ABSTRACT
The successful closure of a fistula clearly involves application of spectrum of techniques depending variable factors. There was variety of opinions regarding the timing and optimum surgical technique for repair of fistula. Several muscles and myocutaneous flaps are applicable to a variety of tissue defects. The gracilis muscle is especially useful as adjuncts for wound coverage, vaginal or penile reconstruction and as interpositional tissue for the closure of various fistulas. We experienced two cases of female urinary tract fistula treated with gracilis muscle flap successfully.
Subject(s)
Female , Humans , Fistula , Muscles , Myocutaneous Flap , Urinary Tract , Wounds and InjuriesABSTRACT
Since continent urinary diversion and bladder substitution after cystoprostatectomy have been offered as alternative to standard urinary diversion, increasing numbers of patients seek to avoid a wet stoma. So since 1988 we have used a pouch constructed from a combination of large and small bowel(Mainz pouch), which offers a low pressure reservoir of adequate capacity, antirefluxing ureteral reimplantation and continent reservoir. Initial applications of the Mainz pouch were for bladder augmentation after subtotal cystectomy and for continent urinary diversion. Current indications have been extended to complete bladder substitution after radical cystectomy with anastomosis of the pouch to the membranous urethra. A total or 15 patients underwent a Mainz pouch procedure ;6 for bladder augmentation, 8 for continent urinary diversion and 1 for total bladder substitution after radical cystectomy. All bladder augmentation cases, 4 of 8 diversion cases and substitution case are completely dry day and night. There are no significant perioperative morbidity and mortality.
Subject(s)
Humans , Cystectomy , Mortality , Replantation , Ureter , Urethra , Urinary Bladder , Urinary DiversionABSTRACT
Most renal cell carcinomas are solid but contain small cystic areas. Sometimes the cystic component predominates and such lesions are called cystic renal cell carcinomas. The radiographic and pathologic findings of cystic renal cell carcinoma are often more confusing and less specific than the findings of solid renal cell carcinoma. Multilocular cystic renal cell carcinoma is one form of cystic renal cell carcinoma variants and results from intrinsic multiloculated growth. A presumptive diagnosis of multilocular cystic renal cell carcinoma was made preoperatively in a 38-year-old woman and it was treated with radical nephrectomy, so we report this case with brief review of the literatures.
Subject(s)
Adult , Female , Humans , Carcinoma, Renal Cell , Diagnosis , NephrectomyABSTRACT
There is no single characteristic clinical or radiological feature to diagnose xanthogranulomatous pyelonephritis, so it makes accurate preoperative diagnosis difficult. In our case, the renal parenchyme of affected kidney was well preserved on excretory urogram. The abnormal finding was only a filling defect within the right upper pelvocalyceal system. Herein we report a case of xanthogranulomatous pyelonephritis in a 18 years old girl which was confused with renal pelvic tumor.
Subject(s)
Adolescent , Female , Humans , Diagnosis , Kidney , Pyelonephritis, XanthogranulomatousABSTRACT
Retmperitoneal neurilemmoma are exceedingly rare and difficult to diagnose both pre- and post- operatively. The vast majority arise in cranial nerve, with occasional occurrence in nerve of extremity, and only rare presentation in retroperitoneum. We report here a case of retroperitoneal neurilemmoma in a 38-year-old woman, which was confused with lymphosarcoma.
Subject(s)
Adult , Female , Humans , Cranial Nerves , Extremities , Lymphoma, Non-Hodgkin , NeurilemmomaABSTRACT
Hemangiopericytoma of the kidney is extremely rare, which is very much resembled a renal cell carcinoma. It tends to grow slowly but occasionally had demonstrated rapid infiltration and distant metastasis. The incidence and degree of its malignancy appears to be low. Herein we report a case of hemangiopericytoma which was developed from left kidney in 42 old man and treated with radical nephrectomy.
Subject(s)
Carcinoma, Renal Cell , Hemangiopericytoma , Incidence , Kidney , Neoplasm Metastasis , NephrectomyABSTRACT
Bowenoid papulosis is a popular dermatitis occurring primarily on the genitalia of young adults, almost all under the age of 40. Multiple small reddish brown papules are seen varing from 2mm to 10mm in size. that clinically appear to be benign, but histologically show features in common with squamous cell carcinoma in situ. The clinical diagnosis commonly, but erroneously, given to this entity include lichen planus, verruca vulgaris. condyloma accuminatum, granuloma annulare and nevocellular nevus. Herein we report a case of bowenoid papulosis in a 31-year-old male who underwent rebiopsy and review of clinical finding after diagnosis of penile squamous cell carcinoma.
Subject(s)
Adult , Humans , Male , Young Adult , Carcinoma, Squamous Cell , Dermatitis , Diagnosis , Genitalia , Granuloma Annulare , Lichen Planus , Nevus , WartsABSTRACT
Bowenoid papulosis is a popular dermatitis occurring primarily on the genitalia of young adults, almost all under the age of 40. Multiple small reddish brown papules are seen varing from 2mm to 10mm in size. that clinically appear to be benign, but histologically show features in common with squamous cell carcinoma in situ. The clinical diagnosis commonly, but erroneously, given to this entity include lichen planus, verruca vulgaris. condyloma accuminatum, granuloma annulare and nevocellular nevus. Herein we report a case of bowenoid papulosis in a 31-year-old male who underwent rebiopsy and review of clinical finding after diagnosis of penile squamous cell carcinoma.
Subject(s)
Adult , Humans , Male , Young Adult , Carcinoma, Squamous Cell , Dermatitis , Diagnosis , Genitalia , Granuloma Annulare , Lichen Planus , Nevus , WartsABSTRACT
Loss of the urethral floor with total urinary incontinence is a difficult problem that is infrequently encountered by the urologist. The techniques required for the urethral reconstruction are different and can be much more; delicate and demanding than the typical vesicovaginal fistula repair. Herein we report a case of the female urethral loss caused by chemical injury 3 years age and treated using bulbocavernous myocutaneous flap successfully.
Subject(s)
Female , Humans , Myocutaneous Flap , Urinary Incontinence , Vesicovaginal FistulaABSTRACT
Malakoplakia is a very rare disease which affects middle-aged women and usually involves the urinary tract. Of these, the bladder is the most common site and the renal parenchyme is involved in 16%. It is a type of granulomatous inflammation in which the histiocyte contains distinct basophilic inclusion called Michaelis-Gutmann bodies. It may be caused by a defect of phagocytic activity of the lysosome. We experienced a cases of malakoplakia with duplex kidney in a 59-year old female, which was treated successfully with left nephrectomy and antibiotics. Herein we report this case with a brief review of literature.
Subject(s)
Female , Humans , Middle Aged , Anti-Bacterial Agents , Basophils , Histiocytes , Inflammation , Kidney , Lysosomes , Malacoplakia , Nephrectomy , Rare Diseases , Urinary Bladder , Urinary TractABSTRACT
Renal lymphoma is usually clinically silent and occurs late in the disease, after the diagnosis of generalized lymphoma has been established. Rarely, however, renal disease may be the earliest manifestation. Herein we report a case of malignant lymphoma involving kidney in a 41-year-old male who underwent radical nephrectomy because of a presumptive diagnosis of renal cell carcinoma.