Pub Date : 2017-03-10DOI: 10.4172/2168-9857.1000183
Nicholas Elliott, Crystal Farrell, B. Lane
This case report describes the presentation and management of an extremely large, dedifferentiated primary retroperitoneal liposarcoma. We discuss the diagnostic and surgical challenges due to massive tumor size and dedifferentiated tissue characteristics. Radiologic and pathologic features are reviewed to promote awareness and understanding of Dedifferentiated Liposarcoma (DL).
{"title":"A Case Demonstrating the Diagnostic and Surgical Difficulties of a Primary Dedifferentiated Retroperitoneal Liposarcoma","authors":"Nicholas Elliott, Crystal Farrell, B. Lane","doi":"10.4172/2168-9857.1000183","DOIUrl":"https://doi.org/10.4172/2168-9857.1000183","url":null,"abstract":"This case report describes the presentation and management of an extremely large, dedifferentiated primary retroperitoneal liposarcoma. We discuss the diagnostic and surgical challenges due to massive tumor size and dedifferentiated tissue characteristics. Radiologic and pathologic features are reviewed to promote awareness and understanding of Dedifferentiated Liposarcoma (DL).","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"3 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2168-9857.1000183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72502157","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 : 2017-02-16DOI: 10.4172/2168-9857.1000181
M. Hunter
Inevitably, severe brain injuries occur each year. The most common cause is falls, which have become increasingly common as a source of severe traumatic brain injury. According to a Canadian report, falls account for approximately 40% of both overall trauma and injury-related deaths. According to statistics, there are additional brain injuries that can increase the risk of desaturation associated with intubation. The purpose of this study is to propose new and fast regulations that can be used or implemented by the First Response Team (FRT) in the prehospital setting. The amount of ER patients with head trauma or TBI and the results of aftercare have shown a gap that can be reduced with the percentage of brain damage after initial service from the FRT, even with ventilated patients, by carefully monitoring end-tidal CO2 and preventing hyperventilation. In conclusion, It is important for the FRT to have proper training and the ability to work quickly and efficiently along with conducting proper airway management for preventing hypoxia as a priority in a pre-hospital setting (in response to a patient who has suffered TBI). There are no prospective controlled trials being conducted to address the efficacy of paramedic FRTs for patients suffering from severe TBI. The significant evidence shown regarding the increased risks of brain injury to patients being treated in pre-hospital settings should be a concern and a cause for further research.
{"title":"Insight on Secondary Brain Injuries from Paramedic Treatment that are 4-Times Likely to Occur Prior to Pre-Hospital Treatment and ER Submissions","authors":"M. Hunter","doi":"10.4172/2168-9857.1000181","DOIUrl":"https://doi.org/10.4172/2168-9857.1000181","url":null,"abstract":"Inevitably, severe brain injuries occur each year. The most common cause is falls, which have become increasingly common as a source of severe traumatic brain injury. According to a Canadian report, falls account for approximately 40% of both overall trauma and injury-related deaths. According to statistics, there are additional brain injuries that can increase the risk of desaturation associated with intubation. The purpose of this study is to propose new and fast regulations that can be used or implemented by the First Response Team (FRT) in the prehospital setting. The amount of ER patients with head trauma or TBI and the results of aftercare have shown a gap that can be reduced with the percentage of brain damage after initial service from the FRT, even with ventilated patients, by carefully monitoring end-tidal CO2 and preventing hyperventilation. In conclusion, It is important for the FRT to have proper training and the ability to work quickly and efficiently along with conducting proper airway management for preventing hypoxia as a priority in a pre-hospital setting (in response to a patient who has suffered TBI). \u0000There are no prospective controlled trials being conducted to address the efficacy of paramedic FRTs for patients suffering from severe TBI. The significant evidence shown regarding the increased risks of brain injury to patients being treated in pre-hospital settings should be a concern and a cause for further research.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"15 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73431863","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 : 2017-02-14DOI: 10.4172/2168-9857.1000180
