TRANSURETHRAL RESECTION OF THE PROSTATE: AN INITIAL EXPERIENCE IN A UNIVERSITY TEACHING HOSPITAL IN NORTHERN NIGERIA Ahmed M, Lawal AT, Bello A, Maitama HY Division of Urology, Department of Surgery, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria. Email: firstname.lastname@example.org ABSTRACT Background: Transurethral resection of the prostate (TURP) is the gold standard treatment for benign prostatic hyperplasia (BPH). Compared to open prostatectomy, TURP is associated with less morbidity. Despite this, limited availability and affordability are major drawbacks to its utility of TURP in our setting. Objective: The objective of this paper is to share our initial experience with the use of TURP.
With a frame based technique, application to the coordinate system to the skull allows the brain to be described with Cartesian coordinates. The stereotaxic procedure aims at relieving the symptoms of Parkinson’s disease. The surgery involves implanting the electrodes in the subthalamic nucleus attached to a device that allows the patient to electrically stimulate the brain through the electrodes. According to the study done by Simuni and Speelman et al (2002), deep brain stimulation is as effective as brain lesions in subduing tremors and has fewer adverse side effects. This suggests that either the stimulation or lesions release tremors have an inhibitory effect on subthalamic neurons, but this hypothesis is yet to be confirmed.
(13-15) Another back fall of this approach is the inability to achieve primary closure due to lack of enough soft tissue specially with thin biotypes, (16) which may result in flap dehiscence specially when guided bone regeneration techniques are employed in conjunction with the implant placement. (17-19) There is also a high probability of incorrect implant positioning in an occluso-apical orientation due to lack of ideal visibility of the vertical endpoint of the implant in the extraction socket resulting in either too shallow or too deep placement. (20) Finally, there is an inability to properly manipulate the surrounding soft tissue to ensure the adequate volume of keratinized mucosa around the implant.
After considering the clinical and radiographic findings, an attempt to retrieve the foreign object using H files and thereafter completing the root canal treatment nonsurgically was planned. But the needle was snugly fitted inside the canal and its removal became difficult even after repeated attempts. Therefore, surgical intervention was planned after hematological investigations and written consent form from the parents . After the administration of the bilateral infraorbital block along with nasopalatine nerve block, a crevicular incision was given from mesial of 12 to distal of 23 followed by two releasing incisions. A mucoperiosteal full thickness flap was raised and
When the residual alveolar bone is ≤3-5mm lateral antrostomy technique is indicated which allows placement of implants of proper length (i.e≥10mm) in the posterior maxilla. Thus, significantly improving the predictability of implant therapy. Long term results shows that when implants of sufficient length are placed, success can be maintained over the long term, even in areas of poor bone density and /or augmented
The division made into two sub group’s w.r to amblyopic type and fixation pattern. Observed result found that grating stimulation was slightly better than occlusion. Fixation but both therapeutic therapies are resultative in eccentric fixation. However maximum outcome were not reached by grating stimulation alone as shown at follow up after continue conventional therapy. Grating stimulation method at initial time is valuable particularly in an isometropic amblyopic.
Its treatment has long been discussed and several different therapeutic options have been proposed. In the last decades, the understanding of its pathophysiology has led to a progressive reduction of invasive and potentially invalidating treatments in favor of conservative treatment based on anal sphincter muscle relaxation. Nonresponding patients should undergo lateral internal sphincterotomy. The risk of incontinence after this procedure seems to have been overemphasized in the past. Only a carefully selected group of patients, without anal hypertonia, could benefit from
The nerves may be removed as well if the cancer is growing in or close to them. There is another operation that only a few people use called the Radical perineal prostatectomy. This is similar to the Radical Prostatectomy except that the incision in the skin is made between the anus and scrotum. One other form of surgery is Cryosurgery. Cryosurgery is used to help cure early stage cancer, by freezing it.
All these strategies have their own advantages and limitations. Surgery is known to be the most ancient technique for treating cancer. Surgeons like Paget and Bilroth from 1846 reported the tendency of reoccurrence even after surgical removal along with lymph nodes. Emergence of new techniques for effective imaging like sonography, computed tomography (CT scans), magnetic resonance imaging (MRI scans) and positron emission tomography (PET scans) have made the thing easier (9). Now-a-days less invasive surgical techniques are in use for the treatment of cancer due to the advances in field of science like laser have been tried for removal of tumor tissues in case of cervix, larynx, rectum, skin and various other organs (10).