Research Article
Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Issue:
Volume 13, Issue 2, June 2024
Pages:
21-28
Received:
24 March 2024
Accepted:
8 April 2024
Published:
17 April 2024
Abstract: Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (p<0.001). Preoperative incontinence completely resolved in 30% and partially improved in 70% of patients. New onset incontinence occurred in 13.5%. At 6 months, IPSS was 5.67±2.31. Of those with new postoperative incontinence, 42.9% completely resolved and 57.1% improved. For preoperative incontinence, 71.4% completely resolved and 28.6% partially improved. Erectile function failed to improve. Conclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal.
Abstract: Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective:...
Show More
Research Article
Unveiling the Silent Threat: Radiation-Induced Coronary Artery Disease Among Young Patients – A Medical Physics Perspective Review
Makoye John,
Rose Mina*
Issue:
Volume 13, Issue 2, June 2024
Pages:
29-37
Received:
22 January 2024
Accepted:
14 June 2024
Published:
2 July 2024
Abstract: This comprehensive review presents the objectives and research framework for investigating radiation-induced coronary artery disease (RICAD) among young patients from a medical physics perspective. RICAD poses a silent threat to this population, necessitating a comprehensive understanding of its incidence, risk factors, long-term outcomes, mitigation strategies, underlying mechanisms, and predictive models. The study aims to investigate the incidence and prevalence of RICAD among young patients who have undergone radiation therapy for various medical conditions. The research involving RICAD amongst young patients has benefited greatly from the guidance and molding provided by the literature review, which has advanced our understanding of medical physics. By analyzing existing data and conducting longitudinal studies, the research intends to provide insights into the frequency of RICAD occurrence within this specific demographic. Identifying the risk factors associated with RICAD development in young patients is crucial for effective prevention and management. The research will explore factors such as radiation dose, treatment techniques, and patient-specific characteristics to determine their influence on RICAD incidence. This analysis will facilitate the development of targeted interventions and risk stratification strategies This study emphasizes how crucial it is to look into RICAD in pediatric patients concerning a medical physics standpoint. We can endeavor to improve the top leadership and outcomes for those who are most susceptible by comprehending the incidence, factors associated with risk, long-term consequences, mitigation measures, underlying mechanisms, and models for prediction linked with RICAD.
Abstract: This comprehensive review presents the objectives and research framework for investigating radiation-induced coronary artery disease (RICAD) among young patients from a medical physics perspective. RICAD poses a silent threat to this population, necessitating a comprehensive understanding of its incidence, risk factors, long-term outcomes, mitigati...
Show More
