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Urology Annals

Muhammed Mubarak
No abstract text is available yet for this article.
October 2018: Urology Annals
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
October 2018: Urology Annals
Sarah A Almagharbi, Yara A Fayoumi, Taha A Abdel-Meguid, Ahmed Abdelsalam, Rana Y Bokhary, Raed A Azhar
Gastrointestinal stromal tumors (GISTs) that originate outside the GI tract are extremely uncommon. In this case report, we describe a GIST of primary origin in the prostate gland of an 84-year-old male who presented with severe urinary retention at King Abdulaziz University Hospital in Saudi Arabia. Diagnosis was based on patient history, radiological studies, pathologic findings, and immunohistochemical data. Digital rectal examination revealed a hugely enlarged prostate encroaching upon the rectal lumen with a smooth and firm surface...
October 2018: Urology Annals
Anastasios Karatzas, Vasileios Papadopoulos, Vagianna Katsiouli, Louis Pisters, Christos Papandreou, Vassilios Tzortzis
Malignant transformation of teratoma develops in a small subset of testis cancer patients. Primitive neuroectodermal tumor represents a highly malignant component of testicular germ cell tumors. It is a rare clinical entity which is characterized by a high risk of disease progression and death. Surgical resection plus chemotherapy appears to be the therapy of choice.
October 2018: Urology Annals
Mohamed Mohamed Elawdy, Samer El-Halwagy, Salim Al-Khanbashi, Anas Akbar Aga, Yasser A Razek
22-year-old male patient with irrelevant medical history presented with bilateral renal stones; multiple stones in right renal pelvis measured 10, 11, and 11mm and another one on the left side measured 12mm. Extra corporeal shock wave lithotripsy (ESWL) was done first on the left side, but after 400 shocks and total energy of 20 Storez Medical Lithotripsy Index only, the stone wasn't visible. Then, the operator switched to the right side and a he completed the session. A day after, the patient presented with bilateral renal colic, gradual rising of renal function and imaging showed bilateral steinstrasse with bilateral hydroureteronephrosis...
October 2018: Urology Annals
Aria Shakeri, Arash Shakeri, Reza Rasolmali, Saeed Shakeri
Splenogonadal fusion (SGF) is a rare benign malformation in which spleen is aberrantly attached to the gonads or mesonephric derivatives. This entity often presents with scrotal mass, inguinal hernia, or cryptorchidism. Herein, we report our experience with a boy who presented with a scrotal enlargement which later turned out to be SGF. Moreover, an accessory spleen was unexpectedly found in the left inguinal canal. To the best of our knowledge, this is the first report of SGF and accessory spleen in the literature...
October 2018: Urology Annals
Suresh Kumar, Pranjal R Modi, Bipin C Pal, Vivek Kothari, Amit Mishra
Objective: Retroperitoneoscopy, by avoiding peritoneal breach and injury to intra-abdominal organs, provides a more direct and rapid access to the kidney and the renal hilum. Laparoscopic partial nephrectomy by retroperitoneal route (LPNR) is less commonly performed than transperitoneal route for early stage renal cancer. The objective of this study is to carry out the outcomes of partial nephrectomy using retroperitoneal approach. Materials and Methods: Patients, who underwent LPNR from period 2008 to 2014, were retrospectively analyzed...
October 2018: Urology Annals
Ankur Jhanwar, Ashok Kumar Sokhal, Kawaljit Singh, Satyanarayan Sankhwar, Durgesh Kumar Saini
Context: Clean intermittent catheterization (CIC) after direct vision internal urethrotomy (DVIU). Aims: The aim is to assess the quality of life (QOL) in patients with urethral strictures on CIC following DVIU. Settings and Design: Prospective study. Materials and Methods: This prospective study was conducted between August 2013 and July 2015 in the Department of Urology at KGMU, Lucknow. We included patients above the age of 18 years with stricture urethra, who were on CIC following direct visual internal urethrotomy...
October 2018: Urology Annals
Ossamah Saleh Alsowayan
Introduction: Hypospadias is one of the most common congenital anomalies of the penis. Different methods of hypospadias management are described in the literature. We try in this study to evaluate the national trends and to compare them with international practices. Materials and Methods: A multiple choice survey was distributed among a sample of national practitioners using a weblink between September and December 2017. It included questions about participants demographics, number of cases operated on per year, perioperative care and preferences, long-term follow-up, and complications...
