Pub Date : 2019-08-29DOI: 10.33552/aun.2019.01.000517
R. Aizman, Koroshchenko Ga, Anna Pavlovna Kozlova, Khachatryan Aa
The importance of the kidney in maintaining and regulating the body’s homeostasis can be understood when there is a violation of their functions due to pathology. One of the most serious complications of mechanical injury is impaired renal hemodynamics and necrotic changes in the nephrons, which cause acute renal failure (ARF), that leads to death in 58% of cases. In clinical practice, various methods and drugs are widely used to treat renal failure and its complications, however, the problem of developing and using new protectors occupies an important place in experimental and clinical nephrology [1].
{"title":"Water-Salt Metabolism in Rats with Acute Renal Failure Following Using Electrochemically Active Water Solutions","authors":"R. Aizman, Koroshchenko Ga, Anna Pavlovna Kozlova, Khachatryan Aa","doi":"10.33552/aun.2019.01.000517","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000517","url":null,"abstract":"The importance of the kidney in maintaining and regulating the body’s homeostasis can be understood when there is a violation of their functions due to pathology. One of the most serious complications of mechanical injury is impaired renal hemodynamics and necrotic changes in the nephrons, which cause acute renal failure (ARF), that leads to death in 58% of cases. In clinical practice, various methods and drugs are widely used to treat renal failure and its complications, however, the problem of developing and using new protectors occupies an important place in experimental and clinical nephrology [1].","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47667960","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 : 2019-06-27DOI: 10.33552/aun.2019.01.000515
W. Stanton, E. Crawford, Paul Arangua, Gretchen Hoyer, P. Werahera
{"title":"Evaluation of the 29 MHz Micro-Ultrasound Imaging for Prostate Cancer Diagnosis and Treatment","authors":"W. Stanton, E. Crawford, Paul Arangua, Gretchen Hoyer, P. Werahera","doi":"10.33552/aun.2019.01.000515","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000515","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48703950","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 : 2019-06-25DOI: 10.33552/aun.2019.01.000514
Yadav Rajinder
{"title":"Role of Retrograde Intrarenal Surgery in Management of Renal Stones: 3 Years Experience","authors":"Yadav Rajinder","doi":"10.33552/aun.2019.01.000514","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000514","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43442790","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 : 2019-06-17DOI: 10.33552/aun.2019.01.000513
I. Ciccone, Ivan Iori, Giovanna Milani, Gustavo de Aguiar Andrade, E. Costa, J. Hallak
1,6 have (BMI) between 25 and 30 classified as overweight, and a BMI classified as to as a leading or indirect of and driven by an increase in related life-threatening disorders, including dyslipidemia, hypertension, cancer, type 2 diabetes, metabolic disorders, reproductive and sexual health impairment [5]. Although both males and females are affected by this lifestyle disorder in Abstract Objective: The purpose of this study is to unfold the
{"title":"Overweight May Have Some Positive Reproductive Benefits as Compared to Obese Represented by Higher Sperm Progressive Motility in Infertile Men","authors":"I. Ciccone, Ivan Iori, Giovanna Milani, Gustavo de Aguiar Andrade, E. Costa, J. Hallak","doi":"10.33552/aun.2019.01.000513","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000513","url":null,"abstract":"1,6 have (BMI) between 25 and 30 classified as overweight, and a BMI classified as to as a leading or indirect of and driven by an increase in related life-threatening disorders, including dyslipidemia, hypertension, cancer, type 2 diabetes, metabolic disorders, reproductive and sexual health impairment [5]. Although both males and females are affected by this lifestyle disorder in Abstract Objective: The purpose of this study is to unfold the","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42261739","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 : 2019-06-06DOI: 10.33552/aun.2019.01.000512
A. Venyo
Osteosarcoma of the testis and para-testicular tissue is a terminology that refers to a malignant tumor that contains pure osteoid forming malignant cells with no skeletal origin that affect the testis or para-testicular tissues. These tumors tends to present as an intra-scrotal or testicular mass which is non-specific. It may also present in association with a hydrocele. Clinical examination may reveal a firm to hard mass in the testis or in the affected para-testicular tissue. The inguinal glands may be normal but on rare occasions there may be lymph node enlargement in advanced cases. If there is an associated hydrocele there may be clinical examination evidence of a hydrocele. The full blood count, serum urea and electrolytes and liver function tests would tend to normal unless there are un-related pathologies which would need to be investigated