Pub Date : 2017-11-11DOI: 10.4172/2168-9857.1000193
F. Cappellano, G. Ciotti, A. Tafuri, C. Munch, S. Bassi, M. Balzarro, A. Porcaro, E. Rubilotta, M. Wiesmayr, Cynthia Obrero, L. Metcalf, L. Mariani, W. Artibani, M. Cerruto
Aim: There is lack of evidence of the role of sacral root neuromodulation (SNM) in the management of chronic pelvic pain syndrome (CPPS). We evaluated the effectiveness of cycling sacral root neuromodulation (CSNM) in the management of CPPS in patients non responders to conservative treatment. Methods: A prospective, single center, cohort study was carried out on all patients with CPPS refractory to conventional treatment, who underwent test stimulation using the tined lead between February 2012 and March 2016. During test stimulation the tine lead was positioned along the third sacral nerve, on the side where they reported more pain. Success was defined as >50% improvement of pain and concurrent urinary symptoms. After a successful SNM test period of 4 weeks, patients received a permanent implant. We also included 9 more patients already with a permanent implant and partial responders to continuous mode in neuromodulator programming. To assess pain and quality of life, all patients filled-in a VAS scale and SF-36 and McGill questionnaires, at baseline, after the 4-week test period ad after the permanent implant. Results: Overall 22 consecutive adult patients were suitable to undergo a cycling test stimulation; 19 out of them (86.3%) underwent a permanent implant after a satisfactory test phase, using a codified cycling mode of programming. Eighteen naive patients out of nineteen (94.7%) maintained the benefits of the test stimulation at a mean follow up of 21.3 months. VAS scale, McGill and SF-36 questionnaires scores improved significantly in all domains with a 95% satisfaction rate; 7 out of the 9 already implanted patients (77.7%) significantly improved their pain control. Conclusion: CSRN appears to be effectiveness in treating CPPS in both naive and previous implanted partial responder patients.
{"title":"Cycling Sacral Root Neuromodulation: Pilot Study to Assess the Effectiveness of This Mode in Neuromodulator Programming for the Treatment of Chronic Pelvic Pain Syndrome","authors":"F. Cappellano, G. Ciotti, A. Tafuri, C. Munch, S. Bassi, M. Balzarro, A. Porcaro, E. Rubilotta, M. Wiesmayr, Cynthia Obrero, L. Metcalf, L. Mariani, W. Artibani, M. Cerruto","doi":"10.4172/2168-9857.1000193","DOIUrl":"https://doi.org/10.4172/2168-9857.1000193","url":null,"abstract":"Aim: There is lack of evidence of the role of sacral root neuromodulation (SNM) in the management of chronic pelvic pain syndrome (CPPS). We evaluated the effectiveness of cycling sacral root neuromodulation (CSNM) in the management of CPPS in patients non responders to conservative treatment. \u0000Methods: A prospective, single center, cohort study was carried out on all patients with CPPS refractory to conventional treatment, who underwent test stimulation using the tined lead between February 2012 and March 2016. During test stimulation the tine lead was positioned along the third sacral nerve, on the side where they reported more pain. Success was defined as >50% improvement of pain and concurrent urinary symptoms. After a successful SNM test period of 4 weeks, patients received a permanent implant. We also included 9 more patients already with a permanent implant and partial responders to continuous mode in neuromodulator programming. To assess pain and quality of life, all patients filled-in a VAS scale and SF-36 and McGill questionnaires, at baseline, after the 4-week test period ad after the permanent implant. \u0000Results: Overall 22 consecutive adult patients were suitable to undergo a cycling test stimulation; 19 out of them (86.3%) underwent a permanent implant after a satisfactory test phase, using a codified cycling mode of programming. Eighteen naive patients out of nineteen (94.7%) maintained the benefits of the test stimulation at a mean follow up of 21.3 months. VAS scale, McGill and SF-36 questionnaires scores improved significantly in all domains with a 95% satisfaction rate; 7 out of the 9 already implanted patients (77.7%) significantly improved their pain control. \u0000Conclusion: CSRN appears to be effectiveness in treating CPPS in both naive and previous implanted partial responder patients.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"9 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74424149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-20DOI: 10.4172/2168-9857.1000192
J. Vanderhulst
Sarcoidosis is a chronic granulomatous disease than most commonly affects the lungs, but concomitant -or exceptionally isolated- extrapulmonary involvement is frequent. Urologic symptoms may occur in a patient known with sarcoidosis or may reveal the disease. The present review illustrates the protean nature of the disease, which can manifest with any of the common urologic symptoms and can be mistaken for other conditions such as infection and cancer. An insight into diagnostic and therapeutic management is also proposed. We hope to increase awareness about urologic manifestations of sarcoidosis in order to help the clinicians avoiding misdiagnosis, which could expose the patients to unnecessary medications or surgical procedures, progressive disease, recurrence and long-term sequelae.
