Objective: To assess the outcome of one stage urethroplasty using buccal mucosa for long segment (>2cm) urethral stricture. Material & Method: This retrospective study was done in a private Hospital at Jessore from May, 2010 to October, 2012. Twenty nine patients were managed with one stage dorsal on lay buccal mucosal graft (BMG). Patients were followed up 3 monthly with history, physical examination and relevant investigations. The mean duration of follow up was 23 months. Result: The age of the patients ranged from18 years to 65 years with mean of 35years. The length of the stricture ranged from 2.5cm to 10 cm with mean length 5.5 cm. The mean duration operative period was 3.5 hours with range from 2 hours to 4.5 hours. Of the 29 patients, 15 patients (51.7%) had bulbar urethral stricture, 10 patients (34.5%) had penile urethral stricture and 4 patients (13.8) had pan urethralstricture. Success was defined as normal voiding without further procedure. The rate of recurrence noted in this study was 10.34%. Conclusion: One stage dorsal on lay BMG urethroplsaty is a reliable and satisfactory procedure for the management of long segment urethral stricture with minimum complication. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.68-73

Background: Due to advancement of endourology, percutaneous nephrolithotomy (PCNL) is a common procedure for removal of renal stones. Intravascular absorption of normal saline during the PCNL may result in fluid overload, electrolyte imbalance and cardiovascular instability. Objective: To evaluate the changes in cardiovascular status and serum electrolyte levels in patients undergoing percutaneous nephrolithotomy. Method: Sixty adults underwent percutaneous nephrolithotomy were studied. Among them male female ratio was 13:7 and age ranging from 20-50 years. Heart rate, blood pressure and serum electrolytes were monitored before irrigation, during irrigation and post operatively. Stone size, duration of irrigation, volumes of irrigation fluid used and amount of absorption of irrigation fluid were recorded. Result: The mean heart rate, systolic and diastolic blood pressure levels were significantly higher (p<0.05) during PCNL compared to base line values. Serum sodium, potassium levels were decreased during the operation compared to the baseline levels (p < 0.005) but mean chloride concentration increased gradually compared to baseline but it was significantly higher at 120th min of irrigation and postoperatively (p<0.05). There was no significant change of serum bicarbonate concentration compared to base line value (p>0.05). The volume of irrigation fluid varied from 10000 ml to 24000 ml with mean volume 17045(±3383) ml. Total duration of irrigation varied from 30 min to 120 min. Total absorbed irrigant varied from 200-1000 ml with mean volume absorbed 526.27(±215) ml. Conclusion: In conclusion, these changes in cardiovascular status and serum electrolyte levels during percutaneous nephrolithotomy (PCNL) may be due to the invasive nature of the intervention to the kidney and the continuous irrigation of this vital organ. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.3-7

Objective: To compare the outcomes of tubularized incised plate urethroplasty and modified tubularized incised plate urethroplasty in the primary management of distal hypospadias Materials and Methods: Total 70 patients of age group 2 to 10 years with distal hypospadias were selected for this study from January 2008 to December 2010. They were divided into Group-A (n=35) treated by the tubularized incised plate urethroplasty and Group-B (n=35) treated by the modified tubularized incised plate urethroplasty.The modification was performed by using inner preputial skin on the incised plate before tubularization. All patients were followed up immediately and at 4th, 8th and 12th weeks after operation. Results: The satisfactory cosmetic and functional outcomes were observed in 29 patients (82.85%) of Group-A and all families of Group-B were happy with aesthetic and functional outcomes. Urethrocutaneous fistula developed in 5 patients (14.70%) patients of Group- A and 1 (2.94%) patient in Group-B. Three patients (8.82%) in group-A and one patient (2.94%) in group-B were found to develop meatal stenosis. One patient (2.94%) developed stricture urethra in group A but no patient in group-B developed urethral stricture. Overall complications occurred in 10 patients (29.41%) in Group-A and 2 patients (5.88%) in Group-B. Conclusions: This study demonstrates that modified tubularized incised plate urethroplasty had excellent cosmetic and functional outcomes and fewer complications than that of tubularized incised plate urethroplasty in the primary management of distal hypospadias. Bangladesh Journal of Urology, Vol. 17, No. 2, July 2014 p.75-81