11/126. Urethral calculi managed with transurethral holmium laser ablation.In situ holmium laser lithotripsy is a safe, effective procedure for the treatment of impacted urethral stones. This procedure can be performed transurethrally as an outpatient with minimal tissue trauma and render patients stone free. The authors utilized this procedure in 2 patients whose anatomy did not allow the calculi to be manipulated into the urinary bladder in a retrograde manner. Because of its successful use elsewhere in the urinary tract, we believe that holmium laser lithotripsy may be the treatment of choice for impacted urethral stones.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
12/126. Recurrent urethral hairball and stone in a hypospadiac: management and prevention.A 32-year-old perineal hypospadiac man presented with recurrent urethral hair growth, stone, and stricture with a history of multiple urethroplasties. He was treated by urethrolithotomy, internal urethrotomy, laser epilation of the hair-bearing urethral graft, closure of the fistula, and chemical depilation of the neourethral hair. A dilute solution of thioglycolate was prophylactically instilled into the neourethra at intervals of 3 months to ensure complete tricholysis and to prevent recurrent hair growth in the future.- - - - - - - - - - ranking = 0.00072525460599402keywords = fistula (Clic here for more details about this article) |
13/126. Laparoscopic management of urolithiasis in a continent urostomy.BACKGROUND: urinary calculi formation is an infrequent but challenging late complication of continent urostomy. Percutaneous endoscopic management of two patients with symptomatic pouch urolithiasis is described. CASES: A 48-year-old woman with a history of cervical squamous cell carcinoma (SCC) treated with primary chemoradiotherapy presented with recurrent pain and urinary tract infections (pouchitis). She had undergone continent urostomy 4 years previously for management of a vesicovaginal fistula. A 59-year-old woman following exenteration with continent diversion for recurrent cervix SCC had a 6-month history of refractory pouchitis. In both women, multiple pouch urinary calculi were identified. Their continent reservoirs were, in part, created using titanium staplers. Percutaneous CO(2) endoscopy afforded identification and removal of their stones and staples without complication. CONCLUSION: Successful treatment of continent urostomy urolithiasis is accomplished by percutaneous endoscopy.- - - - - - - - - - ranking = 1.000725254606keywords = urinary, fistula (Clic here for more details about this article) |
14/126. Stone necklace of urinary tract presenting as renal failure: one stage management.We describe three cases with bilateral extensive involvement of both upper and lower urinary tract with calculi presenting in renal failure. The management of these patients in a single operative session and rendering them stone free is discussed. Modern endourologic techniques have made it possible to treat patients with such an extensive involvement of the urinary tract with stone disease with minimum morbidity.- - - - - - - - - - ranking = 3keywords = urinary (Clic here for more details about this article) |
15/126. Urethral stone presenting as a stop valve--a rare complication of balanitis xerotica obliterans.Balanitis xerotic obliterans (BXO) is the genital subcategory of lichen sclerosis et atrophicus. The association of BXO with urethral stone causing interruption of the urinary stream and voiding by manual displacement of the urethral stone has not been described before. We describe one such case of a young boy with BXO and urethral stone who voided by manually displacing the stone for over a year. The case is reported to emphasize the ingenuity of the patient in continuing to void for over a year despite the association of the impacted urethral stone with urethral stricture and BXO.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |
16/126. A case of fatal necrotizing fasciitis after intramuscular administration of diclofenac.Necrotizing fasciitis is a rapidly progressive soft tissue infection that involves subcutaneous fat and spreads along the fascial planes. This disease has a potentially fatal outcome if not recognized in early. Several cases have been reported of a possible association between the use of non-steroidal anti-inflammatory drugs (NSAIDs) and the development or aggravation of necrotizing fasciitis. This association is still a subject of controversy. In this article we present a case of fatal necrotizing fasciitis occurring in association with intramuscular injections of diclofenac in a patient who was admitted for the symptoms of a urinary stone. Our opinion is that the intramuscular injections caused a locally aseptic necrosis, which was secondarily invaded by. Since this incident, our policy is to avoid the use of intramuscular injections of diclofenac and other NSAIDs in cases of potentially infectious diseases.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |
17/126. Traumatic urethral fistula.An 11-year-old male was passing urine from an opening on the undersurface of the penis as well as from the normal meatal opening. He had passed a calculus per urethra 1.5 years previously. Operative intervention revealed it to be a distal urethral fistula 1 cm proximal to the original meatus. A double-layered repair using local tissue was done, achieving good results.- - - - - - - - - - ranking = 0.0036262730299701keywords = fistula (Clic here for more details about this article) |
18/126. Penile urethral obstruction in a subject with spinal cord injury.STUDY DESIGN: Single case report. OBJECTIVE: To report a case of urethral obstruction because of calculus in a subject with spinal cord injury (SCI). SETTING: Bangalore, india. CASE REPORT: A 25-year-old man sustained complete SCI at C(6) level following a road traffic accident. After 14 months, while on self-intermittent catheterization he noticed difficulty in introducing catheter and acute retention of urine. X-ray examination revealed a calculus in the penile urethra at the level of the glans penis. CONCLUSION: Impaction of calculi in penile urethra, although rare, can manifest with acute painless urinary retention in patients with SCI.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |
19/126. Squamous cell carcinoma at herniorrhaphy and unilateral renal agenesis.Unilateral renal agenesis occurs infrequently. However, it has been associated with malignancies at multiple primary sites, anomalies of the genitourinary system, and supernumerary limbs. We present the case of a 60-year-old man with an incarcerated left inguinal hernia and renal insufficiency. At herniorrhaphy, he had squamous cell carcinoma in the hernia sac. A postoperative evaluation revealed unilateral renal agenesis, stage IV squamous cell carcinoma of the urinary bladder, and urolithiasis. The clinician should consider the genitourinary system as a primary site when patients present with the unusual finding of squamous cell carcinoma in the abdominal cavity and unilateral renal agenesis.- - - - - - - - - - ranking = 1.5keywords = urinary (Clic here for more details about this article) |
20/126. cystine urinary lithiasis in thailand: a report of five cases.cystine urinary stone is an autosomal recessive hereditary disease, frequently recurring and resisting fragmentation by Shockwave lithotripsy. As cases have never been reported before in thailand, five cases of renal cystine stones at Ramathibodi Hospital were reported. Two were in the same family. In all cases the stones were removed by open surgery or percutaneous nephrolithotomy. Postoperatively, all the stones were analyzed by infrared spectroscopy for cystine. In two cases, cystine stones were also identified by scanning electron microscopy. urine was analyzed for cystine by sodium cyanide-nitroprusside test, its concentration by spectrophotometry and cystine crystals were identified by the new crystal induction technique under light microscopy. By high-performance liquid chromatography (HPLC) test, urinary dibasic amino acids (ornithine, lysine, arginine) in these cases were also found to be significantly elevated. Clinical findings, diagnosis, treatment and prevention of cystine stones are reviewed.- - - - - - - - - - ranking = 3keywords = urinary (Clic here for more details about this article) |
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