{"title":"Urologic and Urinary Manifestations of Sarcoidosis","authors":"J. Vanderhulst","doi":"10.4172/2168-9857.1000192","DOIUrl":"https://doi.org/10.4172/2168-9857.1000192","url":null,"abstract":"Sarcoidosis is a chronic granulomatous disease than most commonly affects the lungs, but concomitant -or exceptionally isolated- extrapulmonary involvement is frequent. Urologic symptoms may occur in a patient known with sarcoidosis or may reveal the disease. \u0000 \u0000The present review illustrates the protean nature of the disease, which can manifest with any of the common urologic symptoms and can be mistaken for other conditions such as infection and cancer. An insight into diagnostic and therapeutic management is also proposed. \u0000 \u0000We hope to increase awareness about urologic manifestations of sarcoidosis in order to help the clinicians avoiding misdiagnosis, which could expose the patients to unnecessary medications or surgical procedures, progressive disease, recurrence and long-term sequelae.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"109 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78087022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-16DOI: 10.4172/2168-9857.1000191
F. Ahmed
Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.
{"title":"Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia","authors":"F. Ahmed","doi":"10.4172/2168-9857.1000191","DOIUrl":"https://doi.org/10.4172/2168-9857.1000191","url":null,"abstract":"Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"1 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85659862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-30DOI: 10.4172/2168-9857.1000190
B. PraveenSundar, Appu Thomas
Milk of Calcium (MOC) refers to a colloidal suspension of calcium salts. The occurrence is rare and it has been reported to occur most commonly in pyelocalyceal diverticula of Kidneys. Cases of MOC in gall bladder and breast has also been reported. MOC has distinct features on X-Ray, Ultrasonography and Computed Tomogram (CT). The MOC cysts of kidneys are frequently mistaken for renal stones on X-rays and could arise suspicion of a complex renal cyst on CT. In this report, we describe the endoscopic management (Flexible Ureteroscopy with laser) of a case of MOC in a pyelocalyceal diverticulum, presenting with loin pain, with its review of literature.
{"title":"Milk of Calcium in a Pyelocalyceal Diverticula-Endoscopic Management and Review of Literature","authors":"B. PraveenSundar, Appu Thomas","doi":"10.4172/2168-9857.1000190","DOIUrl":"https://doi.org/10.4172/2168-9857.1000190","url":null,"abstract":"Milk of Calcium (MOC) refers to a colloidal suspension of calcium salts. The occurrence is rare and it has been reported to occur most commonly in pyelocalyceal diverticula of Kidneys. Cases of MOC in gall bladder and breast has also been reported. MOC has distinct features on X-Ray, Ultrasonography and Computed Tomogram (CT). The MOC cysts of kidneys are frequently mistaken for renal stones on X-rays and could arise suspicion of a complex renal cyst on CT. In this report, we describe the endoscopic management (Flexible Ureteroscopy with laser) of a case of MOC in a pyelocalyceal diverticulum, presenting with loin pain, with its review of literature.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"12 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73358887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2168-9857.1000189
Naresh Kumar Valecha, Fariborz Bagheri, S. A. Hassani, A. A. Sadi, R. Souliman
Objective: To evaluate the risk factors and management of patients developed delayed haematuria after Percutaneous nephrolithotripsy (PCNL). Methods: Data taken from 75 patients, who underwent PCNL procedures between January 2013 to June 2017. Among them 53 were male, 22 were female. Five patients presented with delayed haematuria. They were hospitalized and initially managed conservatively by bed rest and conservative treatment. Diagnostic imaging with ultrasound and non-contrast abdominal CT and serial follow up with blood tests were carried on. Angiography was performed, if indicated, to evaluate and treat possible vascular injury. All affected patients had risk factors for haematuria. Out of five, four patient had angiography, in two patients it confirm vascular injury and treated accordingly, while two were normal and one refuse for angiography. Conclusion: Delayed hematuria is one of rare and serious outcome of PCNL, but can be safely managed without serious consequences. Mostly it is secondary to vascular complication e.g., pseudo aneurysms. Presence of risk factors increases chance of haematuria. Conservative treatment is effective. In responders angiography; and embolization can be done, whenever indicated.
