Metastatic urothelial carcinoma presenting as acute cholecystitis
We report a case of an 84-year-old male who presented with acute cholecystitis secondary to metastatic urothelial carcinoma (UC). An 84-year-old man presented with right upper quadrant pain and a positive Murphy's sign on the background of known metastatic UC. He was diagnosed with acute cholecystitis and underwent laparoscopic cholecystectomy. His postoperative period was complicated by a cardiac event, and he died 2 days later. Histology of the gallbladder revealed extensive infiltration by nested malignant epithelioid proliferation, consistent with UC. This case demonstrates that although uncommon, UC may met...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Xing Yao Ling Jasmina Kevric Alexandra DuGuesclin Julie Teague Marlon Perera Elizabeth Penington Source Type: research
A case of cavernosal abscess after neglected penile fracture and bacteremia
Lazaros Lazarou, Marinos Berdempes, Titos Markopoulos, Nikolaos Kostakopoulos, Konstantinos Spyropoulos, Iraklis C MitsogiannisUrology Annals 2019 11(3):328-330Penile abscess is a urological entity rarely described in the literature. It has been associated with injection therapy for erectile dysfunction, penile instrumentation, trauma and priapism. Identified risk factors include immunosuppresion and pre-existing local or distant infection. Common causal microorganisms include Staphylococcus aureus, Streptococci and Bacteroides. We herein report on a case of penile abscess in a 37-year-old patient occurring after sexual tr...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Lazaros Lazarou Marinos Berdempes Titos Markopoulos Nikolaos Kostakopoulos Konstantinos Spyropoulos Iraklis C Mitsogiannis Source Type: research
Placenta percreta with bladder invasion: The armamentarium available in its management
Neeraja Tillu, Abhishek Savalia, Sujata Patwardhan, Bhushan PatilUrology Annals 2019 11(3):324-327Placenta percreta is a rare life-threatening condition associated with high morbidity and mortality due to severe obstetric hemorrhage. It can be associated with bladder invasion which leads to hematuria. Treatment is decided on a case-to-case basis, and there have been no guidelines proposed so far. Strategies include obstetric hysterectomy, leaving the placenta in situ with postoperative methotrexate therapy and removal of the placenta with bladder reconstruction in a single stage. An unusual case of a patient with placenta ...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Neeraja Tillu Abhishek Savalia Sujata Patwardhan Bhushan Patil Source Type: research
Self-insertion of an odd urethral foreign body that led to fournier & #39;s gangrene
We present a 54-year-old male who inserted a household pipe to relieve his urine retention. Unfortunately, the FB became stuck inside, perforated the urethra, and required perineal exploration. After it was removed, the urethra was closed over a 16F urethral catheter. The wound was complicated by severe infection and resulting Fournier's gangrene. This required an additional surgery for debridement and urine diversion. Retrospectively, it would have been better if the urethra had been left open with SP tube only. We are sharing a clinical lesson learned by the practicing urologist and surgeons. Conclusively, sel...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Mohamed Mohamed Elawdy Samer El-Halwagy Emad E Mousa Joseph Maliakal Source Type: research
Gangrenous cystitis: An extremely rare infectious condition managed by neobladder & #8211; A case report with review of literature
We present a case of GC postpartum managed by Studer neobladder reconstruction restoring the normal voiding pattern and quality of life. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Ramanitharan Manikandan Ketan Mehra Lalgudi Narayanan Dorairajan Sri Harsha Bokka Source Type: research
Median raphe cyst of the penis: A startling diagnosis for the unaccustomed clinician
Sheena Alphones, Manjiri Phansalkar, Peter ManoharanUrology Annals 2019 11(3):314-316
Penile median raphe cysts are uncommon lesions occurring predominantly in the ventral aspect of the glans penis of young men. In most patients, the cysts, which are asymptomatic or unrecognized during childhood, may progress later and become symptomatic during adolescence or adulthood. A differential diagnosis must be made from other penile skin lesions such as glomus tumors, dermoid cysts, pilonidal cysts, epidermal inclusion cysts, urethral diverticula, and steatocystomas that originate in the genital region. The usual treatment is com...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Sheena Alphones Manjiri Phansalkar Peter Manoharan Source Type: research
Treatment of fragmented and severely encrusted ureteral double-J stent forgotten for 11 years through multimodal endourological methods
Abdülkadir Kandemir, Mehmet Giray SönmezUrology Annals 2019 11(3):310-313
Ureteral catheters are frequently used in urology clinics for intrinsic or extrinsic pathologies which cause ureteral obstruction to provide urinary drainage from the kidney to the bladder. With the increase in stent use, an increase is observed in complications occurring due to ureteral stents in direct proportion with this increase, and ureteral double-J (DJ) stents forgotten in the urinary system are observed commonly in urological cases when the patients do not refer to a health institution in this condition and may cause severe pr...
