Comparison of the pre-treatment testosterone levels in benign prostatic hyperplasia and prostate cancer patients
Conclusion Serum testosterone levels of patients with prostate cancer did not significantly differ from those of patients with BPH and were not related to grade in prostate cancer patients. (Source: African Journal of Urology)
Source: African Journal of Urology - January 26, 2017 Category: Urology & Nephrology Source Type: research
Active surveillance for prostate cancer: Is it ready for primetime in the Caribbean?
Conclusion Active surveillance should not be universally rejected in black men and perhaps further study is needed to determine race-specific recommendations. Until then, discussion with the patient should reflect the potential pitfalls for black men on active surveillance. (Source: African Journal of Urology)
Source: African Journal of Urology - January 20, 2017 Category: Urology & Nephrology Source Type: research
A near-fatal case of emphysematous pyelonephritis: Embracing the new management ‘gold standard’ – Saving the life while saving the kidney!
We report on the presence of EPN (Grade 3a) in a patient with poorly controlled diabetes, who presented in septic shock due to EPN. Although previous older treatment algorithms would proceed with an immediate nephrectomy, based on her grade, she was successfully managed by incorporating the new treatment ‘gold standard’: medical management with percutaneous drainage. A high index of suspicion is required to detect and manage this life-threatening condition associated with diabetes, since the presenting symptoms may be non-specific. The diagnosis, risk factors, and current management options of EPN are expanded further....
Source: African Journal of Urology - January 17, 2017 Category: Urology & Nephrology Source Type: research
Significance and clinical value of the transitional zone volume (TZV) or index (TZI) in assessing the degree of lower urinary tract obstruction: Revisited
Conclusion Estimating the transition zone volume during TRUS is a reasonable way to obtain the required information about the TZI. Calculating the TZI could not be directly correlated with any of the different parameters, making the clinical value of such an index questionable. The observation that the obstructed and the retention groups both had a TZI above 0.5 deserves further research that can help in the classification of patients into obstructed and non-obstructed. (Source: African Journal of Urology)
Source: African Journal of Urology - January 11, 2017 Category: Urology & Nephrology Source Type: research
La lithiase du bas appareil urinaire : Aspects diagnostiques et thérapeutiques à l’Hôpital de la Mère et de l’Enfant (HME) à N’Djamena(Tchad)
Conclusion La lithiase du bas appareil urinaire est fréquente. La chirurgie à ciel ouvert est la seule méthode thérapeutique qui est pratiquée dans notre contexte. Faute d’une recherche étiologique réelle, la prise en charge correcte des lithiases reste limitée. The Objective of this report was to describe the epidemiological, clinical and therapeutic characteristics of lower urinary tract lithiasis in children at the Hôpital de la mère et de l’enfant of N’Djamena (Chad). Patients and methods We conducted a descriptive study on 130 cases of lower urinary tract lithiasis managed within 44 months between Ap...
Source: African Journal of Urology - January 4, 2017 Category: Urology & Nephrology Source Type: research
La calcinose scrotale : une observation au Togo et revue de la littérature
Conclusion la cause de la calcinose scrotale n’est pas encore élucidée et le seul traitement qu’on peut proposer est l’excision large des lésions. Introduction Scrotal calcinosis is a rare idiopathic disease. We report the case of a young patient treated by surgical excision. The aim of our study was to discuss ethiopathogenical and therapeutical aspects of scrotal calcinosis at the light of a review of the literature. Observation it was a patient of 28 years old who consulted for painless nodules of the scrotum lasting for four years. Clinical examination permitted to diagnose scrotal cacinosis. The patient was...
