British journal of medical & surgical urology最新文献

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Comparing the Efficacy and Safety of Percutaneous Nephrolithotomy vs Extracorporeal Shock Wave Lithotripsy for Lower Calyceal Stones 1-2 cm 经皮肾镜取石术与体外冲击波碎石术治疗下肾盏1 ~ 2 cm结石的疗效和安全性比较
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000209
Montadhar H Nimaa, Shahad A. Ibraheem
{"title":"Comparing the Efficacy and Safety of Percutaneous Nephrolithotomy vs Extracorporeal Shock Wave Lithotripsy for Lower Calyceal Stones 1-2 cm","authors":"Montadhar H Nimaa, Shahad A. Ibraheem","doi":"10.4172/2168-9857.1000209","DOIUrl":"https://doi.org/10.4172/2168-9857.1000209","url":null,"abstract":"Purpose: To distinguish the ESWL and PCNL treatment procedures of 1-2 cm of lower calyceal renal calculi in order to assess the ability and safety of the procedures.Materials and Methods: Patients that undergone treatments within the time frame of June 2015 to March 2018 was selected for the study. 220 patients were identified, where; they were diagnosed with stone size ranging from 1-2 cm in lower calyceal. Selected patients were grouped into to Extracorporeal Shock Wave Lithotripsy (ESWL) and Percutaneous Nephrolithotomy (PCNL) groups. The demographic information comprising age, gender, size of the stone, operation time and stone-free rate (SFR) was collected and analyzed. After the operation, identified patients were tested with stone detection procedure (KUB and US) and CT scan at day 10th and 12th week respectively.Result: It was observed that both groups were eligible for preoperative parameters comparison. The mean (SD) of operating time was significantly longer for Group B [6.71 (38) mins] compared to Group A, yet statistically significant as the p-value was <0.001. On the other hand, the SFR value obtained for both groups were different, 27% and 82% for Group A and Group B respectively.Conclusion: In summary, it was proven that both ESWL and PCNL treatment procedures are comparable for treating lower calyceal stones ranging from 1-2 cm. Despite having the longer hospital stay and intraoperative complications, PCNL was observed to have longer operating time compared to ESWL. Besides that, PCNL also possesses a higher tendency of post-operative infection as the SFR value obtained was higher than ESWL.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"25 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83219458","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}
引用次数: 1
Urinary and Fecal Control and Incontinence: Pathogenesis and Management 尿便控制和尿失禁:发病机制和管理
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000203
A. E. Hemaly, L. Mousa, K. IbrahimM., Il, M. Morad, Mervat M. Ibrhaim, Fatma S. Al Sokkary, M. Ragab
{"title":"Urinary and Fecal Control and Incontinence: Pathogenesis and Management","authors":"A. E. Hemaly, L. Mousa, K. IbrahimM., Il, M. Morad, Mervat M. Ibrhaim, Fatma S. Al Sokkary, M. Ragab","doi":"10.4172/2168-9857.1000203","DOIUrl":"https://doi.org/10.4172/2168-9857.1000203","url":null,"abstract":"Introduction: Urinary and Fecal Control depends on two factors, the first is an inherent, and the second is an acquired. The inherent factor is the presence of an intact sound IUS and IAS. The acquired factor is, through toilet training, having and maintaining high sympathetic tone at the IUS and the IAS. This keeps the sphincters contracted and the urethra and the anal canal empty and closed all the time. Laceration of the collagen chassis of the IUS leads to its weakness and subsequent stress urinary incontinence (SUI) and/or over active bladder (OAB). Similarly, lacerations of the collagen chassis of the IAS lead to its weakness and subsequent fecal incontinence (FI). The lacerations in one/or both sphincters are mainly caused by childbirth trauma (CBT). The pelvic collagen is hormone dependent and drop in the estrogen level causes further weakness of the sphincters. In men senile prostatic enlargement compress the upper part of the urethra leading to irregular dilatation of the bladder neck allowing some urine to enter the urethra on increases of abdominal pressure causing frequent desire to