Effect, Adverse Events and Re-operations after Tension-free Vaginal Tape Obturator Surgery
Silja Maigaard Axelsen, Rikke Guldberg Sorensen, MD, PhD and Susanne Axelsen, MD, PhD
Article Type: Original Article | First Published: December 18, 2019
Women with stress urinary incontinence can be offered an operation with mid-urethral sling. First, Tension- free vaginal tape was invented. Some years later, because of concerns about complications associated with this operation, the other minimally invasive procedure using the trans obturator procedure was introduced by Dr. J. de Leval in 2003. Since then, the diversity in methods gave rise to a discussion of both efficacy, complications and reoperations. In Denmark, the professional discussion...
Nephrocutaneous Fistula after Microwave Thermal Ablation and Literature Review
Marius Anglickis, Giedre Anglickiene, Gintare Andreikaite, Lina Miklyciute and Edmundas Starolis
Article Type: Case Report | First Published: December 13, 2019
Nephrocutaneous fistula is a very rare complication of renal surgery. It may be associated with renal tumors, nonfunctional kidneys, staghorn calculi, renal trauma or chronic urinary tract infections. Because of widely used imaging techniques an early detection of small renal tumors has modified the management of kidney cancer. Nephron sparing surgical resection remains the standard of care for T1 tumors less than 7 cm. For patients who are not amenable for surgery, microwave thermal ablation (M...
Retzius Sparing (RS) Robotic Assisted Radical Prostatectomy (RARP) and Retzius Space Reconstruction Technique after RARP Improve Urinary Continence Compared to Conventional RARP (C-RARP): Systematic Review and Metanalysis
William Pertuz Genes, Maria Claudia bicudo, Pablo Miranda Machado, Pericles Rios Auad, Liseth Echavez Pacheco, Hamilton de Campos Zampolli, Igor Nunes da Silva, Daniel Coser Gomes and Marcos Tobias-Machado
Article Type: Research article | First Published: November 25, 2019
Several parameters are important to evaluate good oncological and functional results after robotic prostatectomy. We hypothesize that preservation or reconstruction of Retzius space can be valuable for better results outcomes, especially in terms of early continence recovery. In October 2018, electronic searches were conducted in the following databases: Cochrane, EMBASE, PubMed and Google Scholar. Manual searches in the reference lists of all the reviews and the relevant studies were identified...
Skull Metastasis in Prostate Cancer: A Compilation of Four Cases along with Review of the Literature
Brahima KIRAKOYA Fasnewinde Aristide KABORE, Babagana Mustapha ABUBAKAR, Mohamed SIMPORE, Bienvenue Desire KY and Aïssata OUEDRAOGO
Article Type: Research Article | First Published: November 06, 2019
Skull metastasis in prostate cancer is rare and is seen in advanced cases. We study four cases seen in our facility with the aim of identifying challenges in making diagnosis and treatment of these patients. We also reviewed the literature. This study involved four men age 55, 65, 66 and 69 years. In two cases, the skull metastases were discovered during evaluation for primary skull swelling, no lower urinary tract symptoms (LUTS) at presentation. In the other two cases, skull metastases were di...
Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
Bruno Costa do Prado, Gustavo Silva Schafascheck and Alana Rocha Puppim
Article Type: Research Article | First Published: October 17, 2019
Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. Medical literature indicates that this condition is due to the improvement of the technique and dissemination in a wide range of imaging methods, increasing considerably the diagnosis of adrenal nodules and its immediate treatment. When treating a patient with adrenal tumors, the main concern of the professional should be to establish if th...
Risk Factors for Urinary Tract Infection in Men Treated with Transurethral Resection of the Prostate for Lower Urinary Tract Symptoms
J Stangl-Kremser, S Bronimann, M Abufaraj, C Pozo, SF Shariat and G Schatzl
Article Type: Research Article | First Published: October 14, 2019
Our cohort comprised 96 consecutive patients treated with TURP for obstructive lower urinary tract symptoms associated with benign prostatic enlargement suggestive of benign prostate hyperplasia. We collected relevant data of our cohort including demographic data, comorbidities, past medical history presence of preoperative indwelling transurethral catheter and histopathology of prostate chips after resection were assessed for each patient. Patients’ charts were also reviewed to ascertain the ...
