Background: Nephron-sparing surgery is an accepted treatment modality for renal cell carcinoma (RCC) in certain situations. Objectives: The aim of this study was to compare perioperative outcomes after laparoscopic and open partial nephrectomy for patients with a solitary renal tumors of 7cm or less in different institutes in Dhaka. Methodology: Between June 2013 and October 2020, 23 patients had undergone LPN and 24 patients had undergone OPN for the treatment of solitary renal tumors of 7cm or less in different institutes in Dhaka. Large renal mass (>7cm), multiple tumor and patients with complex renal anatomy were excluded from this study. Patients having previous abdominal surgery were excluded from LPN and all LPN were performed transperitoneally. Results: Although the mean operative time was longer in the LPN than in the OPN group (134.4±35.36 (45-180) minutes versus 110.56±35.36 (60-165) minutes; P<0.001), the blood loss was comparable between the two groups (130 mL versus 180 mL; P value is not statistically significant). No blood transfusions were performed in either group. The hospital stay was significantly reduced after LPN compared with after OPN (2.8 days (2-6) versus 6.7 days (5-8); P <0.0002). 2 patients in LPN and 1 patient in OPN had positive surgical margins. Conclusion: This study has revealed that LPN is a feasible and safe alternative to the OPN with better surgical outcomes and similar oncological outcomes. Journal of Current and Advance Medical Research, January 2021;8(1):70-74

Objective: To compare the efficacy of Holmium laser and pneumatic lithotripsy for the treatment of lower ureteric calculi. Methods: The study included total of 218 patients divided into two groups of laser lithotripsy (LL) and pneumatic lithotripsy (PL). Study was conducted between October 2014 and September 2018. Inclusion criteria were patients with a lower ureteric single stone of size 0.8 to 1 cm and negative urine culture. An x-ray KUB and USG of KUB was mandatory. IVU also done when required. Procedures were done under spinal anesthesia. A 9.5 Fr. semi rigid ureteroscope was used for ureteroscopy in all cases. Holmium laser with 550 ìm fiber was employed in laser group and frequency was set between 20-30 Hz at energy of 0.5 to 1 Joule. Storz lithotripter was used in PL group. Postoperatively patients underwent radiography at 4th week of follow up to assess stone clearance. Results: The mean patient age in LL and PL group was 38.8±9.1(15-58) and 41.2±10.3(16-62) years, male to female ratio 1.75:1and 1.57:1 and stone size 8.94±0.98 and 8.94±0.91 mm respectively. Stone free rate at 4 weeks was 96.36 % in LL group as compared to 88.83 % in PL group(p=0.033). Stone migration up in pelvicalyceal system occurred in one (0.90%) patients of LL group while in five (4.63%) patients of PL group (p= 0.0929). DJ Stent was placed in 43(39.09%) patients in LL group whereas 64(59.25%) patients required it in PL group (p=0.0030). Complication rate was 18.18% (20) in LL group whereas it was 38.88% (42) in PL group (p=0.0038) Conclusion: Holmium laser lithotripsy is a superior technology compared to pneumatic lithotripsy in terms of rate of stone clearance and complications for lower ureteric stones. Bangladesh J. Urol. 2021; 24(1): 14-19

Objectives: To determine the feasibility of routinely performing internal optical urethrotomy for anterior urethral stricture under intracorpus spongiosum anesthesia in an outpatient setting. Methods. In this prospective study a consecutive series of 34 patients with anterior urethral stricture, a dosage of 3 mL of 1% lidocaine was slowly injected into the glans penis. Next, optical urethrotomy was performed immediately with a cold-cutting knife. The effect of this anesthetic technique was evaluated by questionnaire. Results. Internal urethrotomy was successfully completed in all the patients. Thirty-two patients (94.12%) had no pain or discomfort. Two patient reported minimal but tolerable discomfort while the tissue above the stricture was being cut. The anesthesia lasted for about 1.5 hours and was very satisfactory without any complications. Conclusions. Under intracorpus spongiosum anesthesia, optical urethrotomy can be routinely performed in an outpatient setting. With this new local anesthesia, internal urethrotomy is a safe, effective, simple, and inexpensive procedure for treatment of anterior urethral stricture. Bangladesh Journal of Urology, Vol. 17, No. 2, July 2014 p.64-66

Objective :To find out the outcome of Percutaneous Nephrolithotomy Methods:This prospective study was done in the Department of Urology, ShaheedSuhrawardy Medical College Hospital, Dhaka during the period of July 2016 to June2017 .Thirty five patients with renal calculi were included in this study. All patients wereevaluated by history, physical examination and investigations. Patients were counseledfor PCNL it was done under sub-arachnoid block in all the cases. Intra operativecomplications in terms of bleeding requiring blood transfusion, pleural injury, renal pelvisinjury, were recorded. Stone clearance were also recorded. Postoperative complicationswere also recorded in predesigned data sheet. Data analyses were done by SPSS –WIN 10.0 version. Result: Mean age of the patients was 41.5±10.23 years and mean size of the stonewas 2.58±.96cm. Mean operative time was121.7 minute. Stone clearance rate was 80%and residual stone was in 20% cases. Different complications were recorded in 42.85%cases. Hospital stay was 4.65±2.24 days. Conclusion: Percutaneous Nephro-lithotomy is a good option in the management ofrenal calculi .It has good stone clearance rate, lower morbidity , shorter hospital stayand early return to work. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.80-84

Background: Open pyeloplasty has been the gold standard for surgical treatment ofureteropelvic junction (UPJ) obstruction, enjoying a long-term success rate exceeding90%. Unfortunately, this procedure requires a muscle incision that entails some degreeof morbidity. We have, therefore, investigated the feasibility of laparoscopic pyeloplastyfor UPJ obstruction and report here the outcomes of our early cases. The median followupwas 21 months (range, 12–30 months). Objectives; The aim of our study was to explore the safety, feasibility and usefulness oflaparoscopic pyeloplasty and to assess the short- term outcome of patients treated withthis surgical approach. Materials and methods: This study was performed on 13 patients presenting withsymptomatic hydronephrosis, secondary to UPJ obstruction at the Department of Urology,Shahid Sheik Abu Naser Specialized Hospital, Khulna from January 2015 to June 2017.Patients having previous abdominal surgery and sepsis were excluded from this study.Laparoscopic dismembered Anderson–Hynes pyeloplasty was performed in all cases.All procedures were carried out transperitoneally.Results: All procedures were laparoscopically completed with no open conversion. Meanoperative time was 272.8 min (range, 175–480 min) and blood loss was minimum. Meanhospital stay was 4.5 days (range,4-11 days). Anomalous vessels were identified in 5patients. Post-operative complications were noted in two patients (15.4%): one instanceof prolonged urine leakage and one anastomotic re-stricture. Twelve of 13 ureters (92.3%)demonstrated a patent UPJ on excretory urography and split renal function and GFRwere significantly improved (p<0.05) after surgery. Conclusions: Although the procedure requires advanced laparoscopic skills, it can besafely and successfully completed as frequently as the conventional open procedure.Laparoscopic pyeloplasty seems to be a valuable alternative to open pyeloplasty forUPJ obstruction. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.69-74