void. The start of voiding may take some time (hesitancy) because of the effort to open the urethra which is compressed by the enlarged prostate. Reconstructive surgery: In women the commonest cause of incontinence is traumatic lacerations of the collagen chassis of the IUS and/or the IAS from CBT. Reconstructive surgery is to restore the normal anatomy and it will restore the function. A new operation “urethra-ano-vaginoplasty” is introduced where mending the torn collagen chassis of the IUS and overlapping the anterior vaginal wall flaps over the mended IUS; and mending the torn chassis of the IAS, overlapping the posterior vaginal wall flaps over the mended sphincter, approximate the two levator ani muscles and repair of the perineum is done.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"23 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74790664","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}
引用次数: 2
Renal Replacement Lipomatosis with Psoas Abscess Mimicking asXanthogranulomatous Pyelonephritis 肾替代性脂肪变性伴腰肌脓肿,类似黄色肉芽肿性肾盂肾炎
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000204
S. Nathani, Kapsioor Singh, P. Mehta
{"title":"Renal Replacement Lipomatosis with Psoas Abscess Mimicking asXanthogranulomatous Pyelonephritis","authors":"S. Nathani, Kapsioor Singh, P. Mehta","doi":"10.4172/2168-9857.1000204","DOIUrl":"https://doi.org/10.4172/2168-9857.1000204","url":null,"abstract":"Renal replacement lipomatosis also known as fibrolipomatosis is a rare chronic pathological condition of the kidney characterized by atrophy and damage to renal parenchyma with excessive proliferation of fat beginning from renal sinus and gradually replacing entire kidney by a fatty pseudotumor. We are presenting a case report of renal replacement lipomatosis in an elderly male with the long-term history of renal stones and coexistent psoas abscess on imaging mimicking as xanthogranulomatous pyelonephritis. Role of (computed tomography) CT imaging is described as preferred modality of investigation to describe unique features of this disease, to differentiate it from xanthogranulomatous pyelonephritis and as a roadmap to surgery.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"85 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89858802","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}
引用次数: 2
Large Spontaneous Steinstrasse: An Unusual Occurrence 大型自发性施坦斯特拉斯:一种不寻常的现象
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000202
K. Parmar, A. Chandna, Santosh Kumar, Anuj Sharma, A. Khanna
{"title":"Large Spontaneous Steinstrasse: An Unusual Occurrence","authors":"K. Parmar, A. Chandna, Santosh Kumar, Anuj Sharma, A. Khanna","doi":"10.4172/2168-9857.1000202","DOIUrl":"https://doi.org/10.4172/2168-9857.1000202","url":null,"abstract":"Steinstrasse, a German word for “Stone Street” is described as column of stone fragments in the ureter following extracorporeal shock wave lithotripsy (SWL). It is a well-recognized, transient, and usually asymptomatic complication of SWL that occurs in 4%–7% of cases. Majority of steinstrasse clears spontaneously, about 6% require intervention. Spontaneous steinstrasse without prior history of SWL is a rare occurrence and only few case reports have been reported. We herein present a rare case of massive spontaneous steinstrasse in a young male and discuss its aetiology and management.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84737112","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}
引用次数: 1
Evaluation of the Role of Micropercutaneous Nephrolithotomy (Microperc) and Retrograde Intrarenal Surgery (RIRS) in the Management of Small Lower Caliceal Kidney Stones 微经皮肾镜取石术(Microperc)和逆行肾内手术(RIRS)在肾盏下小肾结石治疗中的作用评价
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000206
Mohamed Yehiaa, M. Thangavelu