I. Papazoglou, I. Varkarakis, M. Chrisofos, V. Panaretou, I. Kastriotis, A. Rempelakos, C. Deliveliotis
Objective: This study evaluated the efficacy of hexaminolevulinate fluorescence cystoscopy as a diagnostic tool for bladder cancer. The study was a case series in the Department of Urology in Hippokratio General Hospital of Athens between October 2008 and May 2012. Methods: Fifty patients (43 males and 7 females) who were investigated for hematuria were included in the study. White light cystoscopy (WLC) was first performed in all patients and after was performed a fluorescence cystoscopy (BLC-blue light cystoscopy). Biopsies were collected from any suspicious area and resection of the tumors identified (TUR).Whenever no suspicious areas could be seen, a standard random mapping including 8 biopsies overall was completed. Results: Patients demographic data and clinical history are presented in Table 1. Two-hundred twenty specimens were extracted and bladder cancer was diagnosed in 137. There were 17 CIS lesions all diagnosed with BLC whereas only 11 with WLC. WLC correctly diagnosed 109/140 specimens and the positive and negative predictive values were 77.9% and 65% respectively. The sensitivity and specificity were 79.6% and 62.6% respectively. BLC diagnosed 125/169 specimens and the positive and negative predictive values were 73.9% and 76.5% respectively. The sensitivity of BLC was 91.2% and the specificity 46.9%. Conclusion: Hexaminolevulinate-guided cystoscopy is a valuable diagnostic method, with considerably improved accuracy and improvement in diagnosis of non-muscle-invasive bladder cancer and especially CIS.
{"title":"Efficacy of Hexaminolevulinate Photodynamic Diagnosis of Non-Muscle Invasive Bladder Cancer","authors":"I. Papazoglou, I. Varkarakis, M. Chrisofos, V. Panaretou, I. Kastriotis, A. Rempelakos, C. Deliveliotis","doi":"10.4172/2168-9857.1000180","DOIUrl":"https://doi.org/10.4172/2168-9857.1000180","url":null,"abstract":"Objective: This study evaluated the efficacy of hexaminolevulinate fluorescence cystoscopy as a diagnostic tool for bladder cancer. The study was a case series in the Department of Urology in Hippokratio General Hospital of Athens between October 2008 and May 2012. Methods: Fifty patients (43 males and 7 females) who were investigated for hematuria were included in the study. White light cystoscopy (WLC) was first performed in all patients and after was performed a fluorescence cystoscopy (BLC-blue light cystoscopy). Biopsies were collected from any suspicious area and resection of the tumors identified (TUR).Whenever no suspicious areas could be seen, a standard random mapping including 8 biopsies overall was completed. Results: Patients demographic data and clinical history are presented in Table 1. Two-hundred twenty specimens were extracted and bladder cancer was diagnosed in 137. There were 17 CIS lesions all diagnosed with BLC whereas only 11 with WLC. WLC correctly diagnosed 109/140 specimens and the positive and negative predictive values were 77.9% and 65% respectively. The sensitivity and specificity were 79.6% and 62.6% respectively. BLC diagnosed 125/169 specimens and the positive and negative predictive values were 73.9% and 76.5% respectively. The sensitivity of BLC was 91.2% and the specificity 46.9%. Conclusion: Hexaminolevulinate-guided cystoscopy is a valuable diagnostic method, with considerably improved accuracy and improvement in diagnosis of non-muscle-invasive bladder cancer and especially CIS.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"19 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87394004","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 : 2017-02-06DOI: 10.4172/2168-9857.1000178
M. D. Gregorio, M. Nollevaux, L. D'Hondt, F. Lorge
Testicular metastases are rare in prostatic adenocarcinomas. The discovery is often fortuitous, and they are diagnosed with a histological examination. Metastasis is often confused with a primitive testicular tumor. We describe an 86-year-old patient with metastatic prostate adenocarcinoma that affected the left testis. The metastasis was discovered after Ablatherm® treatment. A prostatic origin must be suspected in a patient over 50 years old with testicular metastasis. This study highlights the importance of clinicopathological investigation and immunohistochemistry in determining the etiopathogenesis of testicular masses.
