Objectives: To compare the effect of early and conventional catheter removal after TURP. Methods: The cases were selected from the admitted patients with BPH by using simple purposive sampling technique. Sixty (60) cases were included in the study fulfilling selection criteria of the patient and numbered chronologically according to their data and time of operation. Odd numbers of cases were included in group-A (n=30) for early catheter removal within 48 hours and even numbers of cases in group-B (n=30) for conventional catheter removal within 3-5 days. Results: Postoperative hospital stay 47.12 (±7.92) hours in group A and 113.23(±10.8) hours were in group B (p<0.001) that was statistically highly significant. Conclusion: Early catheter removal within 48 hours following Transurethral Resection of Prostate (TURP) is safe. It reduces the catheter related morbidity and postoperative hospital stay. Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.82-86

Background: The exact mechanism of fever after PCNL has not been established.2. This research studied the frequency of post-PCNL fever and UTI in both initial preoperative positive and negative urine culture group of patients. Objectives: To compare the frequency of post PCNL fever and UTI in initial positive and negative preoperative urine culture patients. Method: This was a prospective observational study on a total sixty patients who underwent single PCNL at the Department of Urology, Sir Salimullah Medical College Mitford Hospital, Dhaka and National Institute of Kidney Diseases and Urology, Dhaka from March 2013 to October 2014.There were two groups of patients, Group-I, with initial positive preoperative urine culture and another Group-II with initial negative preoperative urine culture. But the operation deferred until the positive urine culture became negative. Both groups received prophylactic antibiotic. Results: The frequency of fever and UTI after PCNL was 53.33% in Group-I (n=30) but only 23.33% was found in Group-II (n=30).Significant correlations were observed between post-PCNL fever with initial positive preoperative urine culture group (p=0.017), female sex (p=0.02), prolong hospital stay (p=0.018). Conclusion: The frequency of postoperative fever and UTI is more than two times in preoperative positive urine culture patients than culture negative patients. Risk of post- PCNL fever increased in patients who had initial positive preoperative urine culture. Bangladesh J. Urol. 2021; 24(1): 25-32

A unilateral double testicle is a rare anomaly characterized by migration of one testicle towards the opposite inguinal canal. The commonest erratic development is the more or less incomplete descent of the testicle along the normal route of descent, which is known as cryptorchidism. In ectopia of the testicles, as opposed to cryptorchidism, the displaced testicle does not descend along the usual route but as it migrates downwards it moves into an entirely abnormal position. Usually the migrating testicle remains on its own side of the body but may end up in an unusual position e.g. in the superficial tissue of the inguinal region above the external ring, in the area of the base of the penis, in the upper part of the thigh, in the region of perineum or in the pelvic cavity. In this case, the right and left testicles were found to descend together on the right side, whereas the left side of the scrotum was entirely empty. The case was treated with 'Bilateral Transeptal Subdartos Orchidopexy'. The case reported here is evidently one of extreme rarity as there are about 148 reported cases since the first described by Von Lenhossek in1886. Case report:A one year old boy presented with a painful swelling in the right groin and vomiting for 6 hours with a history of empty scrotum on the left side since birth. Physical examination showed a right sided obstructed inguinal hernia together with a palpable retractile right testicle and a non palpable left testicle and spermatic cord. Suspecting a right sided obstructed inguinal hernia and left sided cryptorchidism, he was submitted to emergency operative treatment under general anesthesia after adequate resuscitation.Operative findings as related to this unusual condition are described now. On inguinotomy, a redundant tunicavaginalis was discovered which extended for some distance proximally along the cord. During separation of the tunica vaginalis, it was found that the boy had two testicles on the same side of equal appearance, separated epididymis and vasa deferentia. The mesorchia was fused with the peritoneum. Both testicles were delivered into the inguinal wound (Fig.1). Both spermatic cords were followed to the right deep inguinal ring where they entered the abdomen. Isolation of the hernial sac was carefully done in a regular way without any injury to the spermatic cords and spermatic vessels.

Objectives: To find out the efficacy of post TURBT immediate single dose adjuvant intravesical Mitomycin C therapy in comparison with multi-dose regimen of Mitomycin C therapy in the management of superficial transitional cell carcinoma of the urinary bladder. Methods: Total 76 patients of bladder mass were included in the study who had undergone transurethral resection followed by immediate single instillation of Mitomycin C. After availability of histopathological examination report of resected tumor, those fulfill the selection criteria were randomized into two groups. One group (Group A) was the odd numbers of the patients who already received immediate single intravesical instillation of Mitomycin C and another group (Group B) even number of the patients who received single dose of intravesical instillation of Mitomycin C immediately with additional 5 instillations (1 week interval for 5 weeks) and in whom prospective follow-up could be completed within next 12 months Results: The effect of single intravesical instillation of 40 mg of Mitomycin C (Group A) within 24 hours of TURBT with that of multiple doses (six doses) of Mitomycin C (Group B) in similar dose was insignificant. Conclusion: The efficacy of MMC single dose was similar to MMC multi-dose regimen with insignificant difference of side effect among the two groups (0% versus 6.25%). Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.74-77