Study of ureteral and renal morphometry on the outcome of ureterorenoscopic lithotripsy: The critical role of maximum ureteral wall thickness at the site of ureteral stone impaction
Conclusion: Ureteral wall thickness of >4.8 mm is associated with prolonged duration of surgery and lower SFR. Patients with ureteral wall thickness of >4.8 mm at the site of ureteral stone who are planned for URSL must be counseled about the higher chances of residual stones and the need for additional procedure. (Source: Urology Annals)
Source: Urology Annals - July 16, 2020 Category: Urology & Nephrology Authors: Amit Kumar Mishra Santosh Kumar Lalgudi Narayan Dorairajan Ramanitharan Manikandan G Ramkumar KS Sreerag Jayesh Kumar Mittal Source Type: research
Novel imaging in prostate cancer
Orestis Porfyris, Abdulrahman Al-Awon, Evangelos Liatsikos, Panagiotis KallidonisUrology Annals 2020 12(3):205-211
Imaging of prostate cancer (Pca) presents many challenges as imaging tools aim to improve cancer detection, assessment in biochemical relapse, and disease progression in advanced metastatic stages. Current imaging modalities have strengths but also weaknesses, such as the lack of ability to diagnose micrometastases, to differentiate significant from nonsignificant cancer, and to diagnose advanced disease at low prostate-specific antigen values. Some of the modalities appear promising in increasing the sensiti...
Source: Urology Annals - July 16, 2020 Category: Urology & Nephrology Authors: Orestis Porfyris Abdulrahman Al-Awon Evangelos Liatsikos Panagiotis Kallidonis Source Type: research
Erratum: Prevalence and characterization of urolithiasis in the Western region of Saudi Arabia
Urology Annals 2020 12(2):203-203 (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Source Type: research
Pure cutaneous paratesticular leiomyosarcoma of the scrotum: A rare case report
We report a case of pure scrotal cutaneous LMS in a 45-year-old patient. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Vipul D Yagnik Sushil Dawka Bhargav Yagnik Arun K Agnihotri Smriti Agnihotri Source Type: research
Combination of urolithiasis and anomaly: Bifid ureter with fusion in the intramural part
Vladimir Vladimirovich Protoshchak, Nikolay Yurievich Iglovikov, Maksim Vladimirovich ShevninUrology Annals 2020 12(2):196-198Kidney and upper urinary tract anomalies account for 23% of all birth defects. Partial duplication is slightly more prevalent than complete, 70% and 30%, respectively. A very low fusion of ureters, i.e., in the intramural part, is a rarer case. As a result, the joint section is very short (<1 cm) and may be invisible for radiological diagnosis. This case shows a rare variation of incomplete bifid ureter coupled with urolithiasis, which should be taken into...
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Vladimir Vladimirovich Protoshchak Nikolay Yurievich Iglovikov Maksim Vladimirovich Shevnin Source Type: research
Renal sinus angiomyolipoma: A rare case
Abhimanyu Gupta, Shivam Priyadarshi, Nachiket VyasUrology Annals 2020 12(2):193-195Angiomyolipoma (AML) consists of <10% of all renal tumors and is the most common benign mesenchymal neoplasm of the kidney. It arises from the renal cortex and extends toward perirenal fat. Fat-poor AML as well as those arising from rare locations may pose diagnostic difficulties. In our case, we report a rare presentation of this tumor arising from the renal sinus extending toward the pelvis thereby leading to an alternative diagnosis of transitional cell carcinoma of renal pelvis. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Abhimanyu Gupta Shivam Priyadarshi Nachiket Vyas Source Type: research
Case report of a rare urinary bladder tumor variant (carcinosarcoma)
Hatem Hamed Althubiany, Rami Mohammad Hasan, Saeed Abdullah Alzahrani, Salem BahdilhUrology Annals 2020 12(2):190-192Carcinosarcoma of the bladder is a rare and aggressive variant of bladder tumor. The causes are not clear for this bladder tumor variant. Early diagnosis with immediate surgical resection is the most accepted management as reported so far in the literature, but the optimal management is unknown to date. Here, we report a case of a 62-year-old woman with bladder carcinosarcoma who presented with macroscopic hematuria. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Hatem Hamed Althubiany Rami Mohammad Hasan Saeed Abdullah Alzahrani Salem Bahdilh Source Type: research
Multifocal nephrogenic adenoma treated by intravesical sodium hyaluronate
We present the first case of an adult successfully treated with intravesical sodium hyaluronate without resection. A 77-year-old man was investigated with cystoscopy for lower urinary tract symptoms (LUTS) unresponsive to medical therapy. This revealed multifocal flat black bladder lesions. Biopsy showed the lesions to be nephrogenic adenoma. His LUTS were treated with 6 weeks of intravesical sodium hyaluronate. He returned 6 weeks later for resection of his bladder lesions. However, resection was abandoned as the bladder lesions had entirely resolved. The resolution of the bladder lesions following intravesical sodium hya...