A Brief Look at the Examination of Kidney Biopsies under Transmission Electron Microscope
Article Type: Short Commentary | First Published: December 24, 2018
Ultrastructural examination using the transmission electron microscope (TEM) has been used for diagnostic purposes in the evaluation of renal pathologies for more than 40 years. Previous studies have reported that electron microscopic ultrastructural examination makes a contribution of at least 25% in the diagnosis of renal pathologies, particularly including glomerulopathies such as nephrotic syndrome and minimal change disease. Several new glomerulopathies such as human immunodeficiency virus ...
Penile Prosthesis Surgery in Italy: Personal Experiences, Complications and Considerations after 552 Cases
Diego Pozza, Mariangela Pozza and Carlotta Pozza
Article Type: Review Article | First Published: December 19, 2018
The Implant of Penile Prostheses (Silicone, Malleable, Inflatable) represents an efficient solution for patients affected by Erectile Dysfunction (ED) and penetrating incapacity who do not respond to the other treatment modalities (PDE5i, PGE1, Vacuum Systems). Patients with penile prostheses regain the spontaneity of intercourses without having to assume drugs, to introduce mechanically medical substances or to activate complex mechanisms. Just like the whole field of prosthetic surgery, introd...
Female Hypospadias and Urinary Incontinence: Surgical Solution of a Little-Known Entity
Mario Lima, Niel Di Salvo, Tommaso Gargano and Giovanni Ruggeri
Article Type: Case Report | First Published: November 23, 2018
We describe the case of a female patient referred to our Institution for urinary incontinence likely due to hypospadias. As a matter of fact, her clinical history was way more complex. She was born at term, with no prenatal diagnostic suspicions. After toilet training achievement, between 2 and 3 years old, her mother noticed a continuous urinary dripping during day and night hours. Simultaneously, she started suffering from well-documented recurrent urinary tract infections (UTIs). She was firs...
Adrenocortical Carcinoma in a Young Patient: Report of a Rare Case and Review of the Literature at King Abdulaziz University Hospital
Sultan Almuallem, Shahad Abualhamael, Hala Mosli, Hisham Mosli and Murad Aljiffry
Article Type: Case Report | First Published: October 31, 2018
Adrenocortical tumors are rare neoplasms with poor prognosis and with an incidence of one in one million population. They are categorized as either functional (hormone-secreting) or silent and as either benign or malignant. We are reporting a very rare case of huge (16 cm) adrenocortical carcinoma in a 19-years-old male patient who presented with a progressively increasing right abdominal mass and uncontrolled systemic blood pressure for 2 years. Clinical exam was unremarkable for syndromic feat...
Supporting Evidence, Potential Adverse Effects, and known Drug Interactions of the Complementary Alternative Medicines which are Frequently used by Prostate Cancer Patients
Harmeet Deol, Alan Truong, Tibebe Woldemariam, Xiaodong Feng and Ruth Vinall
Article Type: Research article | First Published: October 18, 2018
A significant number of prostate cancer patients use complementary alternative medicines (CAMs) as an adjunct to their conventional treatment. Examples of CAMs that are frequently used by prostate cancer patients include green tea extract, lycopene, and pomegranate fruit extract. In many cases there is little if any clinical study-based evidence to support the efficacy of CAMs in this setting, and, importantly, some CAMs can cause serious adverse effects when taken a high doses and/or have signi...
Br, Fe, Rb, Sr, and Zn Levels in the Prostatic Secretion of Patients with Chronic Prostatitis
Vladimir Zaichick and Sofia Zaichick
Article Type: Research Article | First Published: October 12, 2018
Chronic prostatitis (CP) is an internationally important health problem of the man, particularly in developed countries. The aim of this exploratory study was to evaluate whether significant changes in the levels of Zn and some other trace elements of prostatic fluid exist in the inflamed prostate. Prostatic fluid levels of Br, Fe, Rb, Sr, and Zn were prospectively evaluated in 33 patients with CP and 42 healthy male inhabitants. Measurements were performed using 109Cd radionuclide-induced energ...