{"title":"Delayed Haematuria after Percutaneous Nephrolithotripsy and its Management","authors":"Naresh Kumar Valecha, Fariborz Bagheri, S. A. Hassani, A. A. Sadi, R. Souliman","doi":"10.4172/2168-9857.1000189","DOIUrl":"https://doi.org/10.4172/2168-9857.1000189","url":null,"abstract":"Objective: To evaluate the risk factors and management of patients developed delayed haematuria after Percutaneous nephrolithotripsy (PCNL). \u0000Methods: Data taken from 75 patients, who underwent PCNL procedures between January 2013 to June 2017. Among them 53 were male, 22 were female. Five patients presented with delayed haematuria. They were hospitalized and initially managed conservatively by bed rest and conservative treatment. Diagnostic imaging with ultrasound and non-contrast abdominal CT and serial follow up with blood tests were carried on. Angiography was performed, if indicated, to evaluate and treat possible vascular injury. All affected patients had risk factors for haematuria. Out of five, four patient had angiography, in two patients it confirm vascular injury and treated accordingly, while two were normal and one refuse for angiography. \u0000Conclusion: Delayed hematuria is one of rare and serious outcome of PCNL, but can be safely managed without serious consequences. Mostly it is secondary to vascular complication e.g., pseudo aneurysms. Presence of risk factors increases chance of haematuria. Conservative treatment is effective. In responders angiography; and embolization can be done, whenever indicated.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"150 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75781261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-30DOI: 10.4172/2168-9857.1000188
Vaite Tsing, J. Ng, M. Wullschleger
Background: Bladder and urethral injuries associated with pelvic fractures are uncommon and are missed at initial assessment in up to 23% of cases. Missed lower urinary tract injuries have a significant impact on patient morbidity, if not identified early. This study aims to associate mechanisms of traumatic pelvic ring fractures with bladder and/or urethral injuries to determine factors that may increase odds of injury. Methods: In a retrospective cohort study, all patients 13 years and older admitted to Gold Coast Health Service from 2010 to 2016 with traumatic pelvic injuries and lower urinary tract injuries were identified. Mechanism of injury and types of pelvic fractures were evaluated and clinical symptoms and treatment analysed. Results: 333 patients with pelvic fractures were identified: seven sustained urethral injuries, three bladder injuries and one with both. Common mechanisms included crush injuries (40%) with a statistical significant correlation (p=0.47), falls from height (30%) and road traffic accidents (30%). Associated types of pelvic fractures comprised of lateral compression (40%), anterior-posterior compression (40%) and vertical shear (20%). Conclusion: As identified in this retrospective study, concomitant lower urinary tract injuries and pelvic fractures are rare. Although a significant correlation with types of pelvic fracture could not be determined, there is a clear association with high-energy trauma. Therefore, it is important to actively look for and exclude bladder and urethral injuries in this patient group. Further research with a larger prospective study could provide a greater insight into correlations.
{"title":"Risk Factors Associated with Lower Urinary Tract Injuries in Traumatic Pelvic Fractures","authors":"Vaite Tsing, J. Ng, M. Wullschleger","doi":"10.4172/2168-9857.1000188","DOIUrl":"https://doi.org/10.4172/2168-9857.1000188","url":null,"abstract":"Background: Bladder and urethral injuries associated with pelvic fractures are uncommon and are missed at \u0000 initial assessment in up to 23% of cases. Missed lower urinary tract injuries have a significant impact on patient \u0000 morbidity, if not identified early. This study aims to associate mechanisms of traumatic pelvic ring fractures with \u0000 bladder and/or urethral injuries to determine factors that may increase odds of injury. \u0000Methods: In a retrospective cohort study, all patients 13 years and older admitted to Gold Coast Health Service \u0000 from 2010 to 2016 with traumatic pelvic injuries and lower urinary tract injuries were identified. Mechanism of injury \u0000 and types of pelvic fractures were evaluated and clinical symptoms and treatment analysed. \u0000Results: 333 patients with pelvic fractures were identified: seven sustained urethral injuries, three bladder injuries \u0000 and one with both. Common mechanisms included crush injuries (40%) with a statistical significant correlation \u0000 (p=0.47), falls from height (30%) and road traffic accidents (30%). Associated types of pelvic fractures comprised of \u0000 lateral compression (40%), anterior-posterior compression (40%) and vertical shear (20%). \u0000Conclusion: As identified in this retrospective study, concomitant lower urinary tract injuries and pelvic fractures \u0000 are rare. Although a significant correlation with types of pelvic fracture could not be determined, there is a clear \u0000 association with high-energy trauma. Therefore, it is important to actively look for and exclude bladder and urethral \u0000 injuries in this patient group. Further research with a larger prospective study could provide a greater insight into \u0000 correlations.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"17 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83251701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-20DOI: 10.4172/2168-9857.1000187
R. Nerli, V. Kadeli, S. Ghagane, Neeraj S. Dixit, M. Hiremath
Bladder calculi in adults are common and occur as a result of bladder outlet obstruction. Though most of them are composed of calcium, in a few cases the stones may be composed of uric acid.We report on a 72 year old male who presented himself for a health check-up and incidentally was diagnosed to have multiple bladder calculi (85), the largest being 25 mm. Despite the large stone burden, the patient was managed by percutaneous cystolithotripsy. The composition of the stones was uric acid. The patient had a smooth post-operative period.
