Pub Date : 2017-01-01DOI: 10.4172/2168-9857.1000E120
M. Matrana
{"title":"LATITUDE and STAMPEDE Trials Presented at ASCO 2017 offer Refreshing,Practicing-Changing Alternatives to Upfront Docetaxel for Men with High-RiskMetastatic Prostate Cancer, but Questions Remain","authors":"M. Matrana","doi":"10.4172/2168-9857.1000E120","DOIUrl":"https://doi.org/10.4172/2168-9857.1000E120","url":null,"abstract":"","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"15 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81631097","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: 10.4172/2168-9857.1000196
B. Maâlej, H. Louati, H. Abid, H. Zitouni, M. Weli, M. Zghal, L. Gargouri, R. Mhiri, A. Mahfoudh
Introduction: Pediatric urolithiasis remains endemic in low-resource countries affecting children <1 to 15 years. This study aimed to investigate the diagnosis and the treatment options of pediatric urolithiasis and compare that with the literature. Materials and methods: This study retrospectively evaluated patients who had been diagnosed with urolithiasis in the in department of pediatric emergency and reanimation and the department of pediatric surgery in Hedi Chaker hospital in Sfax between 2001 and 2016. Results: Over 16 years period, we diagnosed and managed 78 children with urolithiasis. 44 were male (56%) and 34 were female (44%). The median age was 54 months (4 to 144 months). Family history of urolithiasis was found in 23 patients (29.5%). The diagnosis of urolithiasis was made after Urinary tract infection in 23 (29.5%), abdominal pain in 16 (20.5%), Hematuria in 9 (11.5%), nephritic colic in 8 (10.5%), dysuria in 11(14%) and after antenatal diagnosis of malformative uropathies in 11 (14%) patients. The treatment were surgery in 32, medical in 30, LEC and endoscopy in 8 patients. The mean of follow up was 36 months and we had 11 recurrent urolithiasis. Conclusion: Pediatric urolithiasis remains a devastating health problem. Their management requires more exploration especially in the etiology research for a best management.
{"title":"Pediatric Urolithiasis in Children: Diagnosis and Management","authors":"B. Maâlej, H. Louati, H. Abid, H. Zitouni, M. Weli, M. Zghal, L. Gargouri, R. Mhiri, A. Mahfoudh","doi":"10.4172/2168-9857.1000196","DOIUrl":"https://doi.org/10.4172/2168-9857.1000196","url":null,"abstract":"Introduction: Pediatric urolithiasis remains endemic in low-resource countries affecting children <1 to 15 years. This study aimed to investigate the diagnosis and the treatment options of pediatric urolithiasis and compare that with the literature. Materials and methods: This study retrospectively evaluated patients who had been diagnosed with urolithiasis in the in department of pediatric emergency and reanimation and the department of pediatric surgery in Hedi Chaker hospital in Sfax between 2001 and 2016. Results: Over 16 years period, we diagnosed and managed 78 children with urolithiasis. 44 were male (56%) and 34 were female (44%). The median age was 54 months (4 to 144 months). Family history of urolithiasis was found in 23 patients (29.5%). The diagnosis of urolithiasis was made after Urinary tract infection in 23 (29.5%), abdominal pain in 16 (20.5%), Hematuria in 9 (11.5%), nephritic colic in 8 (10.5%), dysuria in 11(14%) and after antenatal diagnosis of malformative uropathies in 11 (14%) patients. The treatment were surgery in 32, medical in 30, LEC and endoscopy in 8 patients. The mean of follow up was 36 months and we had 11 recurrent urolithiasis. Conclusion: Pediatric urolithiasis remains a devastating health problem. Their management requires more exploration especially in the etiology research for a best management.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"45 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":"72587640","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: 10.4172/2168-9857.1000201
S. Nathani, Ramesh Sethia, P. Mehta
A 32-year-old female presented with complaints of recurrent urinary tract infections, tender vaginal swelling and painful intercourse. She underwent repeated aspirations of anterior vaginal wall swelling by gynecologist considering it as primary vaginal cyst but the swelling was recurrent after short course of time. MRI imaging of pelvis was performed after the opinion of urologist considering the possibility of the infected urethral diverticulum. MRI examination revealed multiloculated fluid containing lesion around urethra appearing like saddle bag and spoke wheel on axial images and mimicking like enlarged prostate on sagittal images with submucosal enhancement and diffusion restriction of contents suggesting infected urethral diverticulum. Objective: We are discussing role of MRI imaging with the help of radiological signs in the accurate diagnosis of urethral diverticula in symptomatic patients to avoid painful and complicated interventional imaging procedures and narrow down the possibility of alternate diseases in the same territory.
