Prevalence and antibiotic resistance profile of Staphylococcus aureus and Eschericia coli among patients attending urology clinic of Dalhatu Araf specialist hospital (DASH) Lafia, Nasarawa State, Nigeria

No abstract.

Telemedicine and patient satisfaction during the COVID-19 pandemic: A case–control study of outpatient pediatric urology patients

Telemedicine has increased during the coronavirus disease 2019 pandemic. Our objective was to determine if patient satisfaction with telemedicine differed from in-person visits in an academic pediatric urology clinic. Following outpatient telemedicine and in-person pediatric urology visits, the validated NRC Health© Patient Survey was used to assess patient experience. Patient satisfaction was assessed on a 10-point scale with scores of 9–10 considered “satisfied” and 1–8 considered “not satisfied.” Satisfaction scores between telemedicine and in-person groups were compared using McNemar’s test, Wilcoxon signed rank test, and conditional logistic regression. Fifty-one patients had urology telemedicine visits during April–August 2020 and completed the NRC Health© Patient Survey. Propensity score matching was used to identify 102 in-person controls between January 2019 and March 2020. Ninety-two percent of telemedicine patients were satisfied compared to 87% of in-person patients (OR 1.7 95% CI [0.53–5.6]). Regression analysis adjusting for matching variables demonstrated that patient satisfaction was higher for telemedicine compared to in-person visits but was not statistically significant (OR 1.5 95% CI [0.43–5.6]). Patient satisfaction with telemedicine was similar to in-person visits in the pediatric urology clinic. Reduced waiting time and convenience associated with telemedicine visits provide an opportunity for telemedicine as a useful modality for pediatric urology.

Complications of Standard Percutaneous Nephrolithotomy versus Tubeless Percutaneous Nephrolithotomy

Objective: To compare grade I complication as per Clavien-Dindo classification in patients undergoing standard (with tube) verses tubeless percutaneous nephrolithotomy. Study design: Hospital based randomized control study. Place and Duration of Study: Urology Clinic, Sindh Institute of Urology & Transplantation Karachi from 3rd June 2016 to 2nd December 2016. Methodology: Seventy four patients (37patients) in each group were enrolled. In group 1 patients, a 20 F nephrostomy tube were placed in the kidney over the guide wire, which was removed later. Group II patients had antegrade placement of a Double-J stent without nephrostomy and the wound compressed for 5min. The demographic like age, gender and complications grade I complications according to Clavian-Dindo classification were noted. Results: The mean age was 49.42±7.06 years. There were 46 (62.16%) males and 28 (37.84%) females. There was no significant difference in stone clearance rate between the groups; 91.9% in standard percutaneous nephrolithotomyg roup and 94.6% in tubeless percutaneous nephrolithotomy group. Need for analgesics for pain control was high in standard percutaneous nephrolithotomy group 86.5% versus 64.9% in tubeless percutaneous nephrolithotomy group (p=0.03). Frequency of urine leakage was 18.9% in standard percutaneous nephrolithotomy group and only 2.7% in tubeless percutaneous nephrolithotomy group (p=0.02). Conclusion: Tubeless percutaneous nephrolithotomy procedure has fewer complications as per Clavien-Dindo classification regarding need for analgesics and urine leakage. In suitable cases, the tubeless procedure can be safely used as the standard for percutaneous nephrolithotomy. Keywords: Percutaneous nephrolithotomy (PCNL), Clavien-Dindo classification, Complication

Subinguinal versus peritesticular diameters of varicocele veins in the supine and standing posture

Objective: Scrotal CDUS is a standard investigation for varicocele patients, but it is not clear that which region should be considered as a standard. The aim of study was to determine that which region should be taken as a standard of measurement for varicocele veins. Methods: The study was conducted at the andro-urology clinic of a teaching hospital. Scrotal Color Doppler Ultrasound (CDUS) parameters were determined at subinguinal and peritesticular region in 35 varicocele patients. The data was collected as mean ± SD and compared using paired t test. Results: In supine position, the mean diameters of varicocele vein at peritesticular region (3.31mm ± 0.70) was compared with the mean diameters of varicocele vein at subinguinal region (2.94mm ± 0.52) and were found to be significantly greater (p < 0.01). The mean diameters of varicocele vein at peritesticular region, when measured in standing posture (3.65mm ± 0.77) was significantly greater (p < 0.01) than the mean diameters at subinguinal region (3.29mm ± 0.62). All varicocele patients had associated semen abnormalities but the diameter of varicocele veins had no significant correlation with semen abnormalities. Conclusion: The varicocele vein diameter at peritesticular region was found to be significantly greater than the sub-inguinal varicocele vein diameter in both lying and standing position. The diameters at peritesticular region may be routinely measured to reach at a better clinical decision. Continuous...