accordingly. Nevertheless, if there are multiple liver metastases the liver function test results may show derangement in one or more elements of the liver function tests. The serum Beta Human Chorionic gonadotrophin, alpha fetoprotein, and lactate dehydrogenase levels would tend to normal unless the osteosarcoma is associated with a synchronous Germ cell tumor which does happen occasionally. Radiology imaging could show evidence of a heterogeneous mass within the testis in the case of a testicular tumor or in an intra-scrotal area at the site of the lesion and the mass tends to be associated with calcification. Treatment tends to be radical orchidectomy for localized tumors involving the testis only, but para-testicular osteosarcomas tend to be treated by radical orchidectomy plus en bloc excision of the para-testicular tissue. If there is evidence of metastasis then adjuvant therapy can be given. Gross examination of specimens of an excised osteosarcoma of the testis would tend to show a well-circumscribed, firm, solid, whitish tan, expansile mass which had compressed the surrounding parenchyma of the testis. Microscopic examination of primary osteosarcoma of the testis specimen would tend to show sheets of pleomorphic round to spindle cells that contain prominent nucleoli, areas of osteoid and scattered areas of mineralization, high mitotic activity and atypical mitosis, osteoid and at times osteoclasts among the area of osteoid. Immunohistochemistry studies of osteosarcoma of the testis or any para-testicular structures would tend to show the tumor cells stain positively for vimentin, but the tumor cells would stain negatively for: smooth muscle actin, CD34, cytokeratin, desmin, inhibin, myo-D1, and S-100 proteins.
{"title":"Primary Osteosarcoma of Testis and Para-Testicular Tissues: A Review and Update of the Literature","authors":"A. Venyo","doi":"10.33552/aun.2019.01.000512","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000512","url":null,"abstract":"Osteosarcoma of the testis and para-testicular tissue is a terminology that refers to a malignant tumor that contains pure osteoid forming malignant cells with no skeletal origin that affect the testis or para-testicular tissues. These tumors tends to present as an intra-scrotal or testicular mass which is non-specific. It may also present in association with a hydrocele. Clinical examination may reveal a firm to hard mass in the testis or in the affected para-testicular tissue. The inguinal glands may be normal but on rare occasions there may be lymph node enlargement in advanced cases. If there is an associated hydrocele there may be clinical examination evidence of a hydrocele. The full blood count, serum urea and electrolytes and liver function tests would tend to normal unless there are un-related pathologies which would need to be investigated accordingly. Nevertheless, if there are multiple liver metastases the liver function test results may show derangement in one or more elements of the liver function tests. The serum Beta Human Chorionic gonadotrophin, alpha fetoprotein, and lactate dehydrogenase levels would tend to normal unless the osteosarcoma is associated with a synchronous Germ cell tumor which does happen occasionally. Radiology imaging could show evidence of a heterogeneous mass within the testis in the case of a testicular tumor or in an intra-scrotal area at the site of the lesion and the mass tends to be associated with calcification. Treatment tends to be radical orchidectomy for localized tumors involving the testis only, but para-testicular osteosarcomas tend to be treated by radical orchidectomy plus en bloc excision of the para-testicular tissue. If there is evidence of metastasis then adjuvant therapy can be given. Gross examination of specimens of an excised osteosarcoma of the testis would tend to show a well-circumscribed, firm, solid, whitish tan, expansile mass which had compressed the surrounding parenchyma of the testis. Microscopic examination of primary osteosarcoma of the testis specimen would tend to show sheets of pleomorphic round to spindle cells that contain prominent nucleoli, areas of osteoid and scattered areas of mineralization, high mitotic activity and atypical mitosis, osteoid and at times osteoclasts among the area of osteoid. Immunohistochemistry studies of osteosarcoma of the testis or any para-testicular structures would tend to show the tumor cells stain positively for vimentin, but the tumor cells would stain negatively for: smooth muscle actin, CD34, cytokeratin, desmin, inhibin, myo-D1, and S-100 proteins.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48165566","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}
Rhabdomyolysis is a serious syndrome due to a direct or indirect muscle injury. It results from the death of muscle fibers and release of their contents into the bloodstream. It can result from a variety of etiologies which may include traumatic or non-traumatic causes. Rhabdomyolysis due to hanging is extremely uncommon and not described in literature. This case highlights rhabdomyolysis as a potential complication of hanging.
