[Investigation of the frequency of the contamination of lubricant gels used for urinary catheterization in Tohid and Besat hospital in Sanandaj in 2013]

80% of hospital acquired urinary tract infections are due to urinary tract catheterization. One of the important risk factors for urinary tract infection is lack of use of sterilized materials and methods during urinary catheterization. The aim of this study was to investigate the frequency of contamination of the lubricant gels used for urinary tract catheterization. This cross-sectional study was conducted from June to August 2013. In this study, 100 samples of non-sterile lubricant gels were collected from various wards of Besat and Tohid hospitals in Sanandaj, and were transported to the laboratory within a thioglycolate environment. In this study, contamination or non-contamination of the gel was considered as the outcome variable. Results of this study were entered into STATA1 1 software. Descriptive objectives were measured using descriptive statistics and analytical objectives were calculated by analytical statistics such as confidence intervals, chi-square, and logistic regression. We obtained 100 samples from Tohid and Besat hospitals [50 samples from each hospital] in Sanandaj. Among the samples 25% had positive microbial cultures. 60% of the isolated pathogens were Pseudomonas, Enterococcus, and Staphylococcus epidermidis. The results of this study showed that 25% of reusable non-sterile lubricant gels which were used for urinary catheterization were positive for microbial contamination. Therefore we recommend that disposable sterile lidocaine gels be used for urinary catheterization

[Large cell calcifying sertoli cell tumor [LCCSCT]: a case report]

A 25-year-old man referred to our urologist with chief complaint of right testicular pain of one month duration. Ultrasonography of the testis was performed two times within eight days. The results of ultrasound showed a tumor in the lower pole of the right testicle. In the first ultrasound, tumor size was 7 mm and in the second one it was 7.6 mm. Tumor markers were measured which showed normal alpha-fetoprotein and beta HCG levels. Right orchiectomy was performed. Histological analysis showed that the tumor was consisted of neoplastic cells with eosinophilic cytoplasm and round nuclei, fibrotic stroma and calcific bodies. The incidence of testicular tumors is only 5 cases per 100,000 men; and less than one percent of testicular tumors are related to Sertoli cells. The results of a review study showed that only 61 cases of large cell calcifying Sertoli cell tumor have been reported until 2005. This tumor can produce estrogen which leads to breast enlargement, sexual impotence and acromegaly in men. However, examinations revealed that our patient did not have any of these problems. In most cases this tumor occurs in childhood and patients younger than 20 years of age, but our patient was 25-year-old. LCCSCT is a rare sex cordstromal tumor with a low malignant potential. A favorable prognosis can be achieved with radical orchiectomy