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Abd ü lkadir Kandemir Mehmet Giray S ö nmez Source Type: research
Utilizing da vinci & #174; surgical system to treat challenging urinary stones
Conclusion: RSS is viable options in the treatment of challenging urologic stone with high success rate and low risk of complication. The need for open stone surgery was eliminated by RSS at our center. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Basmah Al Tinawi Morris Jessop Mohamad W Salkini Source Type: research
Autologous buccal mucosa harvest under local anesthesia: Feasibility, safety, and acceptance for substitution urethroplasty
Conclusion: Buccal mucosa harvest under local anesthesia infiltration is feasible, safe, and acceptable among our patients who had urethroplasty for urethral stricture disease. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Abdulwahab Akanbi Ajape Sulyman Alege Kuranga Mohammed Mustapha Kura Hamid Babajide Olanipekun Source Type: research
Predictive value of the immediate effect of first dose of tamsulosin on lower urinary tract symptoms improvement in benign prostatic hyperplasia patients
Conclusion: The first dose of tamsulosin improves UFM and predicts the mid-term change in UFM as well as IPSS and QoL indices in the treatment of BPH-related LUTS. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Ayman Salah Moussa Rabie M Ibrahim Mahmoud Shoukry ElAdawy Ahmed M Ragheb Ahmad A El-Dessoukey Ahmed M Abdelbary Ahmed Hassan Mohammed Amr Massoud Source Type: research
Microdissection testicular sperm extraction: Overall results and impact of preoperative testosterone level on sperm retrieval rate in patients with nonobstructive azoospermia
Conclusion: Micro-TESE is a successful and safe procedure in NOA patients with a poor prognosis. Preoperative testosterone level has a significant impact in the SRR by micro-TESE. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Shahbaz Mehmood Shima Aldaweesh Noor Nabi Junejo Waleed Mohamed Altaweel Said Abdulghani Kattan Naif Alhathal Source Type: research
Preoperative ureteral stenting prior to ureteroscopy for management of urolithiasis does not impact the postoperative return for unplanned care
Conclusions: In this study, preoperative stenting offered few operative advantages and did not meaningfully influence returns to the ED and readmissions within 90 days after ureteroscopy. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Andrew F Navetta Amr Elmekresh Karen Doersch Trey D Durdin G Luke Machen Adam Cohen Patrick S Lowry Marawan M El Tayeb Source Type: research
Ureteral stricture after ureteroscopy for stones: A prospective study for the incidence and risk factors
Conclusions: In our experience, the incidence of post-URS ureteral stricture is low. The impacted stone is the most common cause of URS complications and hence stricture formation. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Amr E Darwish Mohamed M Gadelmoula Islam F Abdelkawi Atef M Abdellatif Ahmed M Abdel-Moneim Hisham M Hammouda Source Type: research
Changing profiles of patients undergoing transurethral resection of the prostate over a decade: A single-center experience
Conclusions: Medical therapy for BPH patients has resulted in delayed surgical interventions. The complication rates have not increased. Thus, the increased use of medical therapy in BPH patients is justified though TURP may still be considered the gold standard. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Manav Agrawal Manoj Kumar Siddharth Pandey Ajay Aggarwal Satyanarayan Sankhwar Source Type: research
The effect of closure versus nonclosure of lingual mucosa graft harvest site on postoperative morbidity in augmentation urethroplasty: A comparative study
Conclusion: Long-term morbidities of closing or nonclosing the LMG donor site are similar, but in short term, there is less pain, less edema, early recovery of tongue movements in nonclosure groups. (Source: Urology Annals)
Source: Urology Annals - July 14, 2019 Category: Urology & Nephrology Authors: Anil Gulani Sher Singh Yadav Vinay Tomar Shivam Priyadarshi Vivek Kumar Singh Source Type: research
