African Journal of Urology最新文献

{"title":"Bilateral corpus cavernosum abscess: a case report and a review of the literature","authors":"Steven, Nur Rasyid, Ponco Birowo, Doddy Widyawan Hami Seno, Indri Aulia, Widi Atmoko","doi":"10.1186/s12301-024-00433-2","DOIUrl":"https://doi.org/10.1186/s12301-024-00433-2","url":null,"abstract":"Corpus cavernosum abscess is an uncommonly described urological condition. We report a case of bilateral corpus cavernosum abscess in a 49-year-old man with a history of the left scrotal abscess. A 49-year-old man was present with 10 days history of painful and swollen penis. He had a history of an abscess in the left scrotum. The examination revealed non-erythematous palpable edema and tenderness on the shaft of the penis. Laboratory results showed leukocytosis. He was diagnosed with bilateral corpus cavernosum abscess and right testicular hypotrophy after an MRI examination. He underwent a bilateral corporotomy, debridement with Mulcahy salvage solution, and placement of a Penrose drain. A penile abscess can be caused by a variety of factors. Treatment includes intravenous antibiotics, radiologically guided needle aspiration, or open surgical drainage. In addition to antibiotic treatment, surgical debridement is required for the majority of penile abscess cases.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141506231","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}

{"title":"Morpho-constitutional analysis of urolithiasis and in vitro litholytic evaluation of select plants against diverse renal calculi variants","authors":"Abdelaali Belhachem, S. Makhloufi, R. Lecheheb, D. Mediouni, A. Bennekrouf, A. Amiar, A. Bengueddach, W. Belkacem, F. Boudia, M. J. Yousfi, H. Toumi","doi":"10.1186/s12301-024-00434-1","DOIUrl":"https://doi.org/10.1186/s12301-024-00434-1","url":null,"abstract":"This study explores the potential litholytic activity of medicinal plant infusions, specifically Arenaria rubra, Hordeum vulgare, and Zea mays, as well as a combination of these infusions, on various types of urinary calculi. Given the traditional use of these plants in managing kidney stones and the need for alternative treatments, this investigation aims to assess their efficacy in dissolving different types of calculi. Samples representing calcium oxalate monohydrate (COM), calcium oxalate dihydrate (COD), cystine (Cy), uric acid (UA), and calcium phosphate (CP) calculi were analyzed using FTIR and optical microscopy. Herbal infusions were prepared at a concentration of 14 g/l, and the dissolution capacity was evaluated by incubating the calculi samples in the infusions for eight weeks. Microscopic examination and statistical analysis were conducted to assess the efficacy of the infusions. Limited dissolution of COM and COD calculi was observed with the infusions, consistent with their known resistance to dissolution. Significant dissolution effects were observed for Cy, UA, and CP calculi, especially with infusions of A. rubra and H. vulgare. These findings suggest the potential of plant infusions as complementary therapeutic agents for certain types of kidney stones. This study highlights the promising litholytic activity of medicinal plant infusions, specifically A. rubra and H. vulgare, which indicates a significant dissolution of various urinary calculi. While further research is needed to validate these findings, integrating plant infusions, extracts, or essential oils into clinical practice could offer additional treatment options for managing kidney stones and preventing recurrence.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141506232","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}

{"title":"Nephrectomy for emphysematous pyelonephritis in a nonfunctional renal allograft due to rejection after kidney transplantation","authors":"K. Kikkawa, T. Wakamiya, Fumiyoshi Kojima, Y. Kohjimoto, I. Hara","doi":"10.1186/s12301-024-00432-3","DOIUrl":"https://doi.org/10.1186/s12301-024-00432-3","url":null,"abstract":"","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141351729","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}

{"title":"Diagnosis and multidisciplinary management of a large primary retroperitoneal hydatid cyst: report of a sporadic case","authors":"S. Nedjim, Y. Bencherki, Yassine Daghdagh, A. Nachid, Anas Tmiri, Mouad El Badr, A. Moataz, M. Dakir, Debbagh Adil, R. Aboutaieb","doi":"10.1186/s12301-024-00431-4","DOIUrl":"https://doi.org/10.1186/s12301-024-00431-4","url":null,"abstract":"","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141368754","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}