{"title":"Testicular Metastasis of Prostatic Adenocarcinoma after Ablatherm ® Treatment","authors":"M. D. Gregorio, M. Nollevaux, L. D'Hondt, F. Lorge","doi":"10.4172/2168-9857.1000178","DOIUrl":"https://doi.org/10.4172/2168-9857.1000178","url":null,"abstract":"Testicular metastases are rare in prostatic adenocarcinomas. The discovery is often fortuitous, and they are diagnosed with a histological examination. Metastasis is often confused with a primitive testicular tumor. We describe an 86-year-old patient with metastatic prostate adenocarcinoma that affected the left testis. The metastasis was discovered after Ablatherm® treatment. A prostatic origin must be suspected in a patient over 50 years old with testicular metastasis. This study highlights the importance of clinicopathological investigation and immunohistochemistry in determining the etiopathogenesis of testicular masses.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"15 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85243917","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 : 2017-01-31DOI: 10.4172/2168-9857.1000182
Kouka Scn, Y. Diallo, F. Seck, P. Dioussé, M. Jalloh, L. Niang, Diop Ak, A. Diallo, C. Sylla
Cancer of the penis is rare in Senegal. This rarity could be related to the preventive action of ritual circumcision that is widely practiced during childhood. We report 3 cases of penile cancer tumor. The average age of our patients was 42.5 years with as extreme 22 years and 67 years. The average time for consultation was 6 months. All patients were circumcised during childhood. Squamous cell carcinoma was found in 2 cases. The review of the literature shows the rarity of this tumor and the role of promoting factors: the absence of circumcision and papillomavirus infection
{"title":"Penile Cancer: Report of 3 Cases and Review of the Literature","authors":"Kouka Scn, Y. Diallo, F. Seck, P. Dioussé, M. Jalloh, L. Niang, Diop Ak, A. Diallo, C. Sylla","doi":"10.4172/2168-9857.1000182","DOIUrl":"https://doi.org/10.4172/2168-9857.1000182","url":null,"abstract":"Cancer of the penis is rare in Senegal. This rarity could be related to the preventive action of ritual circumcision that is widely practiced during childhood. We report 3 cases of penile cancer tumor. The average age of our patients was 42.5 years with as extreme 22 years and 67 years. The average time for consultation was 6 months. All patients were circumcised during childhood. Squamous cell carcinoma was found in 2 cases. The review of the literature shows the rarity of this tumor and the role of promoting factors: the absence of circumcision and papillomavirus infection","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82997877","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 : 2017-01-27DOI: 10.4172/2168-9857.1000177
Jing Li, Jun Chen, Shan Guan, Xiuyu Li, Yanfang Qian, X. Yao
Urachal carcinoma is a rare, non-urothelial carcinoma that represents less than one percent of all bladder cancers. We present a case of a 48-year-old man who presented metastatic urachal carcinoma with intermittent abdominal pain and a poor Performance Status (PS). The patient initially underwent two cycles of XELOX-P (Oxaliplatin/Xeloda/Paclitaxel) chemotherapy after his initial salvage surgery. He came to our hospital for tumor progression and badly abdominal pain. He then received Gemcitabine and Cisplatin (GC) regimen at 80% of the dose with good tolerance and manageable toxicities. After six cycles of chemotherapy, he had a stable disease response, including impressive clinical response on medical symptoms and minor shrinkage of tumor mass on imaging. This case suggests the importance of palliative chemotherapy of GC regimen for the metastatic urachal cancer patients, and that performance status alone should not be limiting decision factors for cancer patients.
