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Urology Annals

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https://www.readbyqxmd.com/read/28479783/recurrent-renal-calculi-in-coexistence-of-horseshoe-kidney-and-medullary-sponge-kidney
#1
Wisit Cheungpasitporn, Aditya S Pawar, Stephen B Erickson
No abstract text is available yet for this article.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479782/zoon-s-balanitis-treated-with-topical-tacrolimus
#2
Sudarshan O Daga, Vinayak G Wagaskar, Snehal F Jumnake, Sujata K Patwardhan
Zoon's balanitis is an asymptomatic lesion that requires histopathological examination of involved tissue for confirmation of diagnosis. Till today, circumcision is considered as the treatment of choice as topical medical therapy is insufficient to cure the disease and also there was a risk of recurrence after discontinuation of therapy. Herein, we have treated the Zoon's balanitis with 0.1% topical tacrolimus with complete resolution of the lesion in 6 weeks. Hence, we think topical tacrolimus therapy should be considered as an alternative to circumcision in the treatment of Zoon's balanitis...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479781/polyorchidism-unilateral-one-atrophic-undescended-double-testicles
#3
Mehmet Balasar, Mehmet Giray Sönmez, Pembe Oltulu, Abdülkadir Kandemir, Mehmet Kılıç, Yunus Emre Göğer, Mehmet Mesut Pişkin
Polyorchidism is a very rare genitourinary anomaly defined with the presence of more than two testicles. Polyorchidism is associated up to 40% with undescended testicles. The present report is about an incidentally detected triorchidism case with unilateral, one atrophic undescended double testicles. A 4-year-old child, diagnosed with undescended left testicle revealed during orchiopexy polyorchidism with distinct epididymis and vas deferens. Whereas one of the testicles was in regular size; the other two were atrophic...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479780/complete-treatment-with-partial-cystectomy-in-giant-xanthogranulomatous-cystitis-case-imitating-bladder-tumor
#4
Mehmet Balasar, Mehmet Giray Sönmez, Pembe Oltulu, Abdülkadir Kandemir, Mehmet Kılıç, Recai Gürbüz
Xanthogranulomatous cystitis (XC) is a very rare chronic benign inflammatory disease of the bladder. It may cause local invasion although it is not a malign lesion and may occur together with malign lesions. It has a clinical importance as the distinction from malign lesions is difficult clinically and pathologically. Sharing a 37-year-old female case with giant XC imitating bladder tumor referring to the hospital with hematuria and stomach ache, together with current literature, we wanted to present that the disease can be treated with bladder-preserving approaches instead of radical approaches even though the mass is big in these cases...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479779/ureteric-injury-after-lumbosacral-microdiscectomy-a-case-report-and-review-of-literature
#5
Nitin Garg, Pankaj Panwar, Sudheer Kumar Devana, S M Ravi Mohan, A K Mandal
Microdiscectomy is considered a very safe procedure with few serious complications. Ureteric injury following microdiscectomy is rarely reported in the literature. We report a rare case of iatrogenic ureteric injury following L5-S1 microdiscectomy for prolapsed intervertebral disc which was detected early and managed in time.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479778/paratesticular-aggressive-angiomyxoma-a-rare-case
#6
Muhamad Izwan Ismail, Yin Ping Wong, Guan Hee Tan, Xeng Inn Fam
Aggressive angiomyxoma (AAM) particularly testicular origin is a rare benign mesenchymal myxoid tumor which is locally aggressive, blatant for local recurrence, and may metastasize. It occurs mostly in females of childbearing age and extremely rare in males. AMM particular testicular origin is not reported in literature yet. This is a 65-year-old man who had a right scrotal swelling. Ultrasound scrotum showed a soft tissue tumor of the right testis. The patient underwent radical right orchidectomy of which histopathologically confirmed to be a paratesticular AAM with clear resection margins...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479777/one-year-survivor-of-metastatic-renal-cell-carcinoma-treated-with-pazopanib
#7
Fam Xeng Inn, Nurzarina Ahmed, Erica Yee Hing, Mohd Hafidzul Jasman