{"title":"Evaluation of the Role of Micropercutaneous Nephrolithotomy (Microperc) and Retrograde Intrarenal Surgery (RIRS) in the Management of Small Lower Caliceal Kidney Stones","authors":"Mohamed Yehiaa, M. Thangavelu","doi":"10.4172/2168-9857.1000206","DOIUrl":"https://doi.org/10.4172/2168-9857.1000206","url":null,"abstract":"Introduction: Management of lower caliceal stones is challenging. Recent advances in technology have led to the implementation of micro percutaneous nephrolithotomy (microperc) as well as retrograde intrarenal surgery (RIRS) in the management of lower caliceal kidney stones. Objective: Review of studies evaluating the role of RIRS and microperc techniques for the treatment of lower caliceal kidney stones. Evidence acquisition: A systematic literature review was performed in September 2017 using the PubMed, Scopus, and Web of Science databases to identify relevant studies. Conclusion: Microperc and RIRS, both are valid options for the treatment of small lower caliceal stones in adult patients. The stone clearance rates in both microperc and RIRS are comparably high and the complication rates are comparably low. Microperc is associated with more post-operative pain and more fall in the haemoglobin level while RIRS is associated with more intraoperative DJ insertion.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"46 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83597242","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}
引用次数: 0
Four Factor Prothrombin Complex Concentrate for Anticoagulation Reversal in an LVAS Patient Undergoing Robotic Prostatectomy: A Case Report 四因子凝血酶原复合物浓缩物在LVAS患者行机器人前列腺切除术中的抗凝逆转:一例报告
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000208
J. Rimsans, B. Fortin, K. Sylvester, Peter E Collins, Mollie Semmer, K. Frankel, J. Howard, A. Kibel, L. Coakley, M. Givertz, J. Connors
{"title":"Four Factor Prothrombin Complex Concentrate for Anticoagulation Reversal in an LVAS Patient Undergoing Robotic Prostatectomy: A Case Report","authors":"J. Rimsans, B. Fortin, K. Sylvester, Peter E Collins, Mollie Semmer, K. Frankel, J. Howard, A. Kibel, L. Coakley, M. Givertz, J. Connors","doi":"10.4172/2168-9857.1000208","DOIUrl":"https://doi.org/10.4172/2168-9857.1000208","url":null,"abstract":"Recipients of left ventricular assist system (LVAS) require long-term anticoagulation with warfarin to prevent thromboembolic complications. We discuss a successful case of the use of four factor prothrombin complex concentrate (4F-PCC) for temporary warfarin reversal in a patient with a HeartMate 3 LVAS requiring robotic assisted laparoscopic prostatectomy.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"83 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75840693","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}
引用次数: 0
Predicting the Immune Response Following Intravesical BCG; is it Possible? 膀胱内卡介苗对免疫应答的预测可能吗?
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000213
M. Yehia, M. Thangavelu
{"title":"Predicting the Immune Response Following Intravesical BCG; is it Possible?","authors":"M. Yehia, M. Thangavelu","doi":"10.4172/2168-9857.1000213","DOIUrl":"https://doi.org/10.4172/2168-9857.1000213","url":null,"abstract":"Objective: To demonstrate and quantify the immune response changes over time in patients with Non-muscleinvasive Bladder Cancer (NMIBC) treated with bacillus Calmette-Guerin (BCG).Methods: The study enrolled 52 patients. Group A included 32 patients with high risk and intermediate risk NMIBC treated with TURBT and intravesical BCG. Group B included 20 patients underwent cystoscopy for other indications. Monitoring immune changes was done by quantifying the percentage of T lymphocytes in urine samples taken before BCG therapy, immediately after BCG therapy and 3 months later. Patients in Group A were followed for 1 year and the clinical outcome was correlated to the level of the immune response.Results: In the initial urine samples taken before BCG therapy the mean flowcytometeric percentages of the T lymphocytes were comparable in both groups. Six weeks after BCG therapy, Group A revealed a significantly elevated mean flowcytometeric measurement 53.3% which dropped after 3 months to 22.4% but still significantly more than that of Group B (which did not show a significant rise after 6 weeks and after 3 months). Out of the 32 patients in Group A, 25 patients (78%) revealed significantly elevated flowcytometeric measurements after BCG therapy in comparison to the mean percentage of the control group (strong responders), while 7 patients (22%) revealed minimally elevated measurements (weak responders). Three cases from the strong responders group (12%) had tumor recurrence during follow up period compared to 3 cases (43%) from the weak responders.Conclusion: Flowcytometery is a feasible method for monitoring the BCG immune response by measuring the percentage of T lymphocytes in urine.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"30 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74599867","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}
