uijlogo  
Register and login to access premium content
Log in
Express registration and login!
If you have a Facebook or LinkedIN account, use one of the buttons on the left to either login or create a new account.

Log in

 

UIJ

#AUA14 - Bilateral multifocal papillary type I renal cell carcinoma: Clinical characteristics and association with chronic renal insufficiency - Session Highlights

ORLANDO, FL USA (UroToday.com) - Bilateral multifocal (BMF) papillary type I renal cell carcinoma (RCC) has traditionally been associated with hereditary papillary renal cell carcinoma (HPRC) with mutations of the met proto-oncogene.

Read more...

Clinical genetic testing for male factor infertility: current applications and future directions - Abstract

Spermatogenesis involves the aggregated action of up to 2300 genes, any of which, could, potentially, provide targets for diagnostic tests of male factor infertility.

Read more...

Comparison of intravesical application of chondroitin sulphate and colchicine in rat protamine/lipopolysaccharide induced cystitis model - Abstract

PURPOSE: To investigate beneficial effect of the readily available colchicine through its intravesical application on protamine/lipopolysaccharide induced interstitial cystitis model in rat and to compare its efficacy to the chondroitin sulphate available for clinical use.

Read more...

The effect of rosuvastatin and atorvastatin on erectile dysfunction in hypercholesterolemic patients - Abstract

OBJECTIVE: The aim of this study was to evaluate effect of different statin types on erectile dysfunction in hypercholesterolemic patients.

Read more...

Urogenital Schistosomiasis: A Diagnosis to Consider in Patients with Hematuria in Europe

ABSTRACT

Introduction: Over 100 million people worldwide are affected by urogenital schistosomiasis, a disease caused by Schistosoma haematobium. Here, we report our experience with urogenital schistosomiasis.

Materials and Methods: We retrospectively evaluated patients with urogenital schistosomiasis between 2004 and 2012. Clinical and demographic variables were analyzed.

Results: All cases (5) occurred in male patients with a median age of 33.8 years (range: 14-47). All patients resided in or had visited endemic areas. The average time from the onset of symptoms to diagnosis was 19.5 weeks (1-52). Hematuria was the most common initial clinical sign in 3 cases (60%), 2 of which arose in a monosymptomatic form. One case presented with sepsis and acute renal failure (ARF), and another case presented atypically and was diagnosed in an organ donor candidate. Four cases exhibited consistent bladder calcifications that were found through radiographic imaging at the time of diagnosis. The parasite was identified in urine in 1 case (20%), and cystoscopy results were suspicious for 2 of them (40%). The chosen standard treatment was pharmacological (Praziquantel) after anatomopathological confirmation.

Conclusions: Given the high prevalence of schistosomiasis in sub-Saharan countries, the emergence of macro- or microscopic hematuria in immigrants or travelers requires comprehensive study and the consideration of schistosomiasis as a probable cause. Accurate diagnosis and early treatment can prevent complications from tissue inflammation caused by the parasite.

Lucas Regis,1 Fernando Lozano,1 Miguel A. Lopez-Pacios,1 Juan Morote,1,2

1Department of Urology, Vall d´Hebron Hospital, Universitat Autónoma de Barcelona, 2Vall d´Hebron Research Institute, Universitat Autónoma de Barcelona

Submitted August 5, 2013 - Accepted for Publication September 20, 2013

KEYWORDS: Hematuria, schistosomiasis, Schistosoma haematobium, urine cytology

CORRESPONDENCE: Lucas Regis, Vall d´Hebron Hospital, Department of Urology, Pg Vall d´Hebron 119-129, Barcelona 08035, Spain (This email address is being protected from spambots. You need JavaScript enabled to view it. )

CITATION: UroToday Int J. 2013 December;6(6):art 78. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.13

uijpurchasebutton

Read more...

Vol. 6 Issue 6: December 2013 - Download the Complete Issue

Subscribers are invited to download the complete December issue (Vol. 6, Issue 6) in one .pdf file.

Read more...