{"title":"Female Prostate, Saddle Bag and Spoke Wheel Signs-Classical Imaging Features of Urethral Diverticulum","authors":"S. Nathani, Ramesh Sethia, P. Mehta","doi":"10.4172/2168-9857.1000201","DOIUrl":"https://doi.org/10.4172/2168-9857.1000201","url":null,"abstract":"A 32-year-old female presented with complaints of recurrent urinary tract infections, tender vaginal swelling and painful intercourse. She underwent repeated aspirations of anterior vaginal wall swelling by gynecologist considering it as primary vaginal cyst but the swelling was recurrent after short course of time. MRI imaging of pelvis was performed after the opinion of urologist considering the possibility of the infected urethral diverticulum. MRI examination revealed multiloculated fluid containing lesion around urethra appearing like saddle bag and spoke wheel on axial images and mimicking like enlarged prostate on sagittal images with submucosal enhancement and diffusion restriction of contents suggesting infected urethral diverticulum. Objective: We are discussing role of MRI imaging with the help of radiological signs in the accurate diagnosis of urethral diverticula in symptomatic patients to avoid painful and complicated interventional imaging procedures and narrow down the possibility of alternate diseases in the same territory.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"40 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":"74264098","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: 10.4172/2168-9857.1000200
Dejinnin Avakoudjo Jg, G. Natchagande, Soumanou Fky, Oliyide Ar, Yevi Mid, F. Hodonou, J. Sossa
Purpose: To describe genitourinary emergencies at the university hospital in cotonouMaterial and Methods: This was retrospective descriptive study covering a period of 6 years running January 1, 2011 to January 1, 2017. All patients aged at least 15 years regardless of the sex were involved. We did not involve in this study, patients under aged 15 years old who have supported by the Pediatric surgery department. All departments were concerned by the study: Emergency department, surgery, traumatology, medicine cardiology, nephrology, internal medicine, haematology, rheumatology, neurology, reanimation and gynecology departments. The following items were studied: age, sex, complaints, etiologies and emergencies kinds.Results: The average age of patients was 51.4 years old (15 years’ old-100 years old). Genitourinary emergencies were accounted for 5.4%. A male predominance was noted in 88.6% against 11.4% women. The sex ratio was 7.7. The 55% patients were referred against 45% were admitted. Over 6 year’s period on the study, 46 cases of genitourinary emergencies opinion were done in eleven departments Anesthesia-reanimation department predominance was noted in 32.61%. In emergency department we were seen 391 patients for genitourinary emergencies. The discovery circumstances were urine complete retention in 45.49% with 43.40% of non–traumatic urine complete retention against 2.09% urine complete retention for traumatic urinary tract following up by genitourinary trauma in 19.8%.Conclusion: Genitourinary emergencies are different group of pathologies or symptoms.
{"title":"Genitourinary Emergencies at University Hospital in Cotonou: About 437 Patients","authors":"Dejinnin Avakoudjo Jg, G. Natchagande, Soumanou Fky, Oliyide Ar, Yevi Mid, F. Hodonou, J. Sossa","doi":"10.4172/2168-9857.1000200","DOIUrl":"https://doi.org/10.4172/2168-9857.1000200","url":null,"abstract":"Purpose: To describe genitourinary emergencies at the university hospital in cotonouMaterial and Methods: This was retrospective descriptive study covering a period of 6 years running January 1, 2011 to January 1, 2017. All patients aged at least 15 years regardless of the sex were involved. We did not involve in this study, patients under aged 15 years old who have supported by the Pediatric surgery department. All departments were concerned by the study: Emergency department, surgery, traumatology, medicine cardiology, nephrology, internal medicine, haematology, rheumatology, neurology, reanimation and gynecology departments. The following items were studied: age, sex, complaints, etiologies and emergencies kinds.Results: The average age of patients was 51.4 years old (15 years’ old-100 years old). Genitourinary emergencies were accounted for 5.4%. A male predominance was noted in 88.6% against 11.4% women. The sex ratio was 7.7. The 55% patients were referred against 45% were admitted. Over 6 year’s period on the study, 46 cases of genitourinary emergencies opinion were done in eleven departments Anesthesia-reanimation department predominance was noted in 32.61%. In emergency department we were seen 391 patients for genitourinary emergencies. The discovery circumstances were urine complete retention in 45.49% with 43.40% of non–traumatic urine complete retention against 2.09% urine complete retention for traumatic urinary tract following up by genitourinary trauma in 19.8%.Conclusion: Genitourinary emergencies are different group of pathologies or symptoms.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"163 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":"86351989","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: 10.4172/2168-9857.1000194
