SURGICAL INTERVENTION OF EARLY DIAGNOSIS OF CARCINOMA PROSTATE IN SURGICAL WARD AT PEOPLES MEDICAL COLLEGE HOSPITAL NAWABSHAH -

TUFAIL AHMED BALOUCH , AHSAN ALI LEGHARI , ZAMIR HUSSAIN LEGHARI , ALI AKBAR GHUMRO , SYED QARIB ABBAS SHAH

Aims of Study: To determine the surgical intervention of early diagnosis of carcinoma prostate in surgical ward.

Study Design: Prospective observational study:

Place and Duration: Two years study from January 2009 to December 2011. Was conducted in Peoples Medical College Nawabshah.

Patients and methods: The study comprises 50 patients all were admitted from OPD (Out Patients Department). The patients were evaluated fully after history, clinical examination DRE and specific investigation of PSA X-ray chest, Lumbo sacral spine, Trans rectal, Endo luminal ultra sound, flowmetery, Trans rectal biopsy, C.T scan, Bone scan and General assessment. All Patients with enlarged prostate included out of 50 patients 47 patients under went surgery and tissue sent for histopathology for confirmation and margin free tumor

Result: In this study of 50 patients of enlarge prostate total number of patients were in age group 50 to 80 years, Out of 50 patients 6 patients suspected malignant on the basis of DRE. But PSA will raise in 5 patients. Regarding the histopathology results 5 patients showed malignancy adeno carcinoma. 5 pts were treated Radical prostatectomy.

Conclusion: Carcinoma of prostate is a fatal disease of male pts if not diagnose and treat early so patients can die if disease in advance stage.