Objective To determine the success rate, complications two, transient vesico-ureteric obstruction in two and meatal stenosis in one. There were no complications and morbidity from open pyeloplasty. Patients and methods The study included 63 patients in non-intubated pyeloplasties. Pain was successfully relieved in 98% of patients, renal function improved with confirmed pelvi-ureteric junction (PUJ) obstruction who underwent 66 pyeloplasties. Their records or remained stable in 92% and deteriorated in 7.7%. One patient underwent a revision pyeloplasty and were analysed retrospectively for age, clinical presentation, serum creatinine level, presence of infection, another required nephrectomy. A younger patient, absence of urinary tract infection and absence of surgical technique, and pre-and post-operative isotopic renography. The mean (range) follow-up was palpable mass were favourable factors. Conclusion Pyeloplasty is the most eÂective and perma-15.5 (3-60) months. Results Pain was the most common presenting sympnent treatment for PUJ obstruction. Newer endoscopic procedures currently used must be carefully assessed tom; most pyeloplasties were dismembered and 77% of the procedures were performed by urological against this 'gold standard' before becoming widespread. trainees. Retrograde pyelography did not alter the management in any patient. The complications were
The perimenarcheal onset of polycystic ovarian syndrome (PCOS) has long been recognized, through both its pathophysiology and the frequent onset of hirsutism and menstrual irregularities in this age group. However, there is often a delay in diagnosing PCOS in adolescence because menstrual irregularity is frequently thought to be normal in the first 2 or 3 years after menarche, particularly if clinical signs of hyperandrogenism such as hirsutism or acne are mild or absent. This was a Cross-sectional Study consisting of 102 adolescent girls, aged 12 to 19 years, selected from patients attending the Gynecology Outpatient Clinic. In present study, level of insulin resistance along with markers of PCOS was assessed and compared in adolescent women with (cases) or without (controls) menstrual irregularities, a hall mark of PCOS. 18(35.29%) cases versus 01(1.96%) controls the Rotterdam criteria of PCOS. Clinical manifestations of hyper androgenism were not yet present in all cases who met Rotterdam criteria of PCOS, suggesting menstrual irregularity, especially oligomenorrhoea (83.3% of all PCOS (cases), as the most precocious marker of PCOS. CONCLUSIONS: Adolescents with persistent menstrual irregularities 2 years after menarche frequently have PCOS and elevated HOMA-IR values than controls, indicating a high probability of developing insulin resistance and metabolic syndrome later in life.
necrotic mass showed poorly preserved fibrous material Case report with calcification and bacterial colonies. Cystography after 3 weeks showed a normal bladder. A 60-year-old diabetic man was admitted to the surgical department to manage gangrene of his foot. He had had an indwelling Foley catheter for 2 months for chronic Comment urinary retention. Routine ultrasonography showed a mass in the bladder, separate from the Foley balloon Indwelling catheters in the urinary bladder are associated with several complications, e.g. infection, peri-urethral ( Fig. 1). He was scheduled for cystoscopy when he suddenly developed generalized abdominal pain, distenabscess, urethral diverticulum, perineal erosion, bladder atrophy, bladder stone, haemorrhage, epididymo-orchitis sion and rigidity. The indwelling catheter was not draining the bladder and a plain X-ray of the abdomen showed and urinary fistulae [1]. Spontaneous perforation may also occur as a rare but life-threatening complication. dilated bowel loops and no free gas. Ultrasonography showed fluid in the right perivesical region and cystograIn 1948, Ferguson (cited in [1]) reported the first case of spontaneous intraperitoneal bladder perforation of the phy confirmed extravasation into the peritoneal cavity (Fig. 2). At laparotomy, there was a large amount of free dome in a patient who had been catheterized for 8 fluid in the peritoneal cavity and a free-floating whitish necrotic ball in the bladder. There was a 1 cm intraperitoneal perforation at the junction of the dome and the posterior wall. The perforated area was debrided, the bladder repaired and a drain inserted; the post-operative period was uneventful. Urine culture grew Escherichia coli but the urine and necrotic material were negative for fungus. The histopathology of the perforated area showed chronic non-specific inflammation, and of the
Pheochromocytoma is a well-known association in patients with von Hippel-Lindau disease. However, extra-adrenal pheochromocytoma or paraganglioma with this association is rare. We describe a patient with von Hippel-Lindau disease who presented with haematuria and was diagnosed to have a urinary bladder paraganglioma, which is an extremely rare tumour. Herein we report this case which, to the best of our knowledge, represents the first case highlighting the association of urinary bladder paraganglioma with von Hippel-Lindau disease.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.