No abstract

Neonatal hyperbilirubinemia is a common clinical condition in the first week of neonatal life. The common causes are haemolytic disease of the newborn (rhesus), ABO incompatibility, glucose-6-phosphate dehydrogenase deficiency, spherocytosis and infection. Any study was not conducted in Bangladesh to find out the correlation between neonatal hyperbilirubinemia and zinc level. So, the objective of this was to evaluate the correlation between the level of serum zinc and neonatal hyperbilirubinemia in Dhaka city of Bangladesh. This cross sectional study was done at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Total 594 numbers of sample were collected from neonatology department of BSMMU from January 2016 to April 2019 and samples were divided in two groups. Case group and control group consists 319 and 275 numbers of sample respectively. All the laboratory parameters were done at clinical pathology department of BSMMU by automated analyzer machine and strictly followed quality control. Data obtained were analyzed using the Statistical Package for the Social Science (SPSS) version 20. Results were considered statistically significant if p<0.05. The result showed that the level of serum bilirubin was 171.14 mg/L and 35.42 mg/L and the level of serum zinc was (0.50 mg/L) and (0.68mg/L) in case and control group respectively. The bilirubin level was significantly (p<0.001) high in case group and zinc level was significantly (p<0.001) decreased in case group when compared with control group. Is also showed there was a significant (p value<0.001) correlation between hyperbilirubinemia and serum zinc level in this study. Therefore, it can be concluded, the deficiency of zinc may have a relationship followed by in neonatal hyperbilirubinemia.

Objective: This study aims to evaluate the outcomes of PCNL without JJ ureteric stent in comparison to PCNL with JJ ureteric stent. Patients and Methods: This observational study intended to compare the outcome between PCNL without JJ stent and PCNL with JJ stent of 50 cases of renal stone disease according to the inclusion and exclusion criteria and randomly assigned to Group - A (PCNL without JJ stent) and Group - B (PCNL with JJ stent). This study was conducted in the department of urology, Dhaka Medical College Hospital from July 2014 to June 2016. During postoperative period, both groups were compared with respect to fever, loin pain, dysuria, frequency of micturation, duration of haematuria, continuation of urine leakage, hospital stay, urinoma and hematoma and urinary tract infection. Results: Among the 50 patients, the mean postoperative hospital stay was significantly longer in PCNL with JJ stent (4.48 ± 2.14 days) than that of PCNL without JJ stent (2.60 ± 0.50 days). The continuation of urine leakage at the site of percutaneous tract was also significantly longer in PCNL with JJ stent than in PCNL without JJ stent (10.8 ± 3.18 hours vs 14.14 ± 3.28 hours, P <0.001). Assessment of outcome during 3 weeks showed that out of 25 subjects in Group - B, 9 (36%) loin pain, 8 (32%) dysuria, 8 (32%) frequency of micturition, 4 (16%) haematuria and another 7 (28%) urinary tract infection. None of the subjects of Group - A reported same type of complications. Conclusions: Percutaneous Nephrolithotomy without JJ stent (stentless PCNL) is safe, effective and viable option in a selected group of patients – with stone size d”3 cm, normal preoperative renal function, single percutaneous puncture, minimum bleeding, no perforation of the collecting system, no obstruction and complete clearance of stones, JJ stent may not be required. Bangladesh Journal of Urology, Vol. 22, No. 2, July 2019 p.110-117

Background: Posterior urethral injury usually occurs in male patients with pelvic fractures. Posterior urethral injuries are associated with considerable morbidity including urinary incontinence, erectile dysfunction and urethral stricture. Objective: To compare the outcomes between early primary endoscopic realignment and delayed reconstruction in the management of male patients of posterior urethral injury. Methodology: This prospective study was conducted in the department of urology and department of casualty, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2015 to June 2017 among 50 male patients with posterior urethral injury. Fifty patients were randomly allocated into two groups; the group A consisted of 24 patients underwent early primary endoscopic realignment within 10 days after posterior urethral injury and the group B consisted of 26 patients underwent delayed reconstruction in form of anastomotic urethroplasty after 3 months. All patients were followed up at 3 rd , 6 th and 9 th month after the procedure. Outcome variables were post-operative urethral stricture, urinary incontinence and erectile dysfunction. Data were analyzed and compared by statistical tests. Results: The mean (±SD) age of the study patients was almost sim-How to cite this paper: