Urology News Feeds
Gretzer et al.1 describe a patient with symptomatic benign prostatic enlargement (BPE) who underwent prostatic urethral lift (PUL) and subsequently developed ecchymosis with computed tomography (CT) showing bilateral pelvic hematomas. This case is the first published incident of pelvic hematoma after PUL and was presumably self-limiting and required no further intervention.
Impact of CYP2D6 polymorphisms on tamoxifen treatment in patients with retroperitoneal fibrosis: A first step towards tailored therapy?
To investigate the influence of CYP2D6 polymorphisms on outcomes and health-related quality of life (HRQoL) of patients with retroperitoneal fibrosis (RPF) receiving tamoxifen (TMX). TMX is an effective alternative to corticosteroids for patients with RPF. Conversion of tamoxifen to more potent endoxifen is dependent on enzyme activity of CYP2D6.
Don´t Forget Burkitt´s Lymphoma! Unusual Case of Primary Malignant Lymphoma of the Prostate in a Young Patient
Primary Burkitt´s lymphoma of the prostate is rare in the adolescent population. The etiology remains poorly understood. There´s been some proposed associations to Epstein-Barr virus and HIV. Clinical and histopathological data of a 17-year-old patient who underwent transurethral resection of the prostate was obtained. We report the first case of primary malignant BL of the prostate in a 17-year-old Caucasian male who presented with hematuria, lower urinary tract symptoms. Differential diagnosis of a prostatic mass in adolescent patients must be primary or secondary lymphoma of the prostate, including BL as described for the first time in this article.
Herniation of the right renal pelvis through a posterolateral diaphragmatic defect (Bochdalek hernia)
Diaphragmatic herniations are the rarest form of ureteral herniations with only around 9 cases reported since 1958.1-10 Though uncommon, it should be considered in the differential diagnosis of a posterior diaphragmatic or paraspinal opacity with associated hydronephrosis. Correct diagnosis is of paramount importance and can be easily established by non-invasive imaging technique. In symptomatic individuals, laparoscopic intervention can be offered with good results in fit patients with ureteral stenting reserved for poor surgical candidates .Here we present a successful laparoscopic management of an elderly female who presented with right flank pain and was diagnosed with a right sided diaphragmatic ureteral herniation.
Thank you for sharing your interesting case. As referenced in our initial article, previous studies have noted that the most frequent complications experienced following the UroLift procedure are dysuria, hematuria, pelvic pain, urgency, and urinary tract infections1,2,3. Although patient results following the procedure are positive, with the L.I.F.T trial reporting a significant improvement in patient IPSS score with durable results 5 years post-operatively4, we have noted the potential for other complications not described in these clinical trials.
HIGH-VOLUME CONCURRENT POLYPOID URETERITIS AND URETERITIS CYSTICA MANIFESTING WITH URETERAL OBSTRUCTION
Polypoid ureteritis, or fibroepithelial ureteral polyps, are a rare but benign neoplasm of unknown etiology in the upper urinary tract and may occur at any age. 1 Ureteritis cystica is also a rare but benign phenomenon that may develop following inflammatory conditions of the ureter and/or renal pelvis.1 Due to their appearance on imaging and frequently accompanying symptoms of gross hematuria, the masses are often clinically indistinguishable from upper tract urothelial carcinoma (UTUC) in adults.
Reviewing historical evidence indicates that the history of urinary stones is probably associated with the history of civilization.1,2 There are archeological reports on urolithiasis occurrence in the preserved mummies dating from 7000 years ago.2 Physicians of ancient civilizations were familiar with the etiology, clinical manifestations, and treatments of urinary tract diseases, e.g. urinary stones. In this regard, many studies have reviewed the history of urolithiasis1-3 and some of them considered the concept of urinary tract diseases in medieval Persian medicine (PM).
Low Serum Albumin Correlates with Adverse Events Following Surgery for Male Urinary Incontinence: Analysis of the American College of Surgeons National Surgical Quality Improvement Project
To investigate the incidence and risk factors associated with artificial urinary sphincter (AUS) and male urethral sling (MUS) placement, revision, and removal.