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العنوان
Statistical study of cenito-ourin aryoperative service in urology department, banha university hospital/
الناشر
,Amthel Hussein Elsheik
المؤلف
.Elshiek,Amthel Hussein
هيئة الاعداد
باحث / Amthel Hussin El Shiekh
مشرف / Adel Ahmed Abu Taleeb
مناقش / Hosny Ahmed Abdel Rahman
مناقش / Adel Ahmed Abu Taleeb
الموضوع
.Urology
تاريخ النشر
. 1986
عدد الصفحات
;.165P
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب العيون
تاريخ الإجازة
1/1/1986
مكان الإجازة
جامعة بنها - كلية طب بشري - مسالك
الفهرس
Only 14 pages are availabe for public view

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Abstract

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This study was conducted in urology department and
statistic unit in Benha University Hospital in the
period from 15/3/1981 to 15/9/1985. from the data
collected it was found that, the total number of
inpatients till 15/9/1985 was 1229 cases. Out of
them 189 cases had renal disorders, 249 cases had
ureteric disorders, 424 cases had bladder disorders,
176 cases had p,rostatic disorders and 191 cases had
external genitalia disorders. from the 1229 inpatients
682 cases were operated upon representing 55.5% of
total number of inpatients, 10.8% of cases were given
medical treatment, 11.2% were unfit for operation,
14.3% were discharged to complete their investigations
out and lost and 8.2% refused operation.
AS REGARDS THE KIDNEY
The number of inpatient s was 189 cases, out of them
84 cases (44.4%) of Cases (14.3%) were given medical
treatment, 23 cases (12.2%) were unfit for operation,
40 cases (21.2%) were discharged to complete investigations
out and lost and 15 cases (7.9%) refused operation.
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Operations done on kidney were mainly (9l.6%) for
stone{s) either alone (79.7%) or with peyloplasty{11.9%)
All these operations were open operations (There were
no percutaneous route or extrocrporal shock lithotripsy).
We also found that:
Kidney ope~ations were mostly done on patients aged
from 30 to less than 50 years, male to female ratio was
3.7 : 1. There was no endoscopic operations on kidney.
Most cases of kidney operations (53.6%) were stayed
preoperatively for a period from 5 to less than 15 days
and 40.4% of cases had stayed postoperatively for a
period from 10 to less than 15 days.
AS REGARDS THE URETER
The total nwnber of inpatients was 249 cases out of
them 100 cases (40.2%) were operated upon, 45 cases
(18.l%) were medically treated, 29 cases (7.6%) were
unfit for operation, 53 cases (21.3%) were discharged
to complete their investigations out and lost and 22
cases (8.8%) refused operations.
Operations done on the ureter were mainly (87%) for
stone{s), either alone (7Q%) or associated with stricture
- 1.38-
(17%). Stricture ureter presented 30% of cases, 17%
were associated with stone{s) and 13% were stricture
per see We alsp found that:
Ureter operations were mostly done on patients aged
(
from 20 to less than 50 years and male to female ratio
was 8.1 : 1.
Endoscopic operations were done for 20% of cases
(Dormia extraction of stone).
Most cases (48%) had stayed preoperatively for a
period less than 10 days and 63% of cases had stayed
postoperatively for a period from 5 to less than 15
days.
AS REGARDS THE BLADDER:
The total number of inpatients was 424 cases out of
them 290 cases (68.4%) were operated upon, 40 cases
(9.4%) received medical treatment, 27 cases (6.4%) were
unfit for operation, 42 cases (9.9%) were discharged to
complete their investigations out and lost and 25 cases
(5.9%) refused operation.
Diagnostic cystoscopy represanted 42.1% of cases
while operations for bilharzial complications (ulcer,
cancer and bladder neck obstruction) represented 46.5%.
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had stayed preoperatively in the hospital for a period
less than 5 days and 53.8% of cases had stayed postoperatively
for a period less than 5 days.
AS REGARDS THE PROSTATE;
The total number of inpatients was 179 cases out of
them 71 cases (40.3%) were operated upon 9 cases (5.1%)
were given medical treatment, 36 cases (20.5%) were
unfit for operations (the higher percentage than in
other organs), 40 cases (22.7%) were discharged to
complete investigations and lost (the higher percentage
than in other organs) and 20 cases (11.4%) refused
operation (also the higher percentage than in other
organs).
Senile enlarged prostate presented 95.8% of prostatic
disorders upon which operations were done.
We also found that:
Most cases were aged more than 50 years.
Endoscopic operations represented 25.4% of cases.
About 70.3% of cases had stayed for 20 days or more
preoperatively and 35.2% of cases had stayed postoperatively
for B. period from 10 to less than 15 days
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and 22.5% of cases had stayed for 20 days or more
(Higher percentage than in other organs).
AS REGARDS THE EXTERNAL GENITALIA
The total number of inpatient s was 191 cases out of
them 137 cases (71.7%) were operated upon (Higher
percentage than in other organs), 12 cases (6.3%) were
medically treated, 21 cases (11%) were unfit for
operations, 3 cases (1.6%) were discharged to complete
their_investigations (Lesser percentage than in other
organs). and 18 cases (9.4%) refused operation.
Excision of tunica vaginalis, correction of
hypospadias and stricture urethra and operations for
inferility were the common operations in this period.
Endoscopy was applied for 10, cases. Male to female
ratio was 67.5 : 1. External genitalia operations were
done with nearly the same incidence in age groups from
birth to below 40 years.
Most cases (51,l~ were stayed preoperatively for
less than 5 days and 45.2% had stayed postoperatively
less than 10 days.
It is clear also from the study that there was a
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markedincrease in the total numberof operations as
well as increase in the numberof operations of
individual organs.
In studying a the outpatients numberin the department
and the hospital it was found that a gradual
increase in the numberin both the hospital and the
department was evident.
This also was true for the inpatients number.
Fromthe study also it is clear that the bed turnover
increased in the department reaching the double
of that of the hospital by 1985 inspite of it was the
half by 1981.