{"title":"Asymptomatic Multiple Bladder Stones Treated by Percutaneous Cystolitholapaxy","authors":"R. Nerli, V. Kadeli, S. Ghagane, Neeraj S. Dixit, M. Hiremath","doi":"10.4172/2168-9857.1000187","DOIUrl":"https://doi.org/10.4172/2168-9857.1000187","url":null,"abstract":"Bladder calculi in adults are common and occur as a result of bladder outlet obstruction. Though most of them are \u0000 composed of calcium, in a few cases the stones may be composed of uric acid.We report on a 72 year old male who \u0000 presented himself for a health check-up and incidentally was diagnosed to have multiple bladder calculi (85), the \u0000 largest being 25 mm. Despite the large stone burden, the patient was managed by percutaneous cystolithotripsy. \u0000 The composition of the stones was uric acid. The patient had a smooth post-operative period.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80101193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-06-02DOI: 10.4172/2168-9857.1000186
V. Ilie, V. Ilie
Background: The aim of the study is to comprehensively report on a single tertiary referral centre experience with the use of ureteric stents, assess complication burden and determine risk factors to further inform institutional practice. Materials and methods: The retrospectively analysed cohorts include 529 patients treated over a 12 months period. Data regarding details of the index pathology, stent characteristics and complications were collected retrospectively. Results: Most stents (58.9%) were used in the context of stone surgery. Stent encrustation occurred in 14.5% of patients and sepsis in 4.3%. There was a statistically significant difference be-tween the complications of the stents removed after 90 days (76.3% of encrustations, 26.8% positive urine cultures) and the rest of the cohort. Overall, 7.6% of patients re-presented to the emergency department due to stent related complications (pain, haematuria, sepsis) and 2.4% required early stent removal. At our institution, we managed to avoid forgotten stents and catastrophic complications. Conclusions: Stent complications are the complex outcome of interplay between the foreign body and the collecting system environment, influenced by the nature and timing of surgery. Longer stent dwelling times are associated with increased complications rates. Planning definitive management and stent extraction needs to take into account the statistically significant differences between the subgroups with significant co-morbidities.
{"title":"Part of the Solution and Part of the Problem-Report on the Ureteric Stent Use in a Tertiary Referral Center in Australia","authors":"V. Ilie, V. Ilie","doi":"10.4172/2168-9857.1000186","DOIUrl":"https://doi.org/10.4172/2168-9857.1000186","url":null,"abstract":"Background: The aim of the study is to comprehensively report on a single tertiary referral centre experience with the use of ureteric stents, assess complication burden and determine risk factors to further inform institutional practice. Materials and methods: The retrospectively analysed cohorts include 529 patients treated over a 12 months period. Data regarding details of the index pathology, stent characteristics and complications were collected retrospectively. Results: Most stents (58.9%) were used in the context of stone surgery. Stent encrustation occurred in 14.5% of patients and sepsis in 4.3%. There was a statistically significant difference be-tween the complications of the stents removed after 90 days (76.3% of encrustations, 26.8% positive urine cultures) and the rest of the cohort. Overall, 7.6% of patients re-presented to the emergency department due to stent related complications (pain, haematuria, sepsis) and 2.4% required early stent removal. At our institution, we managed to avoid forgotten stents and catastrophic complications. Conclusions: Stent complications are the complex outcome of interplay between the foreign body and the collecting system environment, influenced by the nature and timing of surgery. Longer stent dwelling times are associated with increased complications rates. Planning definitive management and stent extraction needs to take into account the statistically significant differences between the subgroups with significant co-morbidities.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74066527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-25DOI: 10.4172/2168-9857.1000185
Georges Joshue AD, Michael Ap, M. D., Ines Dodji YM, Gilles N, Jean S, Detondji Fh, Fouad S, Prince Pascal H, Marie Therese AKPO
Scrotal calcinosis is a rare benign condition defined as the presence of several calcified nodules within the scrotal skin. Its pathogenesis remains largely unknown. We hereby report a case of massive scrotal calcinosis which progressively developed for 12 years with a 57-year old patient with no evidence of calcium and phosphorus metabolic disorder. It was a fortuitous finding during a consultation for complete urine retention. We shall discuss the pathological anatomy and therapeutic aspects.