{"title":"A Case of Metastatic Urachal Carcinoma Treated with Palliative Chemotherapy with Gemcitabine and Cisplatin","authors":"Jing Li, Jun Chen, Shan Guan, Xiuyu Li, Yanfang Qian, X. Yao","doi":"10.4172/2168-9857.1000177","DOIUrl":"https://doi.org/10.4172/2168-9857.1000177","url":null,"abstract":"Urachal carcinoma is a rare, non-urothelial carcinoma that represents less than one percent of all bladder cancers. We present a case of a 48-year-old man who presented metastatic urachal carcinoma with intermittent abdominal pain and a poor Performance Status (PS). The patient initially underwent two cycles of XELOX-P (Oxaliplatin/Xeloda/Paclitaxel) chemotherapy after his initial salvage surgery. He came to our hospital for tumor progression and badly abdominal pain. He then received Gemcitabine and Cisplatin (GC) regimen at 80% of the dose with good tolerance and manageable toxicities. After six cycles of chemotherapy, he had a stable disease response, including impressive clinical response on medical symptoms and minor shrinkage of tumor mass on imaging. This case suggests the importance of palliative chemotherapy of GC regimen for the metastatic urachal cancer patients, and that performance status alone should not be limiting decision factors for cancer patients.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"29 2 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88720539","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 : 2017-01-10DOI: 10.4172/2168-9857.1000179
Jupiter Sibarani, Henry Stanzah, R. Bilommi
Background: Uroflowmetry is a simple, non-invasive, feasible examination. The standard reference for uroflowmetric nomogram today is still under debate. The normal value of uroflowmetry on children is highly varied in each country, there is has not been any reference to use for normal value of uroflowmetry on children in Indonesia. We aimed to establish uroflowmetry nomograms for healthy Indonesia children in Hasan Sadikin Hospital Bandung based on healthy children uroflowmetry examination between 5 to 15 years of age. Methods: A total of 302 uroflowmetry examination were performed on healthy Indonesian children with no history of a renal, urological, or neurological disorder between the ages 5 and 15 years old. The voided volume, the maximum and average urinary flow rates were analyzed using statistical software. Linear regression analysis was used to generate nomograms. Result: Uroflowmetric parameters increased with increasing age, with the effect being more pronounced in girls. There were 2 groups, with group 1 consisting of patients 5 to 10 years old and group 2 consisting of patients 11 to 15 years old. There were 76 boys and 76 girls in group 1 and 75 boys and 75 girls in group 2. In group 1 the maximum and average flow rates were 15.07 ± 6.66 (ml/sec) and 9.29 ± 3.61 (ml/sec) for boys, and 15.23 ± 6.15 (ml/sec) and 9.43 ± 3.29 (ml/sec) respectively, for girls. In group 2 these rates were 16.14 ± 5.06 (ml/sec) and 9.77 ± 3.74 (ml/sec) for boys and 19.38 ± 7.15 (ml/sec) and 11.21 ± 3.41 (ml/sec) respectively, for girls. When comparing uroflow parameters between boys and girls, significantly higher values were obtained in girls regarding Voided volume (p<0.001), Qmax (p<0.001) and Qavg (p<0.001). Conclusion: Nomograms are important tools to asses the lower urinary tract abnormalities and to evaluate response of either surgical or medical therapy in children. Uroflowmetry is a simple, cost effective and noninvasive. This study provides uroflow parameters for mean maximum flow rate for healthy Indonesian healthy children aged 5 to 15 years old (boys and girls) in Hasan Sadikin Hospital Bandung and will hopefully promote wider application of uroflowmetry testing in the pediatric population.
{"title":"Determination of Uroflowmetry Nomograms in Healthy Indonesian Children Aged 5 to 15 Years Old in Hasan Sadikin Hospital, Bandung","authors":"Jupiter Sibarani, Henry Stanzah, R. Bilommi","doi":"10.4172/2168-9857.1000179","DOIUrl":"https://doi.org/10.4172/2168-9857.1000179","url":null,"abstract":"Background: Uroflowmetry is a simple, non-invasive, feasible examination. The standard reference for uroflowmetric nomogram today is still under debate. The normal value of uroflowmetry on children is highly varied in each country, there is has not been any reference to use for normal value of uroflowmetry on children in Indonesia. We aimed to establish uroflowmetry nomograms for healthy Indonesia children in Hasan Sadikin Hospital Bandung based on healthy children uroflowmetry examination between 5 to 15 years of age. Methods: A total of 302 uroflowmetry examination were performed on healthy Indonesian children with no history of a renal, urological, or neurological disorder between the ages 5 and 15 years old. The voided volume, the maximum and average urinary flow rates were analyzed using statistical software. Linear regression analysis was used to generate nomograms. Result: Uroflowmetric parameters increased with increasing age, with the effect being more pronounced in