{"title":"An Unusual Cause of Rhabdomyolysis with Acute Kidney Injury","authors":"Gharge Ankita, Rao Shobhana Nayak, M. Shenoy","doi":"10.36959/832/397","DOIUrl":"https://doi.org/10.36959/832/397","url":null,"abstract":"Rhabdomyolysis is a serious syndrome due to a direct or indirect muscle injury. It results from the death of muscle fibers and release of their contents into the bloodstream. It can result from a variety of etiologies which may include traumatic or non-traumatic causes. Rhabdomyolysis due to hanging is extremely uncommon and not described in literature. This case highlights rhabdomyolysis as a potential complication of hanging.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80154136","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 : 2019-04-03DOI: 10.33552/aun.2019.01.000510
M. S
{"title":"Peritoneal Dialysis in Emergency in Children:Mono Centric Study in a Service of Adult Nephrology of Eastern Algeria","authors":"M. S","doi":"10.33552/aun.2019.01.000510","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000510","url":null,"abstract":"","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43871778","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 : 2019-04-03DOI: 10.33552/aun.2019.01.000511
Itay M Sabler
Upper urinary tract endoscopic stone treatment includes intracorporeal lithotripsy, usually using Holmium laser fiber, and temporary drainage of the upper urinary tract postoperatively. Almost absolute endourologic routine is to leave Double-J stent (DJS) for several weeks or ureteral catheter attached to urethral catheter for 24–72 hours. The reason for that is to prevent postoperative pain and infection due to local edema at the ureteral orifice, and upper urinary tract obstruction. On the other hand, postoperative tubing is known to cause lower urinary tract symptoms (LUTS), abdominal and flank pain. Postoperative tubing may cause additional emergency department visits, analgesics use, preliminary interventions and in case of DJS, usually demands invasive procedure, sometimes under general anesthesia in order to retrieve the stent after predetermined period of carriage. At the end of Tubeless Ureterorenoscopy (URS) for treatment of kidney and ureteral stones – no drainage left. Patient comfort advantages of tubeless approach are obvious, but fear of obstruction precluded urologist all over the world from leaving upper tracts undrained for decades. These days, technological achievements enable endourologists to use miniaturized flexible or semirigid ureteroscopes and novel high-power laser machines, minimizing upper urinary tract damage during the procedure and promoting a very effective stone dusting never seen before. These factors permit, in selected cases, to avoid postoperative tubing, reduce LUTS, and shorten hospitalization period facilitating ambulatory nature of the procedure with overall decreasing costs. A tubeless approach is safe in properly selected uncomplicated cases. The postoperative period is at least the same as in drained patients, avoiding long term postoperative stent related symptoms. More RCT are needed to point the place for safe tubeless endourologic procedures.