Tyrosine kinase inhibitor (TKI) and its side effects are well known. However, these are mainly descriptive, with pictorial data lacking. Here, in we report a case of metastatic renal cell carcinoma, treated with TKI, with classic side effects; supplemented with images that demonstrate the adverse effects of the drug. In addition, we discuss and demonstrate the computed tomography changes.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479776/leaking-abdominal-aortic-aneurysm-mimicking-ureteric-colic-so-rare-but-so-real-in-middle-east
#8
Tanweer Ahmed Naveed Bhatty, Qamar Saeed Chaudhry, Ziauddin Khan, Ahmed Nabeel Bastawicy
Aortic aneurysms are very rare in Middle East unlike Europe and America. Therefore, this pathology is very likely to be missed in acute presentation to the Emergency Medicine Department. We present a case of leaking abdominal aortic aneurysm mimicking right ureteric colic, which was missed in the initial assessment.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479775/surgical-revascularization-of-bilateral-renal-artery-stenosis-due-to-fibromuscular-dysplasia
#9
Chandan Phukan, Arun J P George, J Chandrasingh, Antony Devasia
Fibromuscular dysplasia (FMD) is a noninflammatory disease affecting small- and medium-sized arteries of the renal and the carotids. It affects the renal arteries in nearly 60%-75% cases. The primary clinical manifestation of renal FMD is hypertension. Medial fibroplasia represents the most common dysplastic lesion. We report two cases who presented with hypertension and renal insufficiency and on evaluation was found to have bilateral renal artery stenosis. Stenting of the renal vessels was not possible due to the narrowed caliber of the vessel and inability to cannulate the renal arteries...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479774/renal-medullary-carcinoma-with-an-ophthalmic-metastasis
#10
Christine Ibilibor, Allen Medway, Thomas Nelius
Renal medullary carcinoma (RMC) is a rare, aggressive primary renal malignancy that classically occurs in adolescent males with sickle cell trait and universally presents with metastatic disease at presentation. We report a case of medullary carcinoma in a young man with likely ophthalmic metastasis. We also review relevant literature available to date. The patient is a 20-year-old African-American male with a past medical history significant to for sickle cell trait who presented to the University Medical Center with cough and the right eye pain for 1 month as well as painless gross hematuria for 1 week...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479773/acute-leukemia-masquerading-as-xanthogranulomatous-pyelonephritis
#11
Sunirmal Choudhury, Susanta Kumar Das, Dilip Kumar Pal
An 82-year-old man presented with high-grade fever, left flank pain with dysuria. Urine culture revealed the growth of Escherichia coli. Contrast-enhanced computed tomography features were suggestive of xanthogranulomatous pyelonephritis (XPN) of the left kidney. Serial hemogram studies revealed markedly raised white cell count with the presence of blast cells. On further evaluation by peripheral blood smears and bone marrow biopsy studies, a background disease setting of acute prolymphocytic leukemia was diagnosed...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479772/ureter-iliac-artery-graft-cutaneous-fistula-a-rare-presentation
#12
Omkar V Joglekar, Bhoopatsingh B Bhati, Dipen R Patel
A 55-year-old male with a history of iliac artery - popliteal artery polytetrafluoroethylene graft bypass presented 2 years later with sudden onset gross hematuria with sepsis. Computed tomography (CT) angiography was suggestive of fistula between ureter and iliac artery which was treated with arterial covered stent graft. The patient presented 2 weeks later with watery discharge from the previous scar. CT suggested ureter-cutaneous fistula. JJ stenting of ureter was done. The patient was discharged and on follow-up CT scan, there was no evidence of fistula and patient was completely asymptomatic...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479771/laparoscopic-assisted-mini-percutaneous-nephrolithotomy-for-treatment-of-large-calculi-in-pelvic-ectopic-kidney
#13
Ketan P Vartak, Prashant H Salvi
We report two cases of male patients with pelvic ectopic kidney with large stones cleared with laparoscopic-assisted minimally invasive percutaneous nephrolithotomy (Mini-PERC) and holmium laser. These are the first cases of Mini-PERC done for pelvic ectopic kidney reported thus far.
