Symptomatic medial nephroptosis: another imaginary disease, or just under-diagnosed: a case report

Medial nephroptosis was first described as a new disease by Prather in 1948 and defined as abnormal renal mobility towards or across midline. Since then, only 13 cases were described in the literature. The last reported case dates back to 1982. The condition is believed to be neglected for reasons similar to classic nephroptosis. Here in, we present a case of symptomatic medial nephroptosis diagnosed by ultrasound, documented by Computed Tomography for the first time, and successfully treated by laparoscopic nephropexy

Laparoscopic evaluation of non-palpable undescended testis

To evaluate the laparoscopic technique as a diagnostic and therapeutic tool in the management of patients with impalpable testis. During the period from January 2002 to September 2003, sixteen patients with mean age of years underwent laparoscopic to evaluate impalpable testis. Special attention was paid to the value of laparoscope in the diagnosis of these testis, in regards to their presence or absence, quality of the testis and the state of the spermatic vessels and character of the vas deferens. The laparoscope was also used in management after diagnosis. Laparoscopic orchidectomy was performed. Sixteen patients underwent laparoscopy to localize 19 impalpable testis, 13 patients had unilateral disease, while 3 patients had bilateral disease. Six testis were congenitally absent while 13 were atrophic. None were salvageable. All were removed laparoscopically. Histopathological report of the removed testis revealed atrophic testis in all cases. There was no perioperative or postoperative reported complication in all of our 16 patients. Laparoscopy is safe, minimally invasive procedure with low morbidity. It enable precise diagnosis and management of impalpable testis

Handling 405 cases of ureteric obstruction

This is a retrospective study of 405 cases of adult patients with ureteric obstruction. The aim of the study was to categorize these cases according to the cause of obstruction and its treatment. The medical records of patients with ureteric obstruction were reviewed with regard to the causes of obstruction and how it was treated from January 1995 until June 1995. The causes of obstruction were ureteric stones in 381 cases, a large proportion of the cases [319 patients] were treated by Extra Corporeal Shock Wave Lithotripsy [ESWL]. In 12 cases the cause of obstruction was pelvic tumors, and they were treated by stenting. In 6 other cases ureteric stricture was the cause. In 3 cases the cause of obstruction was retroperitoneal fibrosis, 2 of these cases responded to steroid therapy with stenting.post pelvic surgery, and accidental ureteric ligation caused the obstruction in 3 other cases. Conclusions: Calculus disease is still the most common cause of ureteric obstruction. Extra Corporeal Shock Wave Lithotripsy [ESWL] has been performed successfully in 83% of cases without adjunct modalities. External drainage by percutaneous nephrostomy [PCN] is undoubtedly the most effective form of treating renal obstruction in emergencies