{"title":"Tubeless Ureterorenoscopy. A Dangerous Adventure or “Fresh Wind” Relied on Skills, Technique and New Technology?","authors":"Itay M Sabler","doi":"10.33552/aun.2019.01.000511","DOIUrl":"https://doi.org/10.33552/aun.2019.01.000511","url":null,"abstract":"Upper urinary tract endoscopic stone treatment includes intracorporeal lithotripsy, usually using Holmium laser fiber, and temporary drainage of the upper urinary tract postoperatively. Almost absolute endourologic routine is to leave Double-J stent (DJS) for several weeks or ureteral catheter attached to urethral catheter for 24–72 hours. The reason for that is to prevent postoperative pain and infection due to local edema at the ureteral orifice, and upper urinary tract obstruction. On the other hand, postoperative tubing is known to cause lower urinary tract symptoms (LUTS), abdominal and flank pain. Postoperative tubing may cause additional emergency department visits, analgesics use, preliminary interventions and in case of DJS, usually demands invasive procedure, sometimes under general anesthesia in order to retrieve the stent after predetermined period of carriage. At the end of Tubeless Ureterorenoscopy (URS) for treatment of kidney and ureteral stones – no drainage left. Patient comfort advantages of tubeless approach are obvious, but fear of obstruction precluded urologist all over the world from leaving upper tracts undrained for decades. These days, technological achievements enable endourologists to use miniaturized flexible or semirigid ureteroscopes and novel high-power laser machines, minimizing upper urinary tract damage during the procedure and promoting a very effective stone dusting never seen before. These factors permit, in selected cases, to avoid postoperative tubing, reduce LUTS, and shorten hospitalization period facilitating ambulatory nature of the procedure with overall decreasing costs. A tubeless approach is safe in properly selected uncomplicated cases. The postoperative period is at least the same as in drained patients, avoiding long term postoperative stent related symptoms. More RCT are needed to point the place for safe tubeless endourologic procedures.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45508373","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}
Magbri Awad, El-Magbri Mariam, Suljuki Kamran, Rose Darcy
The authors presented a case of serotonin syndrome cause by drug interaction. The patient is presented with classical features of the syndrome with hyper-excitability, tremor, change in mental status, and low grade fever. The patient made uneventful recovery after the stoppage of the offending drugs. This case calls for the clinicians to be vigilant of the drug interaction that can cause unintended side effects to the patient under their care.
{"title":"Serotonin Syndrome: Fairly Common but Frequently Forgotten","authors":"Magbri Awad, El-Magbri Mariam, Suljuki Kamran, Rose Darcy","doi":"10.36959/832/396","DOIUrl":"https://doi.org/10.36959/832/396","url":null,"abstract":"The authors presented a case of serotonin syndrome cause by drug interaction. The patient is presented with classical features of the syndrome with hyper-excitability, tremor, change in mental status, and low grade fever. The patient made uneventful recovery after the stoppage of the offending drugs. This case calls for the clinicians to be vigilant of the drug interaction that can cause unintended side effects to the patient under their care.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87176928","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}
The burden of end stage renal disease often seems insurmountable. This is especially true for patients who are on renal replacement therapy, whose lives and whose family's lives have been changed by this dreaded illness. As nephrologists taking care of dialysis patients, we are witnesses to the effect chronic kidney disease has to the patient and their family. Often, aside from managing the patient during regular dialysis sessions, we take the time to converse with the patient and with the patient's family.
{"title":"Keeping a Brave Front","authors":"M. Laico","doi":"10.36959/832/395","DOIUrl":"https://doi.org/10.36959/832/395","url":null,"abstract":"The burden of end stage renal disease often seems insurmountable. This is especially true for patients who are on renal replacement therapy, whose lives and whose family's lives have been changed by this dreaded illness. As nephrologists taking care of dialysis patients, we are witnesses to the effect chronic kidney disease has to the patient and their family. Often, aside from managing the patient during regular dialysis sessions, we take the time to converse with the patient and with the patient's family.","PeriodicalId":93263,"journal":{"name":"Annals of urology & nephrology","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75785555","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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