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479770/vitamin-d-deficiency-and-lower-urinary-tract-symptoms-in-males-above-50-years-of-age
#14
Mohamed Abdemonem Elshazly, Mohamed Farag Sultan, Hamdy Abdelmawla Aboutaleb, Shady Mohamed Salem, Mohamed Sayedahmed Aziz, Tarek Mohamed Abd Elbaky, Eid Abdelrasoul Elsherif, Maher Mohamed Gawish, Feras Tarek Alajrawi, Fahd Abdulla Algady Elgadi, Awad Husein Thaher, Mohamed Ahmed Shebl, Adel Mohamed Allam, Elija Kehinde
CONTEXT: Lower urinary tract symptoms (LUTSs) in elderly males are usually related to benign prostatic hyperplasia (BPH) in the majority of cases. It is estimated that BPH affects half of men above the age of 50 years. Recently, a relationship between Vitamin D deficiency and LUTS in elderly males has been reported. AIMS: The aim of this study was to analyze Vitamin D levels in males aged above 50 years presenting with LUTS. SETTINGS AND DESIGN: This is a prospective case-control study...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479769/analysis-of-outcome-of-end-to-end-and-end-to-side-internal-iliac-artery-anastomosis-in-renal-transplantation-our-initial-experience-with-a-case-series
#15
Dilip Kumar Pal, Prakash Kumar Sanki, Sayak Roy
INTRODUCTION: In renal transplantation, there is end-to-side anastomosis of renal artery to external iliac artery and end-to-end anastomosis of renal artery to internal iliac artery. The end-to-end internal iliac artery anastomosis can be associated with complications due to compromised distal vascular supply to limbs and penile erectile tissue. A method of end-to-side anastomosis can overcome them. Till date, there is no case series or trial that has studied the effect of end-to-side anastomosis...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479768/laparoscopic-sacrocolpopexy-using-barbed-sutures-for-mesh-fixation-and-peritoneal-closure-a-safe-option-to-reduce-operational-times
#16
Panagiotis Kallidonis, Abdulrahman Al-Aown, Marinos Vasilas, Iason Kyriazis, Vasilis Panagopoulos, Fotini Fligou, Anastasios Athanasopoulos, Bagheri Fariborz, Evangelos Liatsikos, Mehmet Özsoy
INTRODUCTION: Laparoscopic sacrocolpopexy (LSC) has established itself as a safe method for the management of pelvic organ prolapse (POP). Laparoscopic suturing is a time-consuming intraoperative task during LSC. Self-retaining barbed sutures (SBSs) are known to reduce the operative time in laparoscopic cases. The current study aimed to evaluate the efficacy and safety of SBS during the performance of LSC. MATERIALS AND METHODS: Twenty female patients with symptomatic POP were treated with LSC by an expert surgeon...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479767/reimbursements-and-frequency-of-tests-in-privately-insured-testicular-cancer-patients-in-the-united-states-implications-to-national-guidelines
#17
Mohamed H Kamel, Austin Barber, Rodney Davis, Omer A Raheem, Nabil Bissada, Alaa Eldin A Abdelmaksoud, Ehab Eltahawy
OBJECTIVES: The objective of this study was to assess the frequency of utilization and reimbursement of the common diagnostic tests and treatment modalities used in testicular cancer care. METHODS: LifeLink™ (IMS Health, Danbury, CT, USA) Claims Database was used. We identified 877 subjects with a primary diagnosis of testicular cancer (ICD 186.9) between 2007 and 2012. Median reimbursement and frequency of the diagnostic/treatment modalities used were recorded...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479766/novel-technique-of-laparoscopic-extravesical-ureteric-reimplantation-in-primary-obstructive-megaureter
#18
Altaf Khan, Mujeebu Rahiman, Ashish Verma, Rahul Bhargava
OBJECTIVE: This study aims to demonstrate a novel laparoscopic technique of tapering megaureter without disrupting the blood supply and disconnecting the ureter. MATERIALS AND METHODS: Eight cases of primary obstructive megaureter in the age group of 14-22 years underwent laparoscopic extravesical ureteric reimplantation between August 2011 and July 2015 using our novel technique. Five patients had obstruction on left side and three on right side. Follow-up ultrasonography at 1 month and 3 months, voiding cystourethrogram (VCUG) at 3 months and intravenous urogram (IVU) at 6 months was obtained to assess the development of reflux and to look for adequate drainage of the obstructive ureter...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479765/management-of-renal-caliceal-diverticular-stones-a-decade-of-experience
#19
Madhusudan Patodia, Rahul Janak Sinha, Siddharth Singh, Vishwajeet Singh
OBJECTIVE: The objective of this study is to evaluate our methods for management of renal caliceal diverticular stones (CDS). MATERIALS AND METHODS: We conducted a retrospective study from January 2005 to July 2015 and included patients who were treated for renal CDS. Patients were evaluated for treatment modality, puncture site (in case percutaneous nephrolithotomy [PCNL] attempted), operative time, stone clearance rate, and complications. During PCNL, if the infundibulum was found to connect the diverticulum to the calyx, then a double J stent was placed...
April 2017: Urology Annals
https://www.readbyqxmd.com/read/28479764/role-of-tubularization-of-urethral-plate-in-development-of-urethrocutaneous-fistula-post-hypospadias-repair
#20
Basim S Alsaywid, Abdullah K Mohammedkhalil, Abdullah A Mesawa, Saif Y Alzahrani, Aseel H Askar, Wesam T Abuznadah, Mohamoud H Alrimawi
INTRODUCTION: This study aimed to demonstrate the outcome of hypospadias repair in the pediatric population using the tubularized urethral plate technique and to compare the incidence of fistula between incised and unincised urethral plate. METHODOLOGY: This is a retrospective cohort study of pediatric patients who had hypospadias repair in a tertiary hospital in Jeddah, Saudi Arabia, between January 2000 and December 2012. They were divided into two main groups according to the status of the urethral plate: Group A included patients who had incision of the urethral plate just before tubularization, and Group B included patients who underwent tubularization without incision...
April 2017: Urology Annals
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