ABSTRACT

Aim:To find the frequency of urological problems in prisoners & their management in KotLakhpatJail, Lahore.

Method:It is a descriptive study in which we examined 300 hundred prisoners in health care center of KotLakhpat jail Lahore in collaboration with medical officer of the jail & with prior permission from the concerned jail authority. Jail & home department protocol followed for the management of the referral cases. Ethical issue & secrecy was taken into account. Diagnosis was made on the basis of history, examination, lab test, ultrasonography& X-Ray-KUB which were availed on spot at the center.

Results:Out of 300 patients 286 were male, 14 were female. In male patients age range was 18-76 years & in female age range was 28-46 years. Out of 300 patients 33(11%) were suffering from urological problems. Out of these 33 patients 26 were male and 7 were female. Out of 33, 14(42.4%) were suffering from UTI & STD, 6 (18.2%) were suffering from renal stone disease, 6(18.2%) were suffering from BPH, 1(3.03%) suffered from vesical stone, 1(3.03%) diagnosed as post fire arm injury neurogenic bladder, 1(3.03%) as stricture urethra and 2 (6.06%) were suffering from OAB,1(3.03%) suffered from stress incontinence and 1(3.03%) diagnosed as urethral stenosis.Out of 6 prisoners with stone disease, 1 was female with 1.4 cm mid pole right renal stone was managed by ESWL, out of remaining 5 males 1 had 1.8 cm left renal stone managed by ESWL, 2 had renal stones size 3 to 3.6 cm managed by pyelolithotmies, 2 had ureteric stones, 1 in proximal ureter with size 1.2 cm, managed by URS and other had right distal ureteric stone size .8 cm, which passed at the end of second week with alpha blockers.2 prisoners out of 6 diagnosed as BPH were managed with uroselective alpha blockers.

Conclusion:UTI & STD were the most common urological problems in the prisoners in our study.LUTS were most common presenting symptoms. Most of the urological diseases were diagnosed by the available investigation modalities at the health care center. Urological problem pose significant disease burden in prisoners.There is delay in diagnosis and management of urological diseases in prisoners.Red tapism is one cause. The jail medical officer & paramedical staff should be trained in urology for a few weeks for early diagnosis, management and in time referral of urological patients.

Keywords: USG (Ultrasound Abdomen & Pelvis),IVU (Intravenous Pyelography), UTI, DTPA (Dynamic Scan),