{"title":"Exploring racial disparities in bladder urothelial cancer: insights into survival and genetic variations","authors":"S. Abubakar, Zakariyya Muhammad Bello, Sufiyanu Sani Gusau, Imam Malik Kabir","doi":"10.1186/s12301-024-00430-5","DOIUrl":"https://doi.org/10.1186/s12301-024-00430-5","url":null,"abstract":"","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141116863","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}

{"title":"Storz professional image enhancement system (SPECTRA A) enhancing detection of carcinoma urinary bladder by white light cystoscopy","authors":"D. Gnyawali, P. Sigdel, Bipendra D. K. Rai, S. Chapagain, Prem Raj Gyawali","doi":"10.1186/s12301-024-00429-y","DOIUrl":"https://doi.org/10.1186/s12301-024-00429-y","url":null,"abstract":"","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141124520","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}

{"title":"Safety of single-use flexible ureteroscopy for dusting of upper urinary tract calculi in children","authors":"Ahmed Samir, Osama EL Gamal, Samir El Gamal, Salah Nagla","doi":"10.1186/s12301-024-00428-z","DOIUrl":"https://doi.org/10.1186/s12301-024-00428-z","url":null,"abstract":"Flexible ureteroscopy offers numerous advantages, such as increased reach, superior stone-free rate, reduced risk of bleeding, minimal surgical trauma, and faster recovery time. There are few studies discussing the effectiveness of single-use flexible ureteroscopy in children, and none so far have addressed its safety. This study aims to evaluate the effectiveness and safety of a single-use flexible ureteroscope for treating upper urinary tract stones in children. This study included children with single upper urinary tract stones measuring less than 2 cm who underwent single-use flexible ureteroscopy between October 2020 and January 2023. We assessed the following patient characteristics: age, gender, stone type, size, position, pre and postoperative stent placements, use of a ureteral access sheath, stone-free rate, operation duration, and the rate of complications. A patient was considered stone-free if there were no residual stone particles larger than 3 mm after surgery. Flexible ureteroscopy and holmium laser lithotripsy were undertaken for 44 participants, with an average age of 8.5 years (range: 2–16 years). The typical stone size was 14 mm (range: 6–20 mm). The average operation time was 74 min (range 35–110 min). Ureteral access sheaths were used in 81.8% (36 out of 44) of procedures. After a single FURS session, 86.36% (38 out of 44) of patients achieved stone-free status. Postoperative JJ stent application was noted in 86.4% (38 out of 44) of patients. Complications were categorized using the Calvien system, revealing that 25% (11 out of 44) of patients experienced mild hematuria, colic, and low-grade fever (Calvien I). No severe side effects like mucosal avulsion or ureteral perforation were reported. In the short-term, single-use flexible ureteroscopy is a safe and effective method for managing single renal and proximal ureteric stones, measuring 2 cm or less, in children.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140941301","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}

{"title":"Laparoscopic Enucleation of an Extravesical Bladder Leiomyoma: A Case Report","authors":"Muhammad Ainul Mahfuz, Ikhlas Arief Bramono, Fakhri Rahman, Dewi Iriani, Edward Usfie Harahap, Rachmat Budi Santoso","doi":"10.1186/s12301-024-00426-1","DOIUrl":"https://doi.org/10.1186/s12301-024-00426-1","url":null,"abstract":"The management of leiomyomas, the most common benign mesenchymal tumours, remains highly debated. This case report presents the first laparoscopic enucleation of an extravesical bladder leiomyoma in Indonesia. A 48-year-old man presented with a lower abdominal mass. An abdominopelvic computed tomography scan showed a solid tumour mass in the right anterolateral wall of the bladder. To excise the mass, it was planned for the patient to undergo laparoscopic enucleation. The mass was removed intact, and a frozen section was taken to determine the malignancy profile. Histopathological examinations, followed by immunohistochemical examinations, confirmed the diagnosis of leiomyoma. Laparoscopic enucleation is a promising option for managing bladder masses. It is a minimally invasive procedure with optimal results for preserving bladder function. Prior to the surgery, imaging studies and cystoscopy examination are mandatory.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140941300","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}