K. Hashine, T. Kakuda, Shunsuke Iuchi, T. Hosokawa, I. Ninomiya, N. Teramoto, N. Yamashita
Background: One of surgical goals is decreasing of positive resection margin (PRM). In radical prostatectomy, PRM is important because of prognostic factor. We examine the relationship of PRM, cancer location and learning curve after laparoscopic radical prostatectomy (LRP). Methods: Between May, 2009 and May, 2015, 331 consecutive patients were treated with LRP. The resection margin status, Gleason score, pathological stage, cancer location and diameter were assessed in each surgical specimen, and the independent factors for PRM and prostate-specific antigen (PSA) failure were identified. The learning curve for PRM was calculated and the number of cases until the plateau was obtained. Results: PRM was found in 30.5% of all patients, with 27.7% in the pT2 patients and 39.0% in the pT3 patients. The most common site of PRM was in the apex-anterior. The 5-year PSA failure-free survival rate was 73.9%. In patients with a negative resection margin, the 5-year PSA failure-free survival rate was 81.6%, and in patients with PRM, it was 57.4%. The factors associated with PSA failure-free survival were PRM and elevated PSA. The tumor location was not associated with PSA failure-free survival. The factors associated with PRM were tumor location, nerve sparing procedure, and tumor diameter. When the tumor was localized in the apex-anterior, the rate of PRM was elevated 3-fold comparing the tumor in apex-posterior. The learning curve of all surgeons for obtaining a negative resection margin plateaus after 167 cases. The curve of a single surgeon was more improved than all surgeons and the rate of PRM was 16.7%. Conclusions: PRM was associated with both cancer location and diameter. The learning curve of PRM reached a plateau in about 170 cases. However, PRM can be further reduced. These findings related to LRP outcomes are useful for improvement in surgical techniques and for determining prognosis.
{"title":"Relationship of Positive Resection Margin, Cancer Location and Learning Curve after Laparoscopic Radical Prostatectomy","authors":"K. Hashine, T. Kakuda, Shunsuke Iuchi, T. Hosokawa, I. Ninomiya, N. Teramoto, N. Yamashita","doi":"10.4172/2168-9857.1000194","DOIUrl":"https://doi.org/10.4172/2168-9857.1000194","url":null,"abstract":"Background: One of surgical goals is decreasing of positive resection margin (PRM). In radical prostatectomy, PRM is important because of prognostic factor. We examine the relationship of PRM, cancer location and learning curve after laparoscopic radical prostatectomy (LRP). Methods: Between May, 2009 and May, 2015, 331 consecutive patients were treated with LRP. The resection margin status, Gleason score, pathological stage, cancer location and diameter were assessed in each surgical specimen, and the independent factors for PRM and prostate-specific antigen (PSA) failure were identified. The learning curve for PRM was calculated and the number of cases until the plateau was obtained. Results: PRM was found in 30.5% of all patients, with 27.7% in the pT2 patients and 39.0% in the pT3 patients. The most common site of PRM was in the apex-anterior. The 5-year PSA failure-free survival rate was 73.9%. In patients with a negative resection margin, the 5-year PSA failure-free survival rate was 81.6%, and in patients with PRM, it was 57.4%. The factors associated with PSA failure-free survival were PRM and elevated PSA. The tumor location was not associated with PSA failure-free survival. The factors associated with PRM were tumor location, nerve sparing procedure, and tumor diameter. When the tumor was localized in the apex-anterior, the rate of PRM was elevated 3-fold comparing the tumor in apex-posterior. The learning curve of all surgeons for obtaining a negative resection margin plateaus after 167 cases. The curve of a single surgeon was more improved than all surgeons and the rate of PRM was 16.7%. Conclusions: PRM was associated with both cancer location and diameter. The learning curve of PRM reached a plateau in about 170 cases. However, PRM can be further reduced. These findings related to LRP outcomes are useful for improvement in surgical techniques and for determining prognosis.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"28 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":"82648187","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 : 2016-12-30DOI: 10.4172/2168-9857.1000176
S. Musitelli
Introduction: No ancient Greek and Roman physician and surgeon ever observed, diagnosed or described either cases of female hypospadias and epispadias, or male epispadias, but only cases of male hypospadias. However they devised and practised exceptionally skilful surgeries to correct this anatomical defect in men. Material and methods: A critical and philological review of the passages of ancient surgical treatises dealing with hypospadias and its surgical treatment. Results: The medieval physicians confined themselves to inheriting and repeating the surgical achievements of the Greek and Roman surgeons. Conclusion: The surgical techniques, the skill and the anatomophysiological acumen of the Hellenistic surgeons are still astonishing.