Source: African Journal of Urology - January 3, 2017 Category: Urology & Nephrology Source Type: research
A rare case of synchronous association of chromophobe renal cell carcinoma with urothelial carcinoma of urinary bladder
Conclusion Synchronous association of chromophobe RCC with urothelial carcinoma of urinary bladder has not been reported so far, hence there is no scientific consensus in the management of these lesions. (Source: African Journal of Urology)
Source: African Journal of Urology - January 3, 2017 Category: Urology & Nephrology Source Type: research
Vesicoureteral reflux: A historical perspective
Publication date: Available online 28 December 2016 Source:African Journal of Urology Author(s): K.N. DeCotiis, F.J. Penna, M.A. Koyle, A.A. Caldamone The management of vesicoureteral reflux is a mainstay of pediatric urology. This management however, has evolved considerably throughout the years due to a dynamic understanding of both pathology and the relationship between surgical and medical therapies. The purpose of this article is to provide the reader with a historical perspective on management and delineate how its past has shaped current therapies and guidelines. (Source: African Journal of Urology)
Source: African Journal of Urology - December 28, 2016 Category: Urology & Nephrology Source Type: research
Urethral catheterization:The need for adequate undergraduate exposure
Conclusion Newly recruited interns have poor practical exposure to urethral catheterization. Efforts should be made to improve the quality of supervised training given to medical undergraduates so as to avoid complications that could arise if this procedure is not properly done when they qualify. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research
Living donor kidney transplantation in the hemodialysis-naive and the hemodialysis-exposed: A short term prospective comparative study
Conclusion PLDKT has a lower rate of AGR. Despite it has a higher rate of lymphoceles, it saves the patient the morbidities of vascular access and inconveniences of HD. Hence, PLDKT is recommended as the first choice for each KT-candidate. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research
An unusual presentation of advanced prostate cancer in a 56-year old Nigerian
We report an atypical case of a 56- year old Nigerian male who had bowel obstruction, multiple peripheral and intra-abdominal lymphadenopathies. The patient had a normal initial urological evaluation but his diagnostic conundrum was resolved to be prostate cancer by immuno-histochemistry of the cervical lymph node biopsy and he did well after antiandrogen monotherapy. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research
Retrocaval ureter with vesicoureteric reflux, a very rare entity
Conclusion In a child presenting with retrocaval ureter we should look for associated VUR. The problem is similar to pelviureteric junction obstruction and ipsilateral reflux. The management is to deal with obstruction first, followed by extravesical ureteric reimplanation or subureteric teflon injection for reflux. (Source: African Journal of Urology)
Source: African Journal of Urology - December 25, 2016 Category: Urology & Nephrology Source Type: research
The role of the percentage free PSA in the diagnosis of prostate cancer in Blacks: Findings in indigenous West African men using TRUS guided biopsy
Conclusion The %fPSA is an effective discriminating tool in determining the need for prostate biopsy in indigenous West African men with PSA 4–10ng/ml. A cut off of 15% was associated with the highest performance. (Source: African Journal of Urology)
Source: African Journal of Urology - December 24, 2016 Category: Urology & Nephrology Source Type: research
An atypical cause of retroperitoneal fibrosis: Case report and literature review
Publication date: Available online 24 December 2016 Source:African Journal of Urology Author(s): F. Cassim, S. Sinha, J. Lazarus, M. Locketz Retroperitoneal fibrosis (RPF) is a rare inflammatory disease resulting in the development of a retroperitoneal mass, which may encase the aorta and its branches, as well as the ureters. The systemic inflammatory response causes constitutional symptoms. The mass itself leads to symptoms of non-specific back pain and abdominal pain, as well as ureteric obstruction and subsequent renal insufficiency. Immunoglobulin 4 (IgG4) has recently been found to be involved in the pathogenesi...
Source: African Journal of Urology - December 24, 2016 Category: Urology & Nephrology Source Type: research
Preliminary study of the efficacy of the combination of tamsulosin and trospium as a medical expulsive therapy for distal ureteric stones
Conclusions The combination of 0.4mg tamsulosin and 40mg trospium as MET for single lower ureteral stones <10mm is safe and more effective than 0.4mg tamsulosin as a mono-therapy. (Source: African Journal of Urology)
Source: African Journal of Urology - December 13, 2016 Category: Urology & Nephrology Source Type: research