{"title":"Massive Scrotal Calcinosis: Case Report","authors":"Georges Joshue AD, Michael Ap, M. D., Ines Dodji YM, Gilles N, Jean S, Detondji Fh, Fouad S, Prince Pascal H, Marie Therese AKPO","doi":"10.4172/2168-9857.1000185","DOIUrl":"https://doi.org/10.4172/2168-9857.1000185","url":null,"abstract":"Scrotal calcinosis is a rare benign condition defined as the presence of several calcified nodules within the scrotal skin. Its pathogenesis remains largely unknown. We hereby report a case of massive scrotal calcinosis which progressively developed for 12 years with a 57-year old patient with no evidence of calcium and phosphorus metabolic disorder. It was a fortuitous finding during a consultation for complete urine retention. We shall discuss the pathological anatomy and therapeutic aspects.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"36 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90914525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-29DOI: 10.4172/2168-9857.1000184
Adegun Patrick Temi, Olaogun Julius Gbenga
Background: Prostate biopsy is the standard procedure to detect prostate cancer. Opinion is still divided if voiding disorders are part of the major complications worthy of attention. We investigated the prevalence of Lower Urinary Tract Symptoms [LUTS] in men that underwent Finger-Guided Prostate Needle Biopsy [FGPNB] in Nigeria. Materials and Methods: The study included 79 patients that underwent transrectal FGPNB used in the diagnosis of prostate cancer. The indications for the prostate biopsy were abnormal digital rectal examination and/or an elevated total serum prostate specific antigen (PSA) level (≥ 10 ng/mL). The participants received prophylactic infusion of 100 mls of 200 mg ciprofloxacin 30 minutes to one hour before the biopsy. Peri-anal nerve block through local infiltration of lignocaine with adrenaline was used as anaesthesia. Results: Age range was 42-98 years with mean age of 67.4 ± 11.2 years. Cancer detection rate was 67.1%. Prevalence of moderate LUTS pre-biopsy was 36.7%; one week after biopsy was 40.5%. Prevalence of 51.9% and 53.2% was recorded a month and three months post biopsy respectively. Moderate severity of LUTS was most prevalent in the first and third month post-biopsy. Conclusion: There was a progressive worsening of moderate symptomatology post biopsy in Nigerian men who had prostate biopsy.
{"title":"Prevalence of Voiding Dysfunction After Finger-Guided Prostate Needle Biopsy in Nigerian Men","authors":"Adegun Patrick Temi, Olaogun Julius Gbenga","doi":"10.4172/2168-9857.1000184","DOIUrl":"https://doi.org/10.4172/2168-9857.1000184","url":null,"abstract":"Background: Prostate biopsy is the standard procedure to detect prostate cancer. Opinion is still divided if voiding disorders are part of the major complications worthy of attention. We investigated the prevalence of Lower Urinary Tract Symptoms [LUTS] in men that underwent Finger-Guided Prostate Needle Biopsy [FGPNB] in Nigeria. Materials and Methods: The study included 79 patients that underwent transrectal FGPNB used in the diagnosis of prostate cancer. The indications for the prostate biopsy were abnormal digital rectal examination and/or an elevated total serum prostate specific antigen (PSA) level (≥ 10 ng/mL). The participants received prophylactic infusion of 100 mls of 200 mg ciprofloxacin 30 minutes to one hour before the biopsy. Peri-anal nerve block through local infiltration of lignocaine with adrenaline was used as anaesthesia. Results: Age range was 42-98 years with mean age of 67.4 ± 11.2 years. Cancer detection rate was 67.1%. Prevalence of moderate LUTS pre-biopsy was 36.7%; one week after biopsy was 40.5%. Prevalence of 51.9% and 53.2% was recorded a month and three months post biopsy respectively. Moderate severity of LUTS was most prevalent in the first and third month post-biopsy. Conclusion: There was a progressive worsening of moderate symptomatology post biopsy in Nigerian men who had prostate biopsy.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"48 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88501369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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