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Urology Annals

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https://www.readbyqxmd.com/read/29118551/importance-of-lower-pole-nephrectomy-during-ureterocalicostomy
#1
Anubhav Raj, Sharmad Kudchadker, Varun Mittal, Sandeep Nunia, Anil Mandhani
Ureterocalicostomy is usually a salvage procedure for recurrent pelvi-ureteric junction (PUJ) stricture or upper ureteric injury. It requires meticulous dissection of the upper ureter, and lower pole nephrectomy is considered an essential step to achieve a wide funneled and dependent ureterocaliceal anastomosis. We, hereby, highlight the importance of guillotine lower pole nephrectomy through a case report of recurrent PUJ stricture managed with ureterocalicostomy that failed due to the omission of lower pole nephrectomy...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118550/-horrendoplasty-a-case-of-total-perineal-destruction-by-agricultural-implement
#2
Pedro Simoes de Oliveira, Tiago Ribeiro de Oliveira, David Martinho, Francisco Martins
Although posterior urethral injury occurs almost always in association with pelvic fracture, it may result from severe trauma to the perineum with its associated potential lethality and severe morbidity. Early primary endoscopic realignment over a urethral catheter can be attempted, although an immediate suprapubic tube placement remains the standard of care. Definitive treatment consists of elective open posterior anastomotic urethroplasty through a perineal approach. The authors present a 53-year-old man who sustained total, massive perineal destruction resulting from work accident with an agricultural implement...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118549/bladder-endocervicosis-a-rare-diagnosis-with-a-silent-presentation
#3
Sofia Santos-Lopes, Ana Cebola, Ana Afonso, Fernando Ferrito
Bladder endocervicosis is a benign disease, characterized by the presence of ectopic endocervical tissue in the bladder wall, with few cases described in the literature. A case of bladder endocervicosis in a 35-year-old female, with the previous history of cesarean section, subtotal hysterectomy, and right oophorectomy is reported here. The patient was asymptomatic and the bladder lesion was detected on pelvic ultrasonography. Transurethral bladder resection was performed and the histopathological analysis revealed bladder endocervicosis...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118548/epithelioid-hemangioma-of-penis-mimicking-malignancy-a-rare-case
#4
Manjari Kishore, Minakshi Bhardwaj, Arvind Ahuja
Penile epithelioid hemangioma (EH) is a rare vascular neoplasm with no definite etiology. Herein, we report a case of EH of the penis in a 64-year-old man presenting with painless, bleeding mass on the glans penis. The patient underwent local excision, and on histopathological examination, a diagnosis of EH was made. Immunohistochemistry revealed positivity for CD31, smooth muscle antigen, and negative expression of cytokeratin. The present case highlights the importance of histopathology in conjunction with immunohistochemistry to reach a definitive diagnosis of this rare benign entity and differentiating it from the close malignant mimics, thereby avoiding aggressive management of the patients...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118547/benign-testicular-neoplasm-in-a-human-immunodeficiency-virus-positive-patient-masquerading-as-testicular-cancer
#5
Mansi Oberoi, Thanmaya Reddy, Jennifer B Gordetsky, John V Thomas, Soroush Rais-Bahrami
Inflammatory myofibroblastic tumor (IMT) is a rare, benign neoplasm comprising spindle myoepithelial cells in the background of inflammatory cells. It can involve multiple anatomic sites in the body but rarely involves the testis. We report a case of 52-year-old male patient with a history of human immunodeficiency virus who presented with a painless, testicular mass for 2 months. Despite being treated with prolonged antibiotics and nonsteroidal anti-inflammatory drugs, scrotal ultrasound demonstrated an increase in the size of the lesion...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118546/migration-of-malleable-penile-prosthesis
#6
Abdelrahman Yahya Mohamed, Hatem Althubiany, Salem Bahdilh
Penile prosthesis migration is rare. Most reported cases are migration of inflatable penile prosthesis reservoirs. We reported a case of rectal migration of malleable penile prosthesis passed out as hard bowel motion without patient recognition.