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Nicola Santoni Lorna Cottrell Jennifer Elizabeth Talia Jones Holly Jane Bekarma Source Type: research
Giant pancreatic mucinous cystadenoma masquerading as renal hydatid disease
In conclusion, imaging can be unreliable in differentiating benign renal cysts from tumors of adjacent organs, raising a diagnostic dilemma. Surgical excision only would be able to differentiate the conditions as in our case. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Shanmugasundaram Rajaian Ashwin Shekar Paulraj Lakshman Murugesan Premanand Sengottaiyan Source Type: research
A testosterone-producing Leydig cell tumor metastasis during hormonal treatment of prostate cancer
We describe a patient with a testosterone-producing metastasis discovered during the follow-up of prostate cancer. The patient had a history of a Leydig cell tumor (LCT) in the right testicle for which he underwent radical orchiectomy at the age of 60 years. Within a year after orchiectomy, he was diagnosed with prostate cancer. He received a radical prostatectomy with pelvic lymph node dissection. Due to recurrent prostate cancer, he underwent salvage radiation to the prostatic fossa and pelvic lymph node stations with hormonal treatment for 3 years. After approximately 1.5 years of chemical castration, a significant incr...
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Laura Stokkel Henk G van der Poel Sigrun I Langbein J Martijn Kerst Jeroen de Jong Bas W. G van Rhijn Source Type: research
The use of gracilis muscle flap as a cover of tabularized buccal mucosal graft in the posterior urethral injury
We describe the use of gracilis muscle flap as support and cover for buccal mucosal graft which has been used for the repair of the posterior urethral injury. On removal of Foley's catheter after 3 weeks of the surgery, there was no leakage of urine from the perineal wound, and the patient was continent. The highly vascularized muscle flap is beneficial in patients with a poor graft bed secondary to prior radiotherapy, avoiding urinary diversion in most patients. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Sandesh Vithal Parab Gaurav Goyal Sudarshan Jadhav Hemant Pathak Mukund Andankar Chetan Gadekar Source Type: research
Metastatic prostate cancer to an ischiorectal fossa lymph node identified on multiparametric magnetic resonance imaging
We report the case of a 72-year-old Caucasian male with elevated serum prostate-specific antigen and biopsy-confirmed high-risk prostate cancer who underwent multiparametric magnetic resonance imaging (MRI) for staging and treatment planning. The imaging revealed suspicious lymph nodes in the left ischiorectal and right obturator fossae that were biopsy confirmed as metastatic prostate adenocarcinoma. Herein, we present the divergence from the well-established lymphatic drainage of prostate cancer and the role of MRI in detecting this prostate cancer site of spread. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Andrew M Fang Samuel J Galgano Jennifer B Gordetsky Sunil Sudarshan Andrew M McDonald Soroush Rais-Bahrami Source Type: research
Sporadic giant renal angiomyolipoma: A case report and literature review of clinical presentation, diagnosis, and treatment options
Mohammed Alshehri, Basel Hakami, Nasser Aljameel, Mohammad Alayyaf, Ali Abdel RaheemUrology Annals 2020 12(2):167-171Giant angiomyolipoma (AML) is uncommon benign renal neoplasm that occurs sporadic or in association with tuberous sclerosis syndrome. There is no specific cutoff tumor size and/or weight to define giant AMLs. Ovarian stimulation hormones might cause a marked increase in its size and subsequent bleeding risk. Incidental findings are not common in those patients as mass-associated symptoms always present. Computed tomography scan is the standard diagnostic imaging study except for tumors with poor fat content....
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Mohammed Alshehri Basel Hakami Nasser Aljameel Mohammad Alayyaf Ali Abdel Raheem Source Type: research
The outcomes of renal cell carcinoma in a single tertiary care facility in Saudi Arabia
Conclusions: Our results revealed a notable discrepancy in the 5-year OS and the 5-year DFS as compared to studies in the literature. However, our study was limited to a single center and the majority of our patients were diagnosed at a rather early stage. With the rising number of RCC cases worldwide and in Saudi, this further necessitates extensive disease surveillance for trends in all parameters. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Lujain Alqurashi Marwan Al-Hajeili Ehab Alsayyed Budoor Salman Hibatallah Mashat Rana Bokhary Source Type: research
Renal salvage, an achievable goal in patients with emphysematous pyelonephritis: Outcomes of an algorithmic renal preserving strategy
Conclusion: Our hospital-based algorithmic renal preserving strategy not only improved the survival but also decreased the need for nephrectomy. (Source: Urology Annals)
Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Rajeshkumar Reddy Adapala Ranjit Shetty P Venugopal G G. L. Prabhu Durgarao Yalla B Unnikrishnan Source Type: research
