OBJECTIVE:To report a case of renal arterial embolisation (RAE) in unresectable renal tumour before nephrectomy.CASE REPORT:On presentation, the clinical features of this patient, including medical history, signs and symptoms, imaging examinations were recorded. After diagnosis and initial treatment, the result and histopathological examination were performed and discussed. We performed RAE in the unresectable renal tumour in the 28-year-old male that was complaining a palpable pain right flank mass and intermittent hematuria that had been observed five months earlier. A month after RAE, the tumour shrinks and become resectable. The parameter used was tumour volume, propulsion and component, with subjective value VAS, hematuria symptom and Quality Of Life Score EORTC-QLQ C30. The next step we performed nephrectomy with histopathology results in Clear Cell Renal Carcinoma (CCRC).CONCLUSION:RAE is an effective therapeutic and adjuvant tool because it facilitates the dissection of unresectable large renal tumours and tumours with extensive involvement around the renal hilum; it leading to lower overall morbidity. However, the lack of randomised prospective studies is the primary reason that RAE is not used often before surgery.
Self-inserted male urethral foreign bodies are urological emergencies that we as urologists might have to deal with in the future. The number of case self-inserted foreign bodies have been increasing respectively the last decade especially in male patients. We report a case of a 27-year-old male with a self-inserted foreign body (forceps) into the urethra and the evacuation using the Azayem procedure. The presentation consists of the clinical features of this patient, including medical history, signs, and symptoms, imaging examinations were recorded. After diagnosis and endoscopic preparations, the procedure to evacuate a self-inserted foreign body was performed. We performed the Azayem procedure on the patient who was complaining of dysuria, hematuria, pyuria, and palpable urethral foreign body caused by forceps that was self-inserted 11 days before admission. Azayem procedure is a simple endoscopic technique for removing the metal hair removal forceps from the urethra. We then treated the urethral injury and the infection as the most concerning complications. Psychology follow-up by psychiatrist, urethrography and International Prostate Symptom Score evaluation was taken as the follow-up post-procedure.A self-inserted foreign body is a rare case and life-threatening related to urosepsis caused by the late intervention. The variety of foreign bodies inserted into the urethra includes forceps. Azayem procedure is an effective approach to evacuate forceps as the urethral foreign body because this endoscopic procedure is relatively simple to perform and has a minimal procedural complication.
Interstitial cystitis is a chronic pain condition with unclear underlying etiology. Interstitial cystitis has a relation with psychological disorders. There has been an increase in visit patients diagnosed with interstitial cystitis at the urology clinic at Dr. H. Moch. Ansari Saleh Hospital since October 2020. The objectives of this study are to compare mental emotional disorder events in interstitial cystitis patients and control subjects and to determine the relationship between interstitial cystitis and the incidence of mental emotional disorders. included 62 subjects, classified into 2 groups, namely: patients diagnosed with interstitial cystitis based on medical records data at the Urology Clinic, Dr. H. Moch. Ansari Saleh Hospital, and control subjects who had never been diagnosed with interstitial cystitis and had no symptoms and complaints of interstitial cystitis. Both groups completed the Self Reporting Questionnaire SRQ-20 to assess the presence of mental emotional disorders. The incidence of mental emotional disorders in interstitial cystitis patients and controls were compared, and the odds ratios (OR) for the presence of a mental emotional disorder were determined. A total of 32 patients with interstitial cystitis and 30 controls were included in this study. There were 14 interstitial cystitis patients and 4 control subjects who had mental emotional disorders, respectively, and the difference was significant (p = 0.008). Patients with interstitial cystitis were 5 times more at risk of experiencing mental emotional disorders than the control group (OR = 5,056). Patients with interstitial cystitis have a significantly higher risk of experiencing mental emotional disorders compared to those without interstitial cystitis. Screening might be beneficial to assess their mental emotional health. It may be necessary to collaborate with a psychiatrist to treat these patients holistically.Keywords: Interstitial cystitis; Mental emosional disorder
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