Letter from the Editor - December 2013

Dear Colleagues,

With the last issue of UroToday International Journal for 2013, we want to wish all our readers and reviewers a happy holiday and a prosperous New Year 2014! We have received a large number of interesting articles and case reports throughout the year and we want to thank all of the authors for their contributions to another successful year for the UIJ.

An article by Kosilov et al. presents a study looking at the performance management of the long-term results of treatment of overactive bladder (OAB) in elderly men. They found that an additional cycle of treatment with a combination of high-dosed trospium and solifenacin, conducted 2 months after the primary treatment, significantly decreased the probability of recurring OAB in elderly men during 1 year, with low-level side effects.

Logan et al. evaluated whether omission of a pelvic lymphadenectomy (PLND) in patients with D’Amico low-risk prostate cancer was associated with increased rates of 5-year biochemical recurrence (BCR). With a 43-month median follow-up, D’Amico low-risk prostate cancers are no more likely to develop BCR when limited PLND is omitted than those who undergo limited PLND.

An evaluation of the performance of C11-Acetate positron emission tomography/computed tomography (PET/CT) in recurrent prostate cancer patients with early and late imaging was performed byAlmeida et al.  They found that early imaging appears optimal in the evaluation of recurrent prostate adenocarcinoma. In a larger application (300 patients) of early imaging in this patient population, C11-Acetate PET/CT demonstrates a consistently high detection rate.

An article by Cornfield describes in detail the 4-year effort of the Knock Foundation and its volunteers in bringing modern urologic procedures, specifically cystoscopy, transurethral resection/vaporization of the prostate, and visual internal urethrotomy, to previously underserved areas of Kenya and Ethiopia, teaching techniques to local physicians and building sustainable, if nascent, programs in urology at distinct institutions.

Finally, Shchukin et al. investigated the sources of bleeding from the lumen of the inferior vena cava during removal of the tumor thrombus and they concluded that the variant lumbar veins rarely are the main source of bleeding during thrombectomy.

We also present a series of case studies that include various topics, including Isolated Primary Megalourethra, Management of Intravesical Magnetic Beads, Neobladder Vaginal Fistulae, Metanephreic Adenoma of the Kidney, Second Allografted Kidney, Page Kidney Phenomenon, and Fracture of the Penis.

I personally want to thank the authors and reviewers for their valuable contributions to this issue.

Warm Regards, 

Karl-Erik Andersson

Replacement of Both Tunica and Urethra by Inner Prepucial Flap in a Neglected, Old Case of Fracture of the Penis

ABSTRACT

The present case is a rare complication of fractured penis involving the tunica leading to a large fibrous plaque and stricture urethra because of involvement of corpus spongiosum in the plaque. The fibrous plaque in the tunica was excised and distal urethra involved in plaque was resected. An inner preputial flap was divided into 2 and used successfully to cover the resultant tunica defect and for urethral replacement with good results.

Amilal Bhat,1 Mahakshit Bhat,2 Karamveer Sabharwal,3 Manish Singla,3 Vinay Kumar,3 Ravi Upadhayay3

1Senior Professor and Head, Department of Urology, 2Senior Demonstrator, Department of Preventive and Social Medicine, 3Senior Resident, Department of Urology, S. P. Medical College, Bikaner, India 334003

Submitted October 20, 2013 - Accepted for Publication December 13, 2013

KEYWORDS: Penile fracture, Peyronie's, urethral stricture

CORRESPONDENCE: Dr. Amilal Bhat, C-15 Sadul Ganj, Bikaner (Rajasthan), India 334003 (This email address is being protected from spambots. You need JavaScript enabled to view it. , This email address is being protected from spambots. You need JavaScript enabled to view it. )

CITATION: UroToday Int J. 2013 December;6(6):art 77. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.12

uijpurchasebutton

Read more...

