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Primary Retroperitoneal Hydatid Disease Causing Secondary Hypertension: A Case Report and Review of the Literature

ABSTRACT

Hydatid disease is caused by the parasite Echinococcus granulosus. Humans are accidental intermediate hosts, and the parasite commonly affects the liver and the lungs. Primary retroperitoneal hydatid disease is extremely rare. We present a rare case of a primary retroperitoneal hydatid cyst with secondary hypertension treated through surgical means.


Bhavatej Enganti, Nookinaidu Chitekela, Anil Kumar Nallabothula, Vijaya Lakshmi, Srinivasan Subramanian

Submitted September 10, 2012 - Accepted for Publication October 25, 2012


KEYWORDS: Echinococcus, cystic hydatid disease, retroperitoneum, secondary hypertension

CORRESPONDENCE: Bhavatej Enganti, Department of Urology, Sri Venkateshwara Institute of Medical Sciences, Tirupati, 517507, India (bhavatej@gmail.com)

CITATION: UroToday Int J. 2012 December;5(6):art 64. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.09

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Letter from the Editor - October 2012

Dear Colleagues,

Since the inception of UroToday International Journal, our primary concern has been to provide our readers with articles focusing on topics of interest to the urology community as well as a platform to share innovation, experimentation, and discovery. It’s these very tenets that continue to propel us forward, and as our readership continues to grow, we are proud to remain a dependable resource for all of the up-to-date advances and breakthroughs that reflect the challenging and ever-changing field.

In this issue, a review by Carnevale et al. investigates prostatic artery embolization (PAE) as a new benign prostatic hyperplasia treatment. PAE, a minimally invasive outpatient procedure, is performed under local anesthesia, and it has been widely reported since 2008. They are encouraged by the data demonstrating PAE as a safe and effective treatment for patients.

Al-Ba’adani et al. present their experience with antegrade-retrograde maneuver in the form of cut-to-light or cut-to-sound in treating complete posterior urethral strictures. They determine this procedure is safe under supervision, and it markedly decreased operative time, hospital stay, and cost.

Galal et al. assess the value of non-contrast computed tomography as a possible predictor of renal stone disintegration by shock-wave lithotripsy. Through this process, they discover that increased stone density is a significant predictor of failure to fragment renal stones.

Seeking to correlate various factors affecting the male population with benign prostatic hyperplasia, Baruah et al. observe statistically significant correlations within age, prostate volume, and serum prostate-specific antigen level. However, contradictory data suggests further evaluation in a large cohort of the aging population is needed to establish further influence.

Singham et al. compare prostate cancer detection using the Vienna nomogram versus laterally directed sextant and octant biopsy methods on 371 patients with qualified inclusion criteria. Based on their findings, they discover that the use of a Vienna nomogram did not offer significant advantages in cancer detection.

Khaled et al. explore the specificity and sensitivity of increased bladder wall thickness as measured by transabdominal ultrasonography for diagnosing detrusor overactivity in patients with lower urinary tract symptoms. This non-invasive, easily performed technique offers negligible risks. However, further studies are required to validate findings before this technique can be recommended as a primary diagnostic tool.

Priyadarshi et al. present a prospective study that compares the results of sonourethrography with that of retrograde urethrography and probe the effects. Their determination is that sonourethrography is more accurate in providing a better assessment of a diseased urethra. It is best if used as an extension of the physical examination.

We also present a series of case studies on several topics, including isolated renal hydatid cysts, adrenal oncocytomas, and chronic ketamine abuse and its effects.

As always, we thank our readers for their continued support of UIJ and its goals. We are also grateful to the authors who shared their work in this issue and to the reviewers who ensured its publication. 

Warm regards, 

Karl-Erik Andersson

An Unusual Cause of Bladder Stones In a Female: A Migrant Intrauterine Contraceptive Device

ABSTRACT

Intrauterine contraceptive devices (IUCD) have been widely accepted contraceptive methods among women for many years due to their efficacy, longevity, reversibility, and safety. There is a possibility of uterine perforation and migration, but an intravesical perforation is extremely rare. Only a few case reports depicting incrustation of such foreign bodies in the bladder, mostly incomplete and fixed to the perforated wall, are available in the literature. We are here reporting a T-shaped floating stone in the bladder in a female due to complete incrustation of a migrated IUCD in the bladder, which she had received seven years before presentation.


Vinod Priyadarshi, Mahendra Singh, Vijoy Kumar, Rajesh Tiwari, Sanjay Kumar Gupta, Nidhi Sehgal

Submitted May 4, 2012 - Accepted for Publication August 30, 2012


KEYWORDS: Intrauterine, contraceptive, bladder, stone, incrustation

CORRESPONDENCE: Vinod Priyadarshi, MBBS, MS, Senior Resident, Indira Gandhi Institute of Medical Sciences, Patna, Bihar India (vinod_priyadarshi@yahoo.com)

CITATION: UroToday Int J. 2012 December;5(6):art 62. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.07

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Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis and Cryptorchidism Causing Bladder Outlet Obstruction: A Case Report and Review of the Literature

ABSTRACT

Seminal vesicle cysts combined with ipsilateral renal agenesis are a rare urological anomaly. We present a 24-year-old single man who suffered from difficulty urinating and irritative voiding symptoms for 4 years. The symptoms worsened in the last 6 months. A physical examination revealed right cryptorchidism with a pelvic mass. Digital rectal examination revealed a palpable large soft mass behind the prostate.

Diagnostic imaging (ultrasound, IV urography, computed tomography scan, and magnetic resonance imaging) showed a right seminal vesicle cyst. The ipsilateral kidney and ureter were absent. Open surgery cystectomy was performed, improving urinary symptoms.


Sallami Satáa, Sami Ben Rhouma, Haifa Nfoussi, Hanene Trabelsi, Nidhameddine Kchir, Ali Horchani

Submitted August 8, 2012 - Accepted for Publication September 7, 2012


KEYWORDS: Renal agenesis, seminal vesicle cyst, cryptorchidism

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

CITATION: UroToday Int J. 2012 December;5(6):art 61. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.06

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Primary Retroperitoneal Granulosa Cell Tumor

ABSTRACT

Granulosa cell tumors (GCT) of the ovary are rare tumors that represent 2% of all ovarian tumors. However, cases involving the retroperitoneum are exceedingly rare. We describe a case of primary retroperitoneal granulosa cell tumor, which, to our knowledge, has been previously reported in few cases.

A 64-year-old female presented with large intra-abdominal mass and vague abdominal pain. She had a history of hysterectomy and bilateral salpingo-oopherectomy 22 years ago for large uterine leiomyoma. She underwent exploratory laparotomy that revealed a retroperitoneal mass measuring 11 cm x 13 cm in size, with multiple cyst formation and areas of necrosis and hemorrhage. The gross, histologic, and inhibin-positive immunostaining findings of the retroperitoneal mass were characteristic of adult-type GCT. Excluding any previous history of primary ovarian GCT with this patient, a de-novo retroperitoneal diagnosis was carried out.


Yousef Al-Shraideh, Ali Bin Mahfooz, Maher Moazin, Mohammad Aslam, Ahmad Alhazmi, Wafa Alshakweer

Submitted May 7, 2012 - Accepted for Publication August 22, 2012


KEYWORDS: Granulosa cell tumors, retroperitoneum, inhibin

CORRESPONDENCE: Yousef Al-Shraideh, MD, King Fahad Medical City, Riyadh, Riyadh, Saudi Arabia

CITATION: UroToday Int J. 2012 December;5(6):art 61. http://dx.doi.org/10.3834/uij.1944-5784.2012.12.11

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