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118545/imaging-modalities-for-an-uncommon-inguinal-scrotal-pathology-a-case-report-and-literature-review
#7
Koo Hao Chun, Fam Xeng Inn, Erica Yee Hing, Goh Eng Hong
Inguinal scrotal swelling is a common presentation to surgical clinic with various differential diagnoses. In most circumstances, a good clinical assessment is sufficient to identify the diagnosis. Imaging is necessary when diagnostic difficulty was encountered. The choice of imaging study could affect the management and outcome. A 60-year-old male presented with an enlarging right inguinal scrotal swelling for 5 years. Clinical examination showed a swelling extended from the right inguinal region down to the right scrotum, firm, not reducible, and not separable from the right testis...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118544/the-rarest-phenomenon-of-flexible-ureterolithotripsy-kidney-stone-in-supernumerary-type-combination-with-a-horseshoe-kidney
#8
Musab Ilgi, Cemil Kutsal, Cumhur Yesildal, Ayhan Dalkilinc, Sinan Levent Kirecci
The horseshoe kidney (HSK) is common and supernumerary kidney is the rarest developmental anomaly of the urogenital system. The supernumerary kidney in a HSK conjunction is extremely rare, and prevalence of it is unknown. A review of literature, there have been a few case reports about the supernumerary and HSK combination, however, none of which also had a concomitant kidney stone and obstructive pathology. Our case indicated that patient referred to flank pain and visible hematuria to our clinic, and further investigations demonstrate supernumerary kidney in a horseshoe configuration and kidney stone...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118543/laser-induced-synlabia-cryptomenorrhea-and-urine-retention-a-case-report-and-literature-review
#9
Thoraya Fadul-Elahi, Nusrat Batool Janjua
Cosmetic laser use has many pros and cons. The worldwide use of laser for body hair removal has led to many medical complications. Unsupervised use of the laser for hair removal in vulva may result in many problems and can merely damage the vulva, although rarely, affecting the body image. This rare and novel case report is a 21 year old virgin who presented with acute urinary retention and cryptomenorrhea due to complete synlabia secondary to unsupervised vulval laser hair removal. The urinary retention was relieved by suprapubic catheterization initially...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118542/the-role-of-the-endothelin-axis-in-promoting-epithelial-to-mesenchymal-transition-and-lymph-node-metastasis-in-prostate-adenocarcinoma
#10
Sophia Papanikolaou, Vasiliki Bravou, Helen Papadaki, Kostis Gyftopoulos
Introduction: Aberrant activation of endothelin (ET) axis has been identified as a key player in tumor growth and metastasis in several tumor types. However, little is known about the possible interaction of the ET with epithelial to mesenchymal transition (EMT), a process that transforms tumor cells in a motile, resistant to apoptosis phenotype prone to invasion and metastasis. The aim of this study was to investigate the activation of the ET axis in prostate adenocarcinoma and examine possible associations with EMT markers, lymph node (LN) metastasis, and other clinicopathological parameters...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118541/hypospadias-repair-during-adulthood-case-series
#11
Waleed M AlTaweel, Raouf M Seyam
Purpose: We report our complications and success rate in adult hypospadias repair. Patients and Methods: This was a retrospective study of patients aged ≥17 years who underwent hypospadias repair during 2006-2014. We analyzed two groups, one with primary repair and the other that had secondary repair after failed childhood hypospadias surgery. Outcome was compared between the two groups and among different surgical procedures. Descriptive statistics and Fisher's exact test were used and significance level was set at P < 0...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118540/total-endoscopic-and-anal-irrigation-management-approach-to-noncompliant-neuropathic-bladder-and-bowel-in-children-a-long-term-follow-up
#12
Naif Alqarni, Hamdan Alhazmi, Ossamah Alsowayan, Tamer Eweda, Khalid Fouda Neel
Purpose: To evaluate the long-term efficacy and durability of combined intradetrusor botulinum-A toxin (BTX-A), endoscopic treatment of vesicouerteral reflux and anal irrigation for stool incontinence (SI) via a total endoscopic and anal irrigation management (TEAM(®)) approach in patients with myelomeningocele and neuropathic bladder and bowel who did not respond to conservative measures. Materials and Methods: Fourteen myelomeningocele patients with at least 3 years follow-up were included in the study...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118539/laparoscopic-heminephrectomy-in-horseshoe-kidneys-a-single-center-experience
#13
Santosh Agrawal, Jaisukh Kalathia, Saurabh Sudhir Chipde, Udit Mishra, Anurag Tyagi, Sanjay Parashar
Introduction: Laparoscopic approach in horseshoe kidney (HSK) is a challenge because of the aberrant vessels, the renal isthmus and the renal ectopia are all unique features of this anomaly encountered during the surgery. We report our single center experience with this technique in managing three patients with HSK. Methods: A total of 15 cases (9 males and 6 females) were operated between June 2011 and December 2016 for various indications. Of these four patients were managed laparoscopically, two patients with HSK had non-functioning renal moiety underwent transperitoneal heminephrectomy...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118538/utilization-of-penile-prosthesis-and-male-incontinence-prosthetics-in-saudi-arabia
#14
Amjad Alwaal, Ahmad J Al-Sayyad
Background: Erectile dysfunction is a prevalent disease affecting over 50% of men between the ages of 40 and 70 years. Penile prosthesis represents the end of the line treatment when other less invasive therapies fail or are contraindicated. Male stress urinary incontinence can significantly diminish quality of life and lead to embarrassment and social withdrawal. Surgical therapies, such as male urethral slings and artificial urinary sphincters (AUS), are considered effective and safe treatments for male stress incontinence...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118537/choosing-an-ideal-vascular-cover-for-snodgrass-repair
#15
Mamatha Basavaraju, Dhiraj K Balaji
Aim: The aim of this study is to compare tunica vaginalis (TV), dorsal dartos, and ventral dartos flap as a second layer vascular cover during Snodgrass repair. Materials and Methods: Data of 83 patients who underwent primary hypospadias repair with Snodgrass technique (age range: 1.6-12 years) were retrospectively collected and compared. They were divided into three groups. Group A (26 patients) included cases using TV flap, Group B (36 patients) included those where dorsal dartos from prepuce was used as second cover, and Group C (21 patients) included those with ventral dartos as cover...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118536/characteristics-of-bladder-neoplasms-in-the-young-population-of-saudi-arabia
#16
Abdulrahman I Alabdulkareem, Fares H Al-Jahdali, Ahmed I Nazers, Sultan S Alkhateeb
Context: Bladder neoplasms are a well-studied subject in medicine. However, the evidence of bladder neoplasms in children and the young adult population (≤40 years), particularly in Saudi Arabia, is lacking. Aims: The aims of this study were to identify histopathological characteristics as well as clinical features, prognosis, and treatment of bladder neoplasms in this age group in a single tertiary referral center, Riyadh, Saudi Arabia. Settings and Design: A retrospective cohort study...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118535/rapid-versus-gradual-bladder-decompression-in-acute-urinary-retention
#17
Mohamed H Etafy, Fatma H Saleh, Cervando Ortiz-Vanderdys, Alaa Hamada, Alaa M Refaat, Mohamed Abdel Aal, Hazem Deif, Maher Gawish, Ashraf H Abdellatif, Khaled Gadalla
Objective: To demonstrate a benefit in diminished adverse events such as hypotension and hematuria with gradual drainage of the bladder when compared to rapid decompression in patients with acute urinary retention (AUR) due to benign prostatic hyperplasia in a case-control study. Methods: Sixty-two patients matched our selection criteria presenting with AUR. They were divided into two groups - the first was managed by rapid drainage of the bladder, the second was managed by gradual drainage through a urethral catheter (The first 100 mL immediately evacuated, then the rest evacuated gradually over 2 h)...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118534/pure-retroperitoneoscopic-donor-nephrectomy-in-duplication-of-inferior-vena-cava-a-series-of-four-cases
#18
Bipin Chandra Pal, Pranjal R Modi, Syed Jamal Rizvi, Rohit Chauhan, Suresh Kumar, Shruti P Gandhi, Vivek B Kute, Hargovind L Trivedi
Aim: Complex vascular anatomy poses a major challenge to the donor surgeon. Here, we have described the technical nuances in retroperitoneoscopic living donor nephrectomy for the left kidney in the situations of a rare vascular anomaly of duplication of inferior vena. Materials and Methods: Between September 2005 and June 2016, 1460 retroperitoneoscopic living donor nephrectomy were carried out in single surgical unit of our institution. Out of these four donors were found to have duplication of inferior vena cava (IVC)...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118533/pathological-nature-of-renal-tumors-does-size-matter
#19
Lutfi Ali S Kurban, Alireza Vosough, Preman Jacob, Deepak Prasad, Thomas Lam, Neil Scott, Bhaskar K Somani
Introduction: We examined the relationship between the size and nature of renal masses in term of malignant potential, histological grading, pathological staging and presence of necrosis and sarcomatoid changes. Materials and Methods: Retrospectively, we reviewed 323 consecutive nephrectomies between 2000 and 2010. Final pathology was correlated with tumour size. The renal tumours were stratified into three groups according to the largest diameter, defined as 4 cm or smaller, greater than 4 cm to 7 cm, and greater than 7 cm...
October 2017: Urology Annals
https://www.readbyqxmd.com/read/29118532/transperitoneal-laparoscopic-repair-of-retrocaval-ureter-our-experience-and-review-of-literature
#20
Ashwin S Tamhankar, Abhishek J Savalia, Ajit S Sawant, Prakash W Pawar, Gaurav V Kasat, Sunil R Patil
Context and Aim: Retrocaval ureter (RCU), also known as circumcaval ureter, occurs due to anomalous development of inferior vena cava (IVC) and not ureter. The surgical approach for this entity has shifted from open to laparoscopic and robotic surgery. This is a relatively new line of management with very few case reports. Herein, we describe the etiopathology, our experience with six cases of transperitoneal laparoscopic repair of RCU operated at tertiary care center in India and have reviewed different management options...
October 2017: Urology Annals
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