引用次数: 0
Largest Metanephric Adenoma Kidney with Polycythemia Incidentally Detected in a Blood Donor 在一个献血者偶然发现的最大后肾腺瘤伴红细胞增多症
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000212
V. Manoharan, K. Parmar, V. Attri, S. Singh, P. Vasisht, P. Bhatia, Meenu Singh, ita Kakkar
{"title":"Largest Metanephric Adenoma Kidney with Polycythemia Incidentally Detected in a Blood Donor","authors":"V. Manoharan, K. Parmar, V. Attri, S. Singh, P. Vasisht, P. Bhatia, Meenu Singh, ita Kakkar","doi":"10.4172/2168-9857.1000212","DOIUrl":"https://doi.org/10.4172/2168-9857.1000212","url":null,"abstract":"Metanephric adenoma of kidney is a rare entity. It presents in young individuals and its association with polycythemia is well described. Differentiation from Wilm’s tumor and renal cell carcinoma is challenging and hence definitive diagnosis is made by histopathology with immunohistochemistry. Recognition of this entity is important as it has a more favourable clinical outcome compared with Wilms' tumor and renal cell carcinoma. We report a case of largest metanephric adenoma presenting with polycythemia incidentally detected in young female during blood donation and managed by radical nephrectomy.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"12 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80682211","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}
引用次数: 0
Penile Location of Buschke-Löwenstein Tumor Buschke-Löwenstein肿瘤的阴茎位置
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000I104
Youness Jabbour, H. Palamino, T. Karmouni, K. Khader, A. Koutani, A. Andaloussi, B. Hassam
{"title":"Penile Location of Buschke-Löwenstein Tumor","authors":"Youness Jabbour, H. Palamino, T. Karmouni, K. Khader, A. Koutani, A. Andaloussi, B. Hassam","doi":"10.4172/2168-9857.1000I104","DOIUrl":"https://doi.org/10.4172/2168-9857.1000I104","url":null,"abstract":"","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"44 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78792710","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}
引用次数: 0
Two Cases of Female Urethral Primary Cancer: Review of Clinico Pathological and Therapeutic Aspects 女性尿道原发癌2例临床、病理及治疗回顾
British journal of medical & surgical urology Pub Date : 2018-01-01 DOI: 10.4172/2168-9857.1000211
Kouka Scn, Y. Diallo, M. Jalloh, L. Bentefouet, R. Ly, Ndiaye, M. Daher, Diop Ak, C. Sylla
{"title":"Two Cases of Female Urethral Primary Cancer: Review of Clinico Pathological and Therapeutic Aspects","authors":"Kouka Scn, Y. Diallo, M. Jalloh, L. Bentefouet, R. Ly, Ndiaye, M. Daher, Diop Ak, C. Sylla","doi":"10.4172/2168-9857.1000211","DOIUrl":"https://doi.org/10.4172/2168-9857.1000211","url":null,"abstract":"The authors report two cases of female primary urethral carcinoma in two patients 70 years-old and 27 years-old. The patients were referred for difficulty passing urine, initial hematuria and episodic genital bleeding. Physical examination revealed a swelling of the meatus associated with induration of the anterior vagina wall. Pathology of the biopsy showed an urethral adenocarcinoma for case 1 and urothelial carcinoma for case 2. Anterior pelvectomy with ileal conduit was performed. Postoperative period was uneventful. They received adjuvant chemotherapy. The epidemiology, diagnosis, prognosis and disease management aspects are discussed through a review of the literature.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"69 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78827350","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}
引用次数: 1
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