Prostatic abscess MRI findings: case report

Prostatic abscesses are a rare complication of acute prostatitis, and an uncommon clinical entity in the antibiotic era. Despite their rarity, untreated abscesses still remain potentially life-threatening, and require formal drainage to permit resolution. Here in, we report the MRI findings in 73 - years old man who presented with severe dysurea of two weeks duration . He was found to have multiple prostatic abscesses which was surgically drained

Effect of dexmedetomidine added to spinal bupivacaine for urological procedures

To determine the effect of adding dexmedetomidine to bupivacaine for neuraxial anesthesia. Sixty-six patients were studied between April and May 2008 in the University of Jordan, Amman Jordan. They were randomly assigned into 3 groups, each receiving spinal bupivacaine 12.5mg combined with normal saