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Urology Annals

Mohamed Mohamed Elawdy
No abstract text is available yet for this article.
July 2018: Urology Annals
David P Sellman, Leslie Peard, Greg Simpson, Katrina Lancaster, Sravan Kavuri, Martha Terris, Rabbi Madi
The incidence of concomitant prostate adenocarcinoma found in patients with muscle-invasive bladder carcinoma is not uncommon, reaching up to 21%-28%. However, the presence of collision metastasis involving prostate cancer and bladder cancer within the same lymph node is exceedingly rare, with only 5 cases reported to date in the literature. We report a case of collision metastasis of prostate adenocarcinoma and urothelial carcinoma of the bladder in a 73-year-old man who underwent cystoprostatectomy with bilateral pelvic lymph node dissection for high-grade muscle-invasive urothelial carcinoma...
July 2018: Urology Annals
Uma Kant Dutt, Ramanathinam Manikandan, Lalgudi Narayanan Dorairajan, Bheemanathi Hanuman Srinivas
Primary renal synovial sarcoma (SS) is a very rare soft-tissue tumor arising from the kidney. These tumors histologically closely resemble other sarcoma variants. Immunohistochemical and cytogenetic techniques remain the cornerstone in achieving the correct diagnosis. Radical surgical excision is the primary treatment for local tumor control and alleviation of symptoms. Adjuvant chemotherapy, at present, has only a limited role. We report a unique case of a 21-year-old young male with the diagnosis of a biphasic renal SS with extensive venous system thrombosis involving the inferior vena cava, bilateral iliac, and femoral vessels which was managed by radical nephrectomy and tumor thrombectomy followed by adjuvant chemotherapy...
July 2018: Urology Annals
Santosh Kumar, Sriharsha Ajjur Shankaregowda, Abhishek Chandna
Inflammatory pseudotumor is a rare benign condition of unknown cause. A 19-year-old female presented with gross hematuria and storage symptoms to the emergency. Contrast-enhanced computed tomography scan revealed a mass of 5 cm × 6 cm involving the dome and anterior wall of the bladder. Urachal carcinoma was kept as a possibility and transurethral biopsy of the aforementioned lesion was performed. The histopathology revealed inflammatory myofibroblastic tumor (IMT) of the bladder. A laparoscopic partial cystectomy was undertaken with adequate resection margins and the histopathology of the lesion confirmed IMT...
July 2018: Urology Annals
Azhar Farooqui, Loay AlDhahir, Ali Bin Mahfooz
Zinner syndrome is a rare male genitourinary tract disorder associated with seminal vesicle cysts and ipsilateral renal agenesis. Clinical presentation often involves symptoms of the genitourinary tract. We present a case report of a young Saudi male, presenting with nonspecific symptoms of fatigue and malaise. Ultrasound visualized a massive seminal vesicle cyst associated with ipsilateral renal agenesis. The cyst was managed using a laparoscopic technique without any immediate complications and an uneventful postoperative period...
July 2018: Urology Annals
Sharma Himanshu, M K Ramaprasad, R Vishnu, T A Kishore
Aim: The aim of this study was to report the feasibility of robotic-assisted dual kidney transplantation (DKT) in a marginal donor. Materials and Methods: The case was a 53-year-old male, who with IgA nephropathy underwent a robotic-assisted robotic DKT. Results: The total operating time was 265 min, total console time was 215 min, and anastomotic time was 39 min for both the kidneys, and blood loss was 220 ml. The total drain output was 150 ml on the 1st day...
July 2018: Urology Annals
Vishal Rao, Gowri Garudadri, Arya Sahithi Shilpa, Daphne Fonseca, S Murthy Sudha, Rakesh Sharma, T Rao Subramanyeshwar, Sundaram Challa
Context: New Gleason Score of Prostate. Aims: The aim of this study is to assign the patients with carcinoma prostate into new prognostic grade groups (PGGs) based on revised Gleason score (GS) and follow-up according to the WHO 2016. Subjects and Methods: All the biopsies/resected specimens of carcinoma prostate from January 2014 to June 2016 were reviewed, and GS was done according to the WHO 2016. Accordingly, cribriform, fused, and glomeruloid glands were assigned GS 4...
July 2018: Urology Annals
Christian Kofi Gyasi-Sarpong, Emmanuel Acheampong, Francis Agyemamg Yeboah, Kenneth Aboah, Edwin Ferguson Laing, George Amoah
Background: Lower urinary tract symptoms (LUTSs) can significantly reduce men's quality of life and may point to serious pathology of the urogenital tract. This study aimed at finding predictors of symptoms score on the International Prostate Symptom Score (IPSS) for patients with LUTS. Materials and Methods: The study was cross-sectional conducted among 225 Ghanaian men visiting the urology clinic at Komfo Anokye Teaching Hospital. Trained interviewers used the IPSS, which adds a quality of life question to the American Urology Association symptom index to determine the extent to which patients are troubled by their symptoms...
July 2018: Urology Annals
Amit Singh, G Moorthy, Minu Bajpai
Introduction: Gastrointestinal tissue in the urinary tract results in numerous metabolic changes. This study investigates the effects of augmentation gastrocystoplasty on the height and bone mineralization in bladder exstrophy patients. Aim and Objective: To analyze the long-term outcome following gastrocystoplasty in terms of height, bone mineral density, acid base changes, and complications. Materials and Methods: Cross-sectional study was done after obtaining institutional ethics committee clearance...
July 2018: Urology Annals
Khalid Al-Otaibi
Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period. Materials and Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections...
July 2018: Urology Annals
Ajayraj Hada, Sher Singh Yadav, Vinay Tomar, Shivam Priyadarshi, Neeraj Agarwal, Anil Gulani
Introduction: The study aimed to evaluate the factors which affect the spontaneous passage of lower ureteric calculus on the basis of noncontrast computed tomography kidneys, ureters, and bladder (NCCT KUB) stone diameter, stone density, and plasma C-reactive protein (CRP) level. Materials and Methods: We conducted a prospective study of 200 patients with lower ureteric calculus 5-10 mm in size, from October 2015 to December 2016. All patients underwent NCCT KUB region with a 5 mm axial and reformatted coronal section...
July 2018: Urology Annals
Yasar Kandur, Ahmet Salan, Fatih Tuten
Introduction: To assess the association of frequently detected abnormalities (hydronephrosis and/or atrophy) on renal ultrasound with dimercaptosuccinic acid (DMSA) scan and the impact of vesicoureteral reflux (VUR) on these abnormalities to find new perspectives in pediatric age group. Materials and Methods: We retrospectively reviewed the DMSA, ultrasonography (US), micturating cystourethrography (MCUG) findings, and medical records of pediatric patients with hydronephrosis and/or atrophy who were at follow-up between January 2013 and December 2016 in our center which is located in the southeast region of Turkey...
July 2018: Urology Annals
Mohammed Selem, Esam Desoky, Ahmed Eliwa, Amr Fawzi, Ehab Elkady, Maged M Ali, Ahmed Ragab, Ahmed Sakr, Mohamed Omran, Mostafa Kamel
Aims: The aim of this study is to compare between transrectal ultrasound (TRUS)-guided aspiration and transurethral (TU) deroofing in the treatment of prostatic abscess regarding safety and efficacy. Settings and Design: This prospective randomized study was done during the period between April 2009 and March 2015 and included 32 patients with prostatic abscess. Subjects and Methods: All patients were enrolled in the study after obtaining a written informed consent and approval of the local ethical committee...
July 2018: Urology Annals
Abdulhakim Al Otay, Osama Sarhan, Hossam S El-Tholoth, Ahmed Alhelaly, Hamad Al Akrash, Mustafa Al Ghanbar, Khaled Al Bedaiwi, Ziad Nakshabandi, Ali Obeid
Purpose: The aim is to assess the outcomes of different approaches for the management of renal stones associated with horseshoe kidneys (HSKs) in our institution over a 12-year period. Methods: A retrospective review of 144 patients with HSKs who presented from 2000 to 2012 was performed. Twenty-eight patients (19.4%) were found to have renal stones. Demographic data were collected; the method of treatment and the outcomes of stone management were reviewed. We excluded patients with non-functioning moieties and associated genitourinary anomalies, and those with incomplete data...
July 2018: Urology Annals
Vincenzo Serretta, Alberto Abrate, Simone Siracusano, Cristina Scalici Gesolfo, Marco Vella, Fabrizio Di Maida, Antonina Cangemi, Giuseppe Cicero, Elisabetta Barresi, Chiara Sanfilippo
Context: The correlation between aggressive prostate cancer and obesity mainly based on body mass index (BMI) and pathology after surgery remains controversial. Aims: The aim of the study was to correlate BMI, visceral adiposity index (VAI), and the plasmatic levels of leptin, adiponectin, and matrix metalloproteinase-3 (MMP-3), and biomarkers of adipose tissue function, with the detection of Gleason patterns 4 and 5 at biopsy. Subjects and Methods: Consecutive patients with prostate cancer at 12-core transrectal biopsy were enrolled...
July 2018: Urology Annals
Sachin Yallappa, Rizwana Imran, Ishtiakul Rizvi, Omar M Aboumarzouk, Rupesh Bhatt, Prashant Patel
Introduction: Nephrometric scores are used to predict perioperative and postoperative complications, with no uniform results in the current literature. Materials and Methods: A retrospective study of 141 patients in a single center who underwent open partial nephrectomy between June 2006 and 2016 for T1a and T1b renal tumor was conducted. Univariate and multivariate analyses were used to evaluate the correlations between preoperative aspects and dimensions used for an anatomical (PADUA) and radius exophytic/endophytic nearness anterior/posterior location (RENAL) scores and their components with pre-, peri-, and post-operative parameters...
July 2018: Urology Annals
Raed A Azhar, Ahmed A Mobaraki, Hattan M Badr, Noor Nedal, Anmar M Nassir
Objectives: The objective of this study is to assess the current status of urologic robot-assisted surgery (RAS) in Saudi Arabia and evaluate perceptions of its importance and utility. Methods: A 59-item questionnaire was E-mailed to urologists and trainees in Saudi Arabia to assess the demographics and individual and institutional surgical practices of minimally invasive surgery (MIS) with a focus on RAS and urologic subtypes. Results: Ninety-five surveys were completed...
July 2018: Urology Annals
Vikram Satav, Vilas Sabale, Prasun Pramanik, Sharad P Kanklia, Sunil Mhaske
Purpose: To review our success in PCNL for managing large horse shoe kidney stones as primary treatment. Method: Between 2012 and 2016, a total of 23patients (24 renal units) underwent percutaneous renal surgery for stone dieses in horseshoe kidneys. Indications were HSK with stone more than 1 cm in size and failed ESWL. Results: Mean age was 35.60 ± 10.10 years out of which 18 were males and 5 females. One patient had stone in both kidneys...
July 2018: Urology Annals
Musliyarakath Mujeeburahiman, Chembili Vipin
Introduction: Renal calculi are one of the major reason leading to kidney failure or urinal obstructions. Percutaneous nephrolithotomy is considered as the major management option for intermediate to large renal pelvic stones. In the present study we compare Percutaneous nephrolithotomy vs laparoscopic pyelolithotomy procedures in the management of intermediate sized renal pelvic stones. Methods: The time duration of study was between July 2012 and Jan 2014, 20 patients with solitary intermediate sized renal pelvic stones were selected and randomly divided into two groups; group one included 10 patients who were treated by laparoscopic pyelolithotomy and group two included 10 patients who were treated by PCNL...
July 2018: Urology Annals
David P Sellman, W Greg Simpson, Zachary Klaassen, Rita P Jen, John M DiBianco, Lael Reinstatler, Qiang Li, Rabii Madi, Martha K Terris
Introduction: Primary bladder lymphoma (PBL) is rare, representing 0.2% of extranodal lymphoma and less than 1% of all tumors originating in the bladder. Since the initial description of the disease, low-grade mucosa-associated lymphoid tissue (MALT) lymphoma has been reported as the most common subtype while high-grade disease was thought to represent only 20% of the reported cases. Materials and Methods: One hundred and ninety five patients with PBL from the Surveillance, Epidemiology, and End Results (SEER) registry from 1998-2010 were reviewed...
July 2018: Urology Annals
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