Dr Maqbool Jabbar Urologist

22/01/2024

Permcath is cuffed catheter with lower risk of infection and intended to be used long term these catheter can remain in place up to 12 months
Perms catheter is better option for patients on maintenance hemodialysis until permanent Access (AVF) not Created.
We usually use Ultrasound For Vein Puncture and C Arm for proper positioning of Catheter .

19/04/2023

13/04/2023

50 years old male diagnosed case of APKD and Renal failure.On Maintenance hemodialysis.
Complains of severe Rt sided abdominal pain and heaviness.
He was on regular injectables to control pain.
CT scan showed Bilateral Huge polycstic kidneys with internal haemorrhages.
Right kidney was Pushing Liver Upward and caudally Extending to Pelvis.
Planned for Right Nephrectomy
Kidney was adherent with Inferior surface of liver ,Peritoneum ,Psoas Muscle and IVC.
Difficult Nephrectomy around 30 *15cm kidney removed.

03/12/2022

76 years old male with Complains of weak urinary stream,Nocturia sense of incomplete emptying of bladder.
Treated with alpha blockers for more then 7 months by G.P.
Initially showed response but from last two months he feels no improvement with medication.
US prostate with pre and post performed.
Prostate volume 70 grams with significant post void of 180ml.Urine culture was no growth other labs normal and
S.PSA 2.
Counselled for TURP and TURP performed under Spinal Anesthesia.
Foley's removed on 6th Post of day.
Histopathology benign prostatic hyperplasia.
Patient is doing well.

03/11/2022

34 year old male History of laparotomy 6 months back post RTA. According to patient bladder and urethral repair was done.(No Record Available).He Was on suprapubic catheter drainage since last six months.Never Changed his Suprapubic catheter.
Presented with Suprapubic catheter Encrustation along with multiple Bladder Stones.
Using same Tract of SPC 30 fr amplatz sheet placed and With the help of pneumatic lithoclast Using Nephroscope complete clearance performed and Suprapubic Change.
Future Plan Antegrade and Retrograde Urethrogram and decide according.

15/10/2022

Tumor Surgeries are Always challenging 37
years old lady from Afghanistan diagnosed as case of Renal Mass at Afghanistan. Mentioned as Metastatic disease Inoperable and After performing Trucut Bx they started TKIs.CT triphasic done and diagnosed as large Renal mass along with separate Nodal Mass. Right Radical Nephrectomy done along with Excision of Nodal mass Patient discharged home on 3rd post op day Biopsy awaited.

16/09/2022

52 years Old male History of Right pyelolithotomy 20 years
back and lap Cholecystectomy 7 years back.
Presented with Rt Flank pain and on and off haematuria.Workup done and diagnosed as Right
Recurrent renal stones (staghorn) hydronphrotic Kidney and 38% on Renal scan.
Pyelolithotomy performed and Almost 100% clearance achieved.

13/09/2022

Arteriovenous fistula ( AVF) is life line of Renal failure patients on Hemodialysis.
When primary AVFs (Radio-cephalic, Brachio-cephalic fails Then there is Valuable option of Basilica Vein Transposition in Such patients .
Depends upon the caliber and other Anatomical factors BVT may be single stage or double stage.Arteriovenous fistula ( AVF) is life line of Renal failure patients on Hemodialysis.
When primary AVFs (Radio-cephalic, Brachio-cephalic fails Then there is Valuable option of Basilica Vein Transposition in Such patients .
Depends upon the caliber and other Anatomical factors BVT may be single staged or double staged.

13/09/2022

12/09/2022

34 years Old male History of recurrent UTI
And Right flank pain
Diagnosed as Right Complete duplex with non Functioning Upper Moiety .
Rt Heminephrouretrectomy performed.