted during the same period served as the control group for analysis by Chi square test which revealed a significantly higher incidence of testicular torsion during the six month period of October to March (X2=9.914; df=1, p less than 0.05), thus providing evidence to the hypothesis that one cause of testicular torsion is contraction of cremaster muscle when subjected to a stimulus such as sudden cold. Study of the influence of environmental factors upon urological diseases is likely to provide valuable information regarding possible etiology, biological properties of disease and prognosis.
[ABSTRACT]   Full text not available    [CITATIONS]
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Integrated surgical approach for repair of vesicovaginal fistula.
S Kumar, M BHandari, TR Murali
January-June 1986, 2(2):63-68
On one urological service, vaginal, abdominal and abdominovaginal approaches as well as electrocauterization were used selectively, based on certain criteria obtained by a combined vaginal and cystourethroscopic assessment, for surgical management of 41 patients with vesicovaginal fistulae in a series of total 60 cases. Of the remaining 19 patients, 17 were deemed unfit for surgical closure of fistula because of malignancy being the cause of fistula (10 cases) or poor general condition (7 cases), one patient declined operative treatment and another underwent ileal conduit diversion due to extremely small capacity, fibrosed bladder. Employment of intergrated surgical approach helped to attract cases with all types of vesicovaginal fistulae to our department and enabled their management in the best possible manner. Selection of various modalities of surgical treatment is discussed in relation to various aspects of the vesicovaginalfistuale.
[ABSTRACT]   Full text not available    [CITATIONS]
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Perinephric abscess due to chronic penetrating duodenal ulcer : a case report.
K Sasidharan, R Chally
January-June 1986, 2(2):87-89
A case of perinephric abscess due to penetrating chronic duodenal ulcer in a young woman is reported.
[ABSTRACT]   Full text not available   
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Explosion injury of bladder during transurethral resection of prostate.
A Kumar, SK Sharma, P Madhusudan
January-June 1986, 2(2):91-92
A case of explosion injury of bladder during transurethral resection of prostate is described with a brief review of literature.
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Single stage correction of acquired urethral diverticula in male paraplegics.
R Ahlawat, RP Sahi, KM Singh
January-June 1986, 2(2):55-57
Observations made on 18 cases of acquired urethral diverticula in male paraplegics are summarised. All the diverticula were situated in anterior urethra, nearly 60 percent of them near penoscrotal junction. Clinical diagnosis is easy once condition is suspected and can be confirmed by urethrography. Urethrography with panendoscopy prior to surgery helps in preoperative planning of the surgical procedure, selection of which depends on the size of the defect in urethra. Two stage procedures like exteriorisation of the urethra, packing of the diverticula and suprapubic urinary diversion may largely be avoided by careful preoperative preparation of these patients. Postoperative problems and results have been discussed.
[ABSTRACT]   Full text not available   
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Triorchidism with maldescent : a case report.
S Krishnamoorthi, SS Lal
January-June 1986, 2(2):95-96
The 57th histologically proven case of triorchidism is reported.
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Large prostatic haematoma : an atypical presentation of carcinoma of prostate.
K Sasidharan, KP Aravindan, R Chally
January-June 1986, 2(2):93-94
A case of prostatic cancer presenting with large prostatic hematoma is described and relevant literature reviewed.
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Circadian rhythmic disorganisation in vital signs and urinary bladder function in hospitalised patients awaiting genito-urinary surgery.
RK Jindal, K Krishan, K Rao, S Vaidyanathan, MS Rao
January-June 1986, 2(2):52-54
Circadian rhythmic variations in pulse rate, blood pressure, rectal temperature, urine output and maximum cystometric capacity occuring in 8 patients admitted in hospital are described and their importance discussed.
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Transurethral prostatectomy : a report of the first 200 cases in the Kashmir Valley.
JS Virdi, MM Ansari
January-June 1986, 2(2):58-62
This is a prospective study of first two hundred consecutive cases of TUR-P, computerised and reviewed. So far, not even a single 'open' prostatectomy has been carried out at this centre. Indications for prostatectomy were acute urinary retention (100 patients), chronic urinary retention (9 patients) and disabling prostatic symptoms (91 patients). There were five deaths in the postoperative period and postoperative complications were observed in thirty-six patients. Eighteen operations were performed for carcinoma of the prostate. Repeat TUR-P was done in two malignant cases. Results were audited accurately and compared with the large series published in the last two decades.
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Approaching ebbtide in enthusiasm for early radical or ablative surgery of genito-urinary neoplasms.
MS Rao, KL Achrekar
January-June 1986, 2(2):47-51
A trend towards using adjunctive therapy judiciously as well as watchful follow-up using diagnostic aids like tumour markers, computerized tomography etc., in early genito-urinary neoplasms appears evident in recent years. This attempts to limit surgery to just as much as may be required to avoid irreversible body mutilation or loss of a valuable body faculty. A review of literature is hereby presented to project this trend as applied to the well known genito-urinary tumours. Considerable work is needed in the future to establish this philosophy of treatment for application in most early or controllable neoplastic cases.
[ABSTRACT]   Full text not available   
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Transvesical cystoureteric bypass for ureteric obstruction in advanced cervical cancer.
M Bhandari, S Kumar, MM Raju
January-June 1986, 2(2):85-86
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