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Adenosquamous Carcinoma of the Prostate: A Rare Aggressive Tumor with a Review of the Literature

ABSTRACT

Adenosquamous carcinoma (ASCC) of the prostate is an extremely rare, aggressive neoplasm with only few cases are reported in literature. Till now, it has no well-established therapeutic guideline. Here we are reporting a case of this rare entity and a review of literature for its management.


Jitendra Singh, Kaushik Sarkar, Mukesh Vijay, Debashis Chakraborty, Dilip Pal, Anup Kundu

Submitted July 28, 2012 - Accepted for Publication October 8, 2012


KEYWORDS: Adenosquamous, carcinoma, prognosis, treatment

CORRESPONDENCE: Jitendra Pratap Singh, Hno 166-b, Shakti Nagar, Faizabad Road, Lucknow, West Bengal India (jpims99@gmail.com)

CITATION: UroToday Int J. 2013 February;6(1):art 3. http://dx.doi.org/10.3834/uij.1944-5784.2013.02.03

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Recreational Urethral Sounding with a Telephone Wire: An Unusually Complicated Case Report

ABSTRACT

Introduction: Urethral sounding is defined as the insertion of an object or liquid into the urethra. The most common reason reported in the medical literature for deliberate urethral insertion is erotic gratification. The most unexpected complication of this practice is the inability to retrieve the object after it becomes lodged in the urethra or the bladder.

Methods and Results: The aim of this report is to describe a rare complication of this practice. We present the case of a middle-aged male who presented to our emergency department with a telephone wire stuck in his bladder after he had introduced it through his urethra with masturbatory intentions. Although the majority of foreign body extractions are managed endoscopically, we describe an unusual case of recreational urethral sounding that required open surgery. No evidence of a psychological disorder was found in our patient. A review of the literature on this issue was made.

Conclusion: Some reports claim that certain segments of society engage more readily in recreational sounding and that this practice can lead to complications. Clinicians must be aware of these practices so that they can provide proper care to such patients, apart from the mere resolution of the acute problem. For patients who have complications and seek medical care, a psychological evaluation and advice for safe sexual practices may be useful for better managing this rare clinical situation.


Ignacio Puche-Sanz, Fernando Vázquez-Alonso, José Flores-Martín, José Manuel Cózar-Olmo

Submitted October 23, 2012 - Accepted for Publication November 19, 2012


KEYWORDS: Recreational urethral sounding, sexual gratification, urethral foreign body, masturbation, sexual behavior

CORRESPONDENCE: Ignacio Puche-Sanz, MD, Urology Departament, Hospital Universitario Virgen de las Nieves, Av Fuerzas Armadas 2, 18014, Granada, Spain (nacho.puchesanz@gmail.com)

CITATION: UroToday Int J. 2013 February;5(6):art 01. http://dx.doi.org/10.3834/uij.1944-5784.2013.02.01

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Letter from the Editor - December 2012

Dear Colleagues,

We at UroToday International Journal have seen the course of another year come and go, and with it, many changes have transpired. We have seen updates to our website that have increased your ability to view our articles, submit to our journal, and have an all-around joyful experience.

As always, with the New Year, we hope to increase our readership and global community so to better provide articles of importance, as well as interest. And, with our new archiving opportunities with Portico, we know the information offered through UIJ is here to stay.

In this issue, a review from Leao and team discusses the relationship between urinary tract symptoms and renal damage, bearing in mind the epidemiology and pathophysiology of benign prostatic hyperplasia (BPH) and potential associations. They emphasize that renal damage secondary to BPH is a preventable disease.

Three studies came to us from Satáa et al.: In one, they conducted a study to evaluate the correlation between Gleason scores obtained on prostate biopsies and radical prostatectomy. They determine that the accuracy of Gleason scores determined by transrectal needle biopsy in patients with prostate cancer seems unreliable.

In the second, they examined the various modalities employed in the diagnosis and treatment of patients with Crohn disease complicated by fistulae, and they discovered that treatment, based on resection of the diseased bowel and extirpation of the fistula, could be accomplished with minimal morbidity and mortality.

In the third, they report experiences and results of balloon antegrade dilatations for benign ureteroenteric anastomotic strictures after total cystectomy and urinary diversion by ileal conduit, concluding that it is a minimally invasive and effective treatment option.

Singh et al. present their experience performing percutaneous nephrolithotomy in solitary kidneys, and they assess the postoperative complications and importance of nadir serum creatinine as a marker of long-term renal function. They find that nadir serum creatinine remains the most important predictor of long-term renal function.

We also present a series of case studies on several topics, including migratory intrauterine contraceptive devices, the use of guide wires, and horseshoe kidney malignancies, among others.

We are always grateful to our loyal readership and our ever-increasing list of authors who have contributed to UIJ after all these years. Without your dedication, we would not be where we are today. Thank you for your support. 

Warm regards, 

Karl-Erik Andersson

A Renal Abscess in the Isthmus of a Horseshoe Kidney

Abstract

Horseshoe kidney is a rare congenital malformation predisposing the patient to urinary tract infections. We present a case of a renal abscess occurring in an adult patient with a horseshoe kidney. A computed tomography scan confirmed the diagnosis of an abscess in the isthmus of the horseshoe kidney. A compete regression of the abscess was achieved by a prolonged course of antibiotics.


Satáa Sallami, Olfa Zrayer, Habiba Mizouni

Submitted July 28, 2012 - Accepted for Publication October 8, 2012


KEYWORDS: Horseshoe kidney, abscess, CT scan

CORRESPONDENCE: Satáa Sallami, MD, La Rabta Hospital-University, Tunis, Tunisia (sataa_sallami@yahoo.fr)

CITATION: UroToday Int J. 2013 February;5(6):art 2. http://dx.doi.org/10.3834/uij.1944-5784.2013.02.02

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Malignancy of a Horseshoe Kidney: A Case Series with a Rare Presentation

ABSTRACT

Horseshoe kidney is the most common fusion anomaly. Patients with horseshoe kidney typically present with symptoms related to infection, stone formation, and hydronephrosis. Rarely, patients may present with malignancy of horseshoe kidney, and most of them arise from isthmus. We are presenting a case series of 2 cases of renal cell carcinoma arising from horseshoe kidney.


Navin Ram, Bharat Behera, Sudheer Rathi, Sameer Trivedi, Uday Shankar Dwivedi

Submitted September 6, 2012 - Accepted for Publication November 8, 2012


KEYWORDS: Clear-cell carcinoma, fusion anomaly, horseshoe kidney, papillary-cell carcinoma, renal cell carcinoma

CORRESPONDENCE: Sameer Trivedi, Associate Professor Mch, DNB, Department of Urology, Institute of Medical Sciences, Banaras Hindu University,  Varanasi, Uttar Pradesh, India, 221005 (drsameertrivedi@gmail.com)

CITATION: UroToday Int J. 2012 December;5(6):art 70. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.15

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