{"title":"Ancient Surgical Treatment of Hypospadias (From Hippocrates (5th-4th century B.C.) to the 12th century A.D.)","authors":"S. Musitelli","doi":"10.4172/2168-9857.1000176","DOIUrl":"https://doi.org/10.4172/2168-9857.1000176","url":null,"abstract":"Introduction: No ancient Greek and Roman physician and surgeon ever observed, diagnosed or described either cases of female hypospadias and epispadias, or male epispadias, but only cases of male hypospadias. However they devised and practised exceptionally skilful surgeries to correct this anatomical defect in men. Material and methods: A critical and philological review of the passages of ancient surgical treatises dealing with hypospadias and its surgical treatment. Results: The medieval physicians confined themselves to inheriting and repeating the surgical achievements of the Greek and Roman surgeons. Conclusion: The surgical techniques, the skill and the anatomophysiological acumen of the Hellenistic surgeons are still astonishing.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"33 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84773868","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 : 2016-12-29DOI: 10.4172/2168-9857.1000174
P. A. Khan, T. Matia
Minimally invasive urological procedures have gained in popularity and replaced open surgery in various urological procedures. Although considered minimally invasive, these procedures are not free from complications, and life-threatening hemorrhage may occur. In hemodynamic stable patients endovascular embolization allows bleeding cessation with maximal preservation of the bleeding kidney tissue. Herein we describe a case who underwent minimally invasive urological procedure (PCNL) that was complicated with bleeding due to lacerated renal vasculature and not the usual mode of pseudoaneurysm. We used superselective angiographic coil embolization to stop hemorrhage and preserved more than 50% of the affected kidney.
{"title":"Endovascularar Management of Iatrogenic Renal Vascular Injuy Complicating Percutaneous Nephrolithotripsy: An Atypical Case Report","authors":"P. A. Khan, T. Matia","doi":"10.4172/2168-9857.1000174","DOIUrl":"https://doi.org/10.4172/2168-9857.1000174","url":null,"abstract":"Minimally invasive urological procedures have gained in popularity and replaced open surgery in various urological procedures. Although considered minimally invasive, these procedures are not free from complications, and life-threatening hemorrhage may occur. In hemodynamic stable patients endovascular embolization allows bleeding cessation with maximal preservation of the bleeding kidney tissue. Herein we describe a case who underwent minimally invasive urological procedure (PCNL) that was complicated with bleeding due to lacerated renal vasculature and not the usual mode of pseudoaneurysm. We used superselective angiographic coil embolization to stop hemorrhage and preserved more than 50% of the affected kidney.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"70 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81760360","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 : 2016-12-29DOI: 10.4172/2168-9857.1000175
G. Giliberto, C. D. Franco, B. Rovereto
Facial cutaneous metastases from primary bladder cancers are very rare and usually they are associated with poor prognosis. In literature, very few cases of cutaneous metastases from urothelial malignancies are reported but we did not find any case of bladder cancer metastases localised to chin; usually cutaneous metastases from bladder are localised in chest or scrotal skin. We report a 66 year-old patient affected by muscle-invasive transitional cell carcinoma of bladder who underwent radical cystectomy and who developed in two months after operation a skin lesion localised to chin. Clinical stage of bladder cancer was cT2 N0 M0; the patient was studied before operation through total body CT-scan, TB bone-scan negative for metastases. The patient was totally asymptomatic and he had a good performance status. We discuss the need to have suspicion in presence of cutaneous lesions, apparently benign, in a patient affected by malignancy in order to start quickly a proper treatment.