October 2018: Urology Annals
Ryan J Nelson, Julien Dagenais, Matthew J Maurice, Jaya Sai S Chavalia, Daniel Ramirez, Peter A Caputo, Paurush Babbar, Nitin K Yerram, Jihad H Kaouk
Objectives: To compare the perioperative and functional outcomes after open and robotic partial nephrectomy performed with cold ischemia. Methods: A retrospective chart review was completed of consecutive patients who underwent partial nephrectomy with renal hypothermia between January 2011 and September 2016. The study cohort included both open (Open Cold Ischemia, OCI; n=170) and robotic (Robotic Cold Ischemia, RCI; n=31) patients with complex renal masses (R...
October 2018: Urology Annals
Fahad A Alyami, Abdulaziz Fahad Bin Yahya, Hamad Fahad Albraidi, Nawaf Abdullah Almarek, Mohammed Abdulaziz Alkhalifa, Hamdan Alhazmi, Mahmoud Salem Trbay, Khalid Fouda Neel
Introduction: Scrotal orchidopexy for palpable undescended testicle (UDT) has received attention in the last decade due to its lower morbidity. This study was conducted to determine the frequency and factors related to the use of the scrotal approach in the surgical treatment of palpable UDT among surgeons. Methods: An observational cross-sectional study was carried out using an online survey, which was sent to different pediatric urologists, pediatric surgeons, and urologists groups...
October 2018: Urology Annals
Panagiotis Kallidonis, Constantinos Adamou, Adamantia Koutava, Panteleimon Ntasiotis, Dimitrios Kotsiris, Abdulrahman Al-Aown, Evangelos Liatsikos
Objective: Urethral strictures can be treated by urethral dilation, optical internal urethrotomy, or open surgical reconstruction (urethroplasty). Urethral dilation is done with filiforms and followers, balloons, or coaxial dilators inserted over a guidewire. The S-curved coaxial dilator (SCCD) was designed to facilitate the passage of the dilator through the stricture and the urethra because it imitates the curved anatomy of the male urethra. This study presents our experience with SCCD...
October 2018: Urology Annals
Yash Pamecha, Umesh Shelke, Bhushan Patil, Sujata Patwardhan, Siddharth Kini
Introduction: Defect in ureteral continuity can be due to various etiologies. The surgical options for management of complex long-segment ureteric defects are limited. Use of ileum is indicated in these cases; however, the technique is challenging and outcomes need to be assessed in detail. Material and Methods: It is an observational study conducted over 4 years. After preoperative optimization, ureteric reconstruction was performed using standard techniques of ileal interposition in cases of unilateral and bilateral long-segment ureteric defects...
October 2018: Urology Annals
Raed M Almannie, Waleed H Alkhamis, Abdulaziz I Alshabibi
Context: urethral strictures commonly occur and considered difficult to manage due to high recurrence rate and wide variety of management approach. Aims: This study aims to identify how urologists in Saudi Arabia manage new and recurrent urethral stricture cases and to investigate their opinions regarding urethroplasty. Settings and Design: A cross-sectional study (Online Survey) among urologists. Subjects and Methods: A nationwide survey of urologists registered with the Saudi Commission for Health Specialties was performed through a mailed questionnaire...
October 2018: Urology Annals
Khalid M Alotaibi
Purpose: A new minimally invasive approach for endopyelotomy for the treatment of ureteropelvic junction obstruction (UPJO) is described. The results are compared with those of other lines of treatment. Materials and Methods: A total of 39 patients with UPJO underwent percutaneous retropelvic endopyelotomy. Retrograde percutaneous renal access, using the Lawson catheter and deflecting guidewire, was done for creation of the nephrostomy tract. Using holmium laser through a 28-Fr nephroscope, a small window was made in the posterolateral surface of the renal pelvis...
October 2018: Urology Annals
Kostis I Gyftopoulos
Background and Objectives: The surgical correction of a short frenulum includes several procedures that vary in complexity of the technique and the use of stitches, lasers, or skin grafts. However, little is known about the effect of these procedures on meatal stenosis. A possible association of frenular artery trauma during circumcision and subsequent meatal stenosis has raised concerns regarding the importance of frenulum preservation. We hereby report our experience over 15 years of applying the "pull-and-burn" method for short frenulum correction...
October 2018: Urology Annals
Hamdan Hammad Alhazmi
Laparoscopic pyeloplasty (LP) is more beneficial than open procedures. However, studies on laparoscopic management of cases with secondary ureteropelvic junction obstruction (SUPJO) after previous failed pyeloplasty in the pediatric population are lacking. This meta-analysis aimed to assess the difference between redo LP (RLP) and redo open pyeloplasty (ROP) for children with SUPJO, focusing on certain criteria. All recent studies on RLP and ROP in children with SUPJO were searched. Search engines such as Medline, PubMed, and The Cochrane Library of Systematic Reviews were used...
October 2018: 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
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