girls. There were 2 groups, with group 1 consisting of patients 5 to 10 years old and group 2 consisting of patients 11 to 15 years old. There were 76 boys and 76 girls in group 1 and 75 boys and 75 girls in group 2. In group 1 the maximum and average flow rates were 15.07 ± 6.66 (ml/sec) and 9.29 ± 3.61 (ml/sec) for boys, and 15.23 ± 6.15 (ml/sec) and 9.43 ± 3.29 (ml/sec) respectively, for girls. In group 2 these rates were 16.14 ± 5.06 (ml/sec) and 9.77 ± 3.74 (ml/sec) for boys and 19.38 ± 7.15 (ml/sec) and 11.21 ± 3.41 (ml/sec) respectively, for girls. When comparing uroflow parameters between boys and girls, significantly higher values were obtained in girls regarding Voided volume (p<0.001), Qmax (p<0.001) and Qavg (p<0.001). Conclusion: Nomograms are important tools to asses the lower urinary tract abnormalities and to evaluate response of either surgical or medical therapy in children. Uroflowmetry is a simple, cost effective and noninvasive. This study provides uroflow parameters for mean maximum flow rate for healthy Indonesian healthy children aged 5 to 15 years old (boys and girls) in Hasan Sadikin Hospital Bandung and will hopefully promote wider application of uroflowmetry testing in the pediatric population.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"77 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80035358","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 : 2017-01-01DOI: 10.4172/2168-9857.1000197
S. Chaube, A. Sanwal, M. Jain, J. Chaube
Background: Urolithiasis is the aggregation of crystals in the urine, most commonly composed of calcium oxalate. Laparoscopic procedures have higher stone clearance in comparison of ESWL, URS and PCNL. Aims and objective: The aim of the current study was to analyze the feasibility of laparoscopic retroperitoneal surgery for management of urolithiasis and to investigate that the minimal invasive surgery is an alternative technique in current era of endoscopic procedure. Materials and Methods: A total of 52 patients with urolithiasis were enrolled and all were treated with laparoscopy. All stones were taken out after ureterotomy without fragmenting the stone. Results: 28 were male and 24 were female patients from 52 enrolled patients. Patient’s age was 31.4 ± 29.81 years of age. Out of 52 patients 28 had stone on right side and 24 were from left side. Size of the stone 16.2 ± 11.11 mm. Total operation time was 48 ± 19.08 min. Procedure was performed usually with 3 ports. Post-operative stay was 3 to 9 days. Proximal migration of stone, urinary leakage, ureteric stricture and conversion to open surgery were complications found during the study. Conclusion: Laparoscopic retroperitoneal surgery for urolithiasis is a safe and good alternative for open surgical procedure and can be performed at primary healthcare units.
{"title":"Role of Retroperitoneal Laproscopic Surgery in Ureteric Calculus - An Experience from Bundelkhand Region","authors":"S. Chaube, A. Sanwal, M. Jain, J. Chaube","doi":"10.4172/2168-9857.1000197","DOIUrl":"https://doi.org/10.4172/2168-9857.1000197","url":null,"abstract":"Background: Urolithiasis is the aggregation of crystals in the urine, most commonly composed of calcium oxalate. Laparoscopic procedures have higher stone clearance in comparison of ESWL, URS and PCNL. Aims and objective: The aim of the current study was to analyze the feasibility of laparoscopic retroperitoneal surgery for management of urolithiasis and to investigate that the minimal invasive surgery is an alternative technique in current era of endoscopic procedure. Materials and Methods: A total of 52 patients with urolithiasis were enrolled and all were treated with laparoscopy. All stones were taken out after ureterotomy without fragmenting the stone. Results: 28 were male and 24 were female patients from 52 enrolled patients. Patient’s age was 31.4 ± 29.81 years of age. Out of 52 patients 28 had stone on right side and 24 were from left side. Size of the stone 16.2 ± 11.11 mm. Total operation time was 48 ± 19.08 min. Procedure was performed usually with 3 ports. Post-operative stay was 3 to 9 days. Proximal migration of stone, urinary leakage, ureteric stricture and conversion to open surgery were complications found during the study. Conclusion: Laparoscopic retroperitoneal surgery for urolithiasis is a safe and good alternative for open surgical procedure and can be performed at primary healthcare units.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"27 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88355534","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 : 2017-01-01DOI: 10.4172/2168-9857.1000199
T. Rao, Rajeev Tp
Primary non- pulmonary neuroendocrine tumors are extremely rare. Prostate as a site for the tumor is sparsely reported. We report a 41-year-old patient with primary neuroendocrine tumor of the prostate. The purpose of this case report is to remind and create an awareness of the existence of this rare entity and think about it as a possible differential diagnosis when dealing with prostate neoplasms.