{"title":"A Rare Case of Chin Cutaneous Metastases from Transitional Cell Carcinoma of Bladder in a Patient Who Underwent Radical Cystectomy","authors":"G. Giliberto, C. D. Franco, B. Rovereto","doi":"10.4172/2168-9857.1000175","DOIUrl":"https://doi.org/10.4172/2168-9857.1000175","url":null,"abstract":"Facial cutaneous metastases from primary bladder cancers are very rare and usually they are associated with poor prognosis. In literature, very few cases of cutaneous metastases from urothelial malignancies are reported but we did not find any case of bladder cancer metastases localised to chin; usually cutaneous metastases from bladder are localised in chest or scrotal skin. We report a 66 year-old patient affected by muscle-invasive transitional cell carcinoma of bladder who underwent radical cystectomy and who developed in two months after operation a skin lesion localised to chin. Clinical stage of bladder cancer was cT2 N0 M0; the patient was studied before operation through total body CT-scan, TB bone-scan negative for metastases. The patient was totally asymptomatic and he had a good performance status. We discuss the need to have suspicion in presence of cutaneous lesions, apparently benign, in a patient affected by malignancy in order to start quickly a proper treatment.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"58 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80770706","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 : 2016-12-15DOI: 10.4172/2168-9857.1000173
H. Louati, S. Jlidi, A. Charieg, Wiem Hannechi, Y. Ahmed, F. Nouira, R. Jouini
Introduction Renal cell carcinoma (RCC) is extremely rare in children. Several factors could influence prognosis, including stage, grade, histology, symptomatic presentation, and performance status. Among these, tumor stage is the most important predictor of disease prognosis for RCC. We report our experience with two cases of children with renal cell carcinoma in children. Cases Case 1: A 13-year-old girl presented macroscopic hematuria after a right lumbar trauma. The renal ultrasonography and CT urography showed a very limited rounding medio renal mass. Fine needle renal aspiration objectified RCC. Patient underwent transabdominal radical nephrectomy. Histopathology revealed RCC grade 2 of Furhrman T1b N0 M0. The postoperative course was uneventful. Case 2: A 9-year-old girl presented macroscopic hematuria. The renal ultrasonography showed a horseshoe left kidney with limited rounding mass. CT urography showed limited left renal mass of 31 × 25 mm. Fine needle renal aspiration objectified RCC. Patient underwent transabdominal radical nephrectomy with regional lymphadenectomy. Histopathology revealed RCC associated with translocation Xp11.2 grade 2 of Furhrman T1a N1M0. The postoperative course was uneventful. Conclusion RCC is rare in children but in children older than 5 years with renal masses it is very important to suspect diagnosis. Surgery is the best treatment and prognosis is favorable when the tumor is localized and completely eradicated.
{"title":"Renal Cell Carcinoma in Children: About Two Case Report","authors":"H. Louati, S. Jlidi, A. Charieg, Wiem Hannechi, Y. Ahmed, F. Nouira, R. Jouini","doi":"10.4172/2168-9857.1000173","DOIUrl":"https://doi.org/10.4172/2168-9857.1000173","url":null,"abstract":"Introduction Renal cell carcinoma (RCC) is extremely rare in children. Several factors could influence prognosis, including stage, grade, histology, symptomatic presentation, and performance status. Among these, tumor stage is the most important predictor of disease prognosis for RCC. We report our experience with two cases of children with renal cell carcinoma in children. Cases Case 1: A 13-year-old girl presented macroscopic hematuria after a right lumbar trauma. The renal ultrasonography and CT urography showed a very limited rounding medio renal mass. Fine needle renal aspiration objectified RCC. Patient underwent transabdominal radical nephrectomy. Histopathology revealed RCC grade 2 of Furhrman T1b N0 M0. The postoperative course was uneventful. Case 2: A 9-year-old girl presented macroscopic hematuria. The renal ultrasonography showed a horseshoe left kidney with limited rounding mass. CT urography showed limited left renal mass of 31 × 25 mm. Fine needle renal aspiration objectified RCC. Patient underwent transabdominal radical nephrectomy with regional lymphadenectomy. Histopathology revealed RCC associated with translocation Xp11.2 grade 2 of Furhrman T1a N1M0. The postoperative course was uneventful. Conclusion RCC is rare in children but in children older than 5 years with renal masses it is very important to suspect diagnosis. Surgery is the best treatment and prognosis is favorable when the tumor is localized and completely eradicated.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2016-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88643109","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 : 2016-12-02DOI: 10.4172/2168-9857.1000172
H. Bouthour, F. Trabelsi, Samer Bustame, A. Jabloun, N. Kaâbar
Urolithiasis is uncommon in children. This is a recurrent disease with severe evolution, which can lead to chronic renal failure. The management is multidisciplinary. Despite the innovation of new minimally invasive techniques, conventional surgery in our country remains the reference treatment. We bring our experience in the diagnostic and therapeutic management.
{"title":"Surgical Treatment of Urolithiasis in Children: Experience of a Pediatric Surgery Department in Tunisia","authors":"H. Bouthour, F. Trabelsi, Samer Bustame, A. Jabloun, N. Kaâbar","doi":"10.4172/2168-9857.1000172","DOIUrl":"https://doi.org/10.4172/2168-9857.1000172","url":null,"abstract":"Urolithiasis is uncommon in children. This is a recurrent disease with severe evolution, which can lead to chronic renal failure. The management is multidisciplinary. Despite the innovation of new minimally invasive techniques, conventional surgery in our country remains the reference treatment. We bring our experience in the diagnostic and therapeutic management.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"19 S1 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83001792","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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