ABSTRACT
INTRODUCTION: Although the use of a stopwatch is recommended to record intravaginal ejaculatory latency time (IELT) for premature ejaculation, there is no Indian literature which assesses the reliability of this method among our patients. Hence, we assessed the accuracy of stopwatch-measured IELT and compared it with other methods such as number of thrusts and self-assessed IELT in an Indian context. METHODS: Between January 2015 and December 2015, couples with premature ejaculation (PE) confirmed with the Premature Ejaculation Diagnostic Tool were enrolled in this study. They were asked to report self-assessed IELT for the first 2 weeks, number of thrusts before ejaculation following vaginal penetration for the next 2 weeks, and stopwatch-clocked IELT for the last 2 weeks. At each 2-week interval, the couples answered erectile/ejaculatory performance anxiety index questionnaire (EPAI). The data were analyzed at the end of 6 weeks. RESULTS: A total of 42 couples with an average married life of 5.53 years were included in the study. Average stopwatch-clocked IELT was almost 1 min more than the self-reported IELT, which was statistically significant. The average number of thrusts reported was 6.31. Anxiety on the EPAI scale was maximum while using stopwatch to measure IELT. CONCLUSION: Use of stopwatch to clock the IELT does not appear to represent true IELT in Indian patients. Self-assessed IELT correlated more accurately with symptoms of PE.
ABSTRACT
Incidentally detected renal cysts are always a diagnostic challenge especially when they present with equivocal features on imaging. Proper diagnosis is of paramount importance as it affects the treatment decisions. Septal and nodular enhancement on computed tomography (CT) is the strongest predictor of malignant process. A multilocular cystic lesion with heterogeneity on CT goes in favour of hydatid disease. Though the treatment in both these cases is surgical excision, a more careful study of image may ease the treatment planning process much more. We report a case in middle aged lady who presented with vague abdominal pain with loss of weight, who was found to have a cystic mass in the upper pole of the left kidney on imaging turned out to be hydatid cyst though the radiological features were in favour of cystic renal cell carcinonoma.
ABSTRACT
Size of the external urethral meatus in adult Indian males is not yet documented. However, for choosing optimum size of an instrument, it is important to know the maximum stretchable external urethral meatal size in a particular patient. Hence, a prospective study was conducted at our institution to document the maximum stretchable adult male external urethral meatus size. After obtaining consent, 340 adult males who were undergoing urethral instrumentation for reasons other than the diseases of the urethra underwent urethral calibration using a "urethral calibrator" during February 2009 to April 2010. Data were analyzed using the SPSS 17. The average maximum stretchable external urethral meatal size in an Indian adult male was 28.49 Fr. Ours is the only study to document the maximum stretchable adult external urethral meatal size in Indian males which helps us for better instrumentation.