Background: MS is one of the common urological problems that is acquired and is faced by urologists as well as pediatric surgeons. Symptomatic boys are offered meatoplasty or meatotomy as a procedure of daycare under the influence of any anesthesia for the treatment of meatal stenosis. However, there is scarcity of literature on outcome of these surgical procedures in Pakistan. Objective: To determine the short-term Outcome of urethral meatal stenosis surgery in males was the objective of this study. Methodology: this prospective study including 50 male patients with urethral metal stenosis was conducted in department of urology, Aziz Bhatti Shaheed Hospital, Nawaz Sharif Medical College Gujrat, from June 2017 to June 2022. All patients underwent meatotomy. Operative findings and success rate were recorded. Results: Mean age of patients was 8.42±3.91 years. All patients were male. Pre-operatively, 36% patients had Meatal stenosis, 2% Meatal stenosis with incomplete circumcision, 8% Moderate meatal stenosis, 2% Narrowed external urethral meatus, 40% Pinhole meatus, 4% Pinhole sub-coronal meatus, 2% Pinhole external meatus, 4% Severe meatal stenosis and 2% patients had Sub-coronal hypospadiasis Pinhole meatus. The success rate is 100% in our study. Conclusions: Success rate of meatotomy in urethral meatal stenosis is high in male children and younger males. Keywords: meatal stenosis; Outcome; meatotomy

To decide the adequacy of ureterorenoscope by utilizing lithoclast for distal ureteric stone clearance. Study Design: Longitudinal study. Setting: Department of urology Aziz Bhatti Shaheed Teaching Hospital. Period: Feb 2014 to Dec 2016. Materials and Methods: 32 patients from medical record who underwent for stone clearance with ureteroscopy followed by lithoclast. The patients with larger upper ureteral stones were enrolled in the study though patients with stone size<1cm and co-morbidities were not included in the study. The characteristic of patients and stone, treatment modality & outcome i.e. efficacy in terms of “successful stone clearance” were determined. Results: The average age of 32 patients was 34.28±10.11 years. 18 (56.3%) of the patients were females whereas 14 (43.7%) were males. Ureteric stones were present on both right and left sides in 17 (54%) and 15(46%) patients. Bilateral ureteric stone was present in 2 (6.25%) patients. The efficacy was reported as 96% for the stone size of 1-1.5cm and 92% for the stone size of 1.6-3cm. Conclusions: We concluded that Ureterorenoscope followed by Lithoclast is the useful and safest procedure for stone clearance.

Background: Acute renal failure in pregnancy can be induced by any of the disorders leading to renal failure in the general population, such as acute tubular necrosis due to infection, glomerulonephritis related to lupus, or drug toxicity. There are, however, pregnancy complications characteristic of each trimester that can result in renal failure. The objective of this study was to determine the frequency of various causes of pregnancy-related acute renal failure among females presenting to a tertiary care hospital.