A Model for Implementation and Sustainability of Urologic Services in the Developing World: Based on the 4-Year Experience of Knock Foundation Urologic Volunteers in Kenya and Ethiopia

ABSTRACT

The purpose of the Knock Foundation initiative in sub-Saharan Africa, to date in Kenya and Ethiopia, is to bring modern urologic procedures, specifically cystoscopy, transurethral resection/vaporization of the prostate, and visual internal urethrotomy to an underserved population in a sustainable and therefore accessible fashion. The article describes in detail the 4-year effort of the Knock Foundation and its volunteers in bringing these procedures to previously underserved areas of Kenya and Ethiopia, teaching techniques to local physicians and building sustainable, if nascent, programs in urology at distinct institutions.

Joel Cornfield, Mark Schacht, Craig Smith, Brien Keuer, Charles Durkee, Robert Wadman, F. Bruce Cohen, David Grossman

Submitted November 7, 2013 - Accepted for Publication December 13, 2013

KEYWORDS: Cystoscopy, TURP, VIU

CORRESPONDENCE: Joel Z. Cornfield, Uropartners LLC dba York Urologic Associates, 950 N. York Road, Suite 208, Hinsdale, Illinois 60521(This email address is being protected from spambots. You need JavaScript enabled to view it. ; This email address is being protected from spambots. You need JavaScript enabled to view it. )

CITATION: UroToday Int J. 2013 December;6(6):art 76. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.11

uijpurchasebutton

Read more...

Identification of Bleeding Sources During Removal of Inferior Vena Cava Tumor Thrombi: Multidetector Computed Tomography Study

ABSTRACT

Objectives: The purpose of this study was to investigate the sources of bleeding from the lumen of the inferior vena cava (IVC) during removal of the tumor thrombus. We have studied the multidetector computed tomography (MDCT) anatomy of the posterior tributaries of the IVC, including variant lumbar veins and lumbar veins of the infrarenal IVC.

Materials and Methods: The retrospective study included 302 patients who underwent the bolus contrast-enhanced MDCT of the abdomen for various indications. We analyzed the anatomy of the variant lumbar veins and infrarenal IVC lumbar veins.

Results: Variant lumbar veins were detected in 50% of patients (151 out of 302). The diameter of these vessels ranged from 1 mm to 5 mm and averaged 2.5 mm. The distance from the upper edge of the right renal vein mouth to the variant vein mouth varied from 0 mm to 51 mm and averaged 13.7 mm. In 71% of cases the variant veins entered the subhepatic IVC. In 26.3% of cases it drained at the level of the upper edge of the renal vein mouths (cavarenal segment) and only in 2% of cases—to the retrohepatic IVC. Lumbar veins entered the IVC immediately next to the lower edge of the right renal vein mouth in 35 (11.6%) cases. Their average diameter was 4.7 mm. On the left side of the "risk zone" the lumbar veins drained only in 2 (0.7%) patients at a distance of 7 mm and 8 mm from the mouth of the left renal vein.

Conclusion: The variant lumbar veins rarely are the main source of bleeding during thrombectomy. From our point of view, the right upper lumbar veins of the infrarenal IVC draining into the inferior vena cava in close proximity to the mouths of the renal veins played the leading role in this matter.

Dmytro V. Shchukin,1,2 Oleksiy O. Altukhov,1,2 Ganna V. Lisova,2 Yuriy A. Ilyukhin3

1V. I. Shapoval Regional Clinical Center of Urology and Nephrology, 2Kharkiv National Medical University, 3Belgorod Regional Clinical Hospital of Saint Joasaph

Submitted October 29, 2013 - Accepted for Publication December 13, 2013

KEYWORDS: Inferior vena cava, lumbar veins, variant lumbar vein, tumor thrombus, source of bleeding, MDCT

CORRESPONDENCE: Dmytro V. Shchukin, V. I. Shapoval Regional Clinical Center of Urology and Nephrology, 195, Moskovskyy Avenue, Kharkiv, 61037, Ukraine (This email address is being protected from spambots. You need JavaScript enabled to view it. )

CITATION: UroToday Int J. 2013 December;6(6):art 75]. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.10

uijpurchasebutton

Read more...

Page 1 of 62