Penile Cancer: Case Report
Mehmet Solakhan and Ersan Bulut
Article Type: Case Report | First Published: October 11, 2018
Penile cancer is the most rarely observed cancer among male urogenital system tumors and is observed at an annual rate of 1/100000. Penile cancer risk increases significantly with increasing age, poor hygiene, and the presence of a foreskin. The most frequently observed type is the squamous cell carcinoma (SCC). Clinical examination of the inguinal lymph nodes is critical, as nodal involvement is a poor prognostic feature. Patients with T2 or higher-grade tumors and lymphovascular invasion are a...
Case of Penile Malignant Peripheral Nerve Sheath Tumor in a Twenty-Year-Old Male with Neurofibromatosis Type 1
Orchid Djahangirian, Ngoc-Anh Tran, Lilibeth Torno and Antoine Khoury
Article Type: Case Report | First Published: October 11, 2018
The patient's past medical history was significant for juvenile myelomonocytic leukemia (JMML) that was treated at the age of three years with chemotherapy, total body irradiation and splenectomy and bone marrow transplantation. The patient was clinically diagnosed with NF1 on the basis of multiple café au lait macules, cutaneous neurofibromas, and axillary and inguinal freckling. At the age of 19 years, imaging performed to evaluate a two-week history of coughing revealed a right paratracheal ...
Pure Primary Small Cell Carcinoma of Urinary Bladder: An Extreme Rarity
Sanjay Kumar, Namita Bhutani, Sant Prakash Kataria and Rajeev Sen
Article Type: Case Report | First Published: September 19, 2018
Small cell carcinoma of the urinary bladder is an extremely rare tumor accounting for less than 1% of all cancers arising from the bladder. Since the tumor is very rare, pathogenesis is uncertain. The tumor shares similar histological features with the small cell carcinoma originating at the other sites in body. However, its similar clinical features like the conventional transitional cell carcinoma of the bladder, tendency to present at a advanced stage and low immunoreactivity to the conventio...
Case Report: Fournier Gangrene Following Circumcision
Faisal Ghumman, Carlon Fitzpatrick, Seemin Nazad, Mishal Iqbal, Haider Iftikhar and Danielle Alexander
Article Type: Case Report | First Published: August 13, 2018
D.T. a 42-year-old male with no significant past medical history underwent circumcision for recurrent Balanitis using the sleeve technique. The procedure was uncomplicated, however a few adhesions with hyper-vascularity were found between the foreskin and the glans. No antibiotic prophylaxis was given intraoperatively. Good haemostasis was achieved with bipolar diathermy....
-2proPSA and Prostate Health Index Usefulness for the Diagnosis of Prostate Cancer for PSA Range between 3 and 10 ng/ml
J Juan Escudero, A Duran-Rivera, E Escudero, A Montoro, M Fabuel del Toro, M Ramos de Campos and E Lopez Alcina
Article Type: Original Article | First Published: Augsut 08, 2018
The prostate specific antigen (PSA) is a kallikrein protein family member and since the 1990s has been used as a biochemical marker for the early diagnosis of PCa. Since the introduction of PSA, we have witnessed the migration of this tumor to initial stages diagnosis, with a subsequent decrease in mortality. Even though PSA use is constantly challenged due to its low specificity, especially in what is known as the PSA grey area (between 4-10 ng/dL range), PSA is still the most utilized tumor ma...
The Impact of ABO Blood Group on Biochemical Recurrence after Radical Prostatectomy
Shahait M, Fares S, Mukherji D, Hout M, Bachir BG, Khauli R and Bulbul MA
Article Type: Original Article | First Published: July 11, 2018
The ABO antigens are expressed on the surface of red blood cells, epithelial cells, and endothelial cells. The association between different ABO blood group and several conditions such as VTE, CAD, and several neoplasms is well documented in the literature. The aim of this study is to examine the impact of ABO blood group on the biochemical failure after radical prostatectomy....