{"title":"Primary Neuroendocrine Tumor of Prostate-A Rare Entity","authors":"T. Rao, Rajeev Tp","doi":"10.4172/2168-9857.1000199","DOIUrl":"https://doi.org/10.4172/2168-9857.1000199","url":null,"abstract":"Primary non- pulmonary neuroendocrine tumors are extremely rare. Prostate as a site for the tumor is sparsely reported. We report a 41-year-old patient with primary neuroendocrine tumor of the prostate. The purpose of this case report is to remind and create an awareness of the existence of this rare entity and think about it as a possible differential diagnosis when dealing with prostate neoplasms.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"36 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74673758","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 : 2017-01-01DOI: 10.4172/2168-9857.1000195
Dobrosława L. Sikora-Szczęśniak
Objective: The purpose of the study is to analyze the causes and types of injuries to the urinary organs related to past deliveries. Material and methods: There were 34,866 deliveries at the Obstetric-Gynecological Ward, Regional Specialist Hospital in Radom between 1998 and 2016. Medical records of 11 patients with injuries to the urinary organs related to past delivery were retrospectively studied. Results: The following injuries were found: - Ligation of the left ureter: 1 case, - Injury to the urinary bladder: 10 cases - Vesicovaginal fistula (VVF): 1 case (following injury to the urinary bladder at hysterectomy in the postpartum¬ period). In 9 patients, the detected injuries were managed during hospitalization for labor, in 3 cases the injuries were diagnosed during the postpartum period; one patient was treated in the General Surgery Ward on 5th day following natural delivery. Another patient suffered injury to the urinary bladder during hysterectomy in the postpartum period. It was sutured up. VVF was diagnosed on 10th day after the surgery, and was successfully managed at the Urology Department. The injuries to the urinary organs were most frequently related to hysterectomies in the peripartum and postpartum period (54.5%) Conclusions: 1. Both peripartum and postpartum hysterectomy pose a high risk of urological complications, 15.8% in the group of discussed patients. 2. Patients at high risk of complications necessitating peripartum hysterectomy should be duly transferred to reference wards to provide multi-specialist medical care.
{"title":"Injury to Urinary Organs during Natural Deliveries, Caesarean Sections and Peripartum Hysterectomies","authors":"Dobrosława L. Sikora-Szczęśniak","doi":"10.4172/2168-9857.1000195","DOIUrl":"https://doi.org/10.4172/2168-9857.1000195","url":null,"abstract":"Objective: The purpose of the study is to analyze the causes and types of injuries to the urinary organs related to past deliveries. Material and methods: There were 34,866 deliveries at the Obstetric-Gynecological Ward, Regional Specialist Hospital in Radom between 1998 and 2016. Medical records of 11 patients with injuries to the urinary organs related to past delivery were retrospectively studied. Results: The following injuries were found: - Ligation of the left ureter: 1 case, - Injury to the urinary bladder: 10 cases - Vesicovaginal fistula (VVF): 1 case (following injury to the urinary bladder at hysterectomy in the postpartum¬ period). In 9 patients, the detected injuries were managed during hospitalization for labor, in 3 cases the injuries were diagnosed during the postpartum period; one patient was treated in the General Surgery Ward on 5th day following natural delivery. Another patient suffered injury to the urinary bladder during hysterectomy in the postpartum period. It was sutured up. VVF was diagnosed on 10th day after the surgery, and was successfully managed at the Urology Department. The injuries to the urinary organs were most frequently related to hysterectomies in the peripartum and postpartum period (54.5%) Conclusions: 1. Both peripartum and postpartum hysterectomy pose a high risk of urological complications, 15.8% in the group of discussed patients. 2. Patients at high risk of complications necessitating peripartum hysterectomy should be duly transferred to reference wards to provide multi-specialist medical care.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"56 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83610574","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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