{"title":"Correlation of serum interleukin-8 levels and prostate volume to the degree of lower urinary tract symptoms in patients with benign prostate enlargement: a cross-sectional study","authors":"Uleng Bahrun, Yohanes Kusumo Adi Arji Atmanto, Asvin Nurulita, Fitriani Mangarengi, Muhammad Asykar Palinrungi, Burhanuddin Bahar","doi":"10.1186/s12301-024-00427-0","DOIUrl":"https://doi.org/10.1186/s12301-024-00427-0","url":null,"abstract":"Benign prostatic enlargement (BPE) and lower urinary tract symptoms (LUTS) are pro-inflammatory cytokine interleukin-8 (IL-8)-associated which causes epithelial hyperplasia of the prostate transitional zone. This study aimed to determine the correlation between the levels of IL-8 serum and the prostate volume with the degree of LUTS severity in patients with BPE. Determination of the correlation between serum IL-8 levels and prostate volume with the LUTS severity degree was conducted using a cross-sectional approach. The International Prostate Symptom Score was used to measure the LUTS severity degree, the enzyme-linked immunosorbent assay (ELISA) technique was used to measure the serum IL-8 level, and the transabdominal ultrasonography (TAUS) was used to measure the prostate volume. The sample used in this study was 32 patients with BPE grouped by the degree of LUTS severity of the patients. The correlation between variables was then analyzed using the Pearson correlation test. The prostate volume was higher in severe LUTS degree (38.19 cc) than in the mild LUTS degree (13.05 cc). The levels of serum IL-8 were higher in the severe LUTS degree (21.65 pg/mL) than in the mild LUTS degree (8.44 pg/m). Both the levels of serum IL-8 and the degree of LUTS did not have a significant correlation with the volume of prostate (p > 0.05). On the other side, the prostate volume and the degree of LUTS severity had a significant positive correlation (p = 0.001, R = 0.913). The prostate volume and the levels of serum IL-8 are higher in the severe LUTS degree. There is a trend of increasing prostate volume with the severity of LUTS symptoms and higher serum IL-8 levels. The severity of prostate enlargement can be assessed by measuring the levels of IL-8 in the serum.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140886754","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}

{"title":"Transobturator vaginal wall sling (Elgamasy technique) for the treatment of female stress urinary incontinence: a pilot study","authors":"Abdelnaser Khalifa Elgamasy","doi":"10.1186/s12301-024-00421-6","DOIUrl":"https://doi.org/10.1186/s12301-024-00421-6","url":null,"abstract":"Stress urinary incontinence (SUI) is a common social problem that affect about 4–35% of adult women adult. There are multiple surgical options for treatment of SUI but midurethral slings are the most effective and durable form of treatment. In this study, transobturator vaginal sling (TOT-VS, Elgamasy technique) was used to overcome the unique risks associated with synthetic mesh placement, as well as the higher rate of voiding dysfunction and harvest site complications associated with pubovaginal sling placement. To assess the short-term outcome of transobturator vaginal wall sling (TOT-VS) for the treatment of SUI. This is a prospective study included 20 females who underwent TOT-VS placement for SUI from January 2021 to March 2022 at Tanta Urology Department–Tanta University Hospitals. Two-parallel longitudinal vaginal mucosal incisions were performed 2 cm below the bladder neck, and 6 × 2 cm graft was harvested from the anterior vaginal wall, with a prolene suture on each side and fixed around the urethra via the transobturator rout. Patients were followed in the outpatient clinic after one week, two weeks, 3, 6 months and one year postoperatively. Outcomes were measured subjectively by the Bristol Female Lower Urinary Tract Symptoms (B-FLUTS) score comparing preoperative and postoperative scores and objectively by cough stress test. The median age of patients was 42 years, and the median BMI was 30.0 kg/m2. The technique was performed, and the patient was discharged the next day after surgery. Mean operative time was 50.5 ± 9 min. All patients completed B-FLUTS at the last follow-up. Compared to preoperative scores, all patients showed significant improvement in all domains. Nineteen cases (95%) showed negative cough stress test 6 months postoperatively, and none of them suffered from severe (Clavien III-V) complications or required reoperation to release the sling. The procedure was failed in one case (5%). At one-year follow-up, no recurrence of SUI was recorded in any case. In the treatment of female stress urinary incontinence, transobturator vaginal wall slings can be a viable, autologous and cost-effective option with excellent short-term outcome, no recurrence, short operative periods, minor complications and short hospital stays.","PeriodicalId":7432,"journal":{"name":"African Journal of Urology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140810115","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}