Clinical Pathology of Bartholin's Glands: A Review of the Literature
The Bartholin's glands are located symmetrically at the posterior region of the vaginal opening and play an important role in the female reproductive system. These two pea-sized glands are involved in mucus secretion and vaginal lubrication. Cyst formation in the glands is common and results from mucus build-up in gland ducts. It is important to monitor such cysts because they may occur in the form of carcinomas. Larger cysts and abscesses are found in the lower vestibular region and typically present with erythema and edema. Biopsy is an effective method for distinguishing between Bartholin's gland cysts and differential ...
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Research Findings on Overactive Bladder
Several physiopathologic conditions lead to the manifestation of overactive bladder (OAB). These conditions include ageing, diabetes mellitus, bladder outlet obstruction, spinal cord injury, stroke and brain injury, Parkinson's disease, multiple sclerosis, interstitial cystitis, stress and depression. This review has discussed research findings in human and animal studies conducted on the above conditions. Several structural and functional changes under these conditions have not only been observed in the lower urinary tract, but also in the brain and spinal cord. Significant changes were observed in the following areas: ne...
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Epididymal Leiomyoadenomatoid Tumor: A Case Report and Review of Literature
Primary tumors of the epididymis are rare. Adenomatoid tumors are benign, usually found within the wall of fallopian tubes or beneath the uterine serosa. They are most frequently diagnosed as benign tumors of the epididymis and represent 30% of paratesticular tumors. The origin of this tumor is mesothelial cells. Leiomyoma are less common in the paratesticular localization. The origin of this tumor is smooth muscle cells. Clinically, these tumors are indistinctive with a painless mass of the scrotum. Here, we reported a case of combined leiomyoadenomatoid tumor. The histogenesis of this lesion remains unknown. This entity ...
Source: Current Urology - January 19, 2015 Category: Urology & Nephrology Source Type: research

A Prospective Randomised Paired Trial of Sirolimus versus Tacrolimus as Primary Immunosuppression following Non-Heart Beating Donor Kidney Transplantation
Conclusions: Graft survival and function were very similar in the two groups despite the higher rate of acute rejection in the sirolimus arm, raising the possibility that the damage done by acute rejection was adequately offset by the nephron-sparing effect of sirolimus compared to tacrolimus. Sirolimus may have a role as a longer-term maintenance immunosuppressant after initial treatment with a different agent such as tacrolimus or belatacept.Curr Urol 2013;7:174-180 (Source: Current Urology)
Source: Current Urology - January 19, 2015 Category: Urology & Nephrology Source Type: research

Malignant Mesothelioma of the Epididymis: A Case Report
We report a case of a 33-year old male with a left hydrocele that presented for evaluation of infertility. Scrotal ultrasound revealed a left extratesticular mass. Final pathology revealed malignant mesothelioma involving the epididymis, with well differentiated epithelioid morphology. Metastatic workup was negative.Curr Urol 2013;7:217-218 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Undescended Testis Presenting as Incarcerated Inguinal Hernia in Adults: A Rare Case and Literature Review
In this report, we described a case of an elderly male with undescended testis associated with a reactive inflammatory mass incarcerated at the superficial inguinal ring. To the best of our knowledge, this has not been previously described.Curr Urol 2013;7:214-216 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Primary Ureteral Lymphoma Presenting with Acute Flank Pain
We report a unique case of NHL arising from the ureteral wall which was visualized via non-contrast CT and direct vision through ureteroscopy.Curr Urol 2013;7:210-213 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Procidentia as a Cause of Obstructive Uropathy and Acute Kidney Injury
Pelvic organ prolapse can affect urinary tract function by reducing flow rates and increasing post void residual urine volumes secondary to outlet obstruction. If the diagnosis is missed or left untreated, pelvic organ prolapse can lead to acute renal injury, chronic renal failure or even end stage renal disease. Herein, we present a case of a patient who presented to Albert Einstein Medical Center in Philadelphia, PA with urinary retention and acute kidney injury secondary to complete uterine prolapse, also referred to as procidentia.Curr Urol 2013;7:207-209 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Perinephric Collection: Hematoma or Duodenal Perforation?
A 74-year-old man presented with a history of collapse and abdominal pain. Initial imaging showed a left sided preirenal collection. The initial working diagnosis was perirenal hematoma secondary to renal trauma. Subsequent patient deterioration led to further imaging which led to the diagnosis of a duodenal perforation with tracking of duodenal contents into the left perirenal space. This important differential should be a consideration in cases of perinephric collections of unknown etiology.Curr Urol 2013;7:204-206 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Retraction-Related Acute Liver Failure after Urological Laparoscopic Surgery
In this report, we discussed various types of retractor-related liver injuries and their management, and highlighted the importance of intermittent release of retraction during prolonged surgery.Curr Urol 2013;7:199-203 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Use of BioPatch® (Protective Disk with Chlorhexidine Gluconate) in Closed-Suction Drainage for Penile Implant Surgery
Conclusion: Although randomized controlled studies looking at drain placement following penile implant surgery are lacking, the addition of BioPatch® and the implementation of surgical techniques as described are potentially helpful in preventing infection following this surgery.Curr Urol 2013;7:191-194 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Diagnostic and Prognostic Significance of Serum and Tissue Galectin 3 Expression in Patients with Carcinoma of the Bladder
Conclusion: The serum Gal-3 level is sensitive and specific for the diagnosis of bladder cancer. The prognostic significance of tissue expression is to be confirmed.Curr Urol 2013;7:185-190 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

The Effect of Bisphosphonates on Bone Mineral Density in Metastatic Prostate Cancer Patients Who Are Treated with Anti-Androgen Drugs and Radiotherapy
Conclusion: Zoledronic acid significantly increases BMD and delays unfavorable outcomes for bones in men who are treated with anti-androgen drugs and radiotherapy for metastatic prostate cancer.Curr Urol 2013;7:181-184 (Source: Current Urology)
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research

Elective Urological Surgery Following Coronary Stent Implantation: To Whom, How To Do It?
Coronary artery disease is one of the most common diseases today and the primary cause of sudden death. The development of atherosclerosis and the incidence of symptomatic heart and vascular diseases increase depending on the average life expectancy in the elderly population. Stent applications in the treatment of coronary artery disease are quite widespread and are a standard procedure. Stent applications are applied to approximately 2 million people in the United States every year. Therefore, there is an increase in the number of patients with stents. This increase is an important and complex situation for patients who a...
Source: Current Urology - November 7, 2014 Category: Urology & Nephrology Source Type: research