Keyhole surgery of the kidney at sultan Qaboos university hospital, Oman

الملخص EN

This random retrospective cross-sectional study was done to determine the incidence of uterine malformation in 4 groups of women desiring to conceive during their reproductive years, all of them living in La Crete, a community in Northern Alberta, Canada, with endogamous marriage practices in a 500 year old restricted gene pool.

Methods: During 2003-2006, eight hundred women, suspected of having uterine malformation, were scanned using 2-D abdominal and transvaginal sonography (TVS).

A sub-group of 156 patients was identified with suspected uterine malformations and referred for further diagnostic investigation, including MRI, 3-D sonography, hysterosalpingography, hysteroscopy and laparoscopy.

This group included 30 women without previous pregnancies (Group 1), 31 women with previous pregnancies and live births (fertile) (Group 2), 40 women with live births and more than 2 miscarriages (Group 3) and 55 women with recurrent miscarriages (infertile) (Group 4).

Results: The overall frequency of uterine malformations was recorded at 19.5% in La Crete women.

Ninety five women with recurrent or some miscarriages had more uterine malformation than the other groups.

The incidence in Groups 3 and 4 (infertile) was 60.8% and 39.2% in the fertile Groups 1 and 2.

The p <0.01 was significant at 95% confidence interval.

Conclusion: This study has provided new insights into the increasing number of uterine malformations in the population of La Crete.

It was 19.5%, 5.5 times higher than that of the general population of Percutaneous access surgery of the kidneys was introduced in Sultan Qaboos University Hospital (SQUH) in 1998.

We are presenting our early experience in the first 31 patients operated on over an eight year period using the percutaneous approach.

Methods: A retrospective review of 25 patients, who underwent percutaneous nephrolithotomy (PCNL) for the treatment of large renal stones and 6 patients who underwent endopyelotomy for the treatment of pelviureteric junction (PUJ) obstruction.

Results: In the PCNL group complete stone clearance was achieved in 68% (17 / 25) patients and the complication rate was 28% (7 / 25). In the endopyelotomy group the success rate of relief of obstruction of PUJ measured by renogram and relief of symptoms was 83% (5 \ 6 patients).

Conclusion: Our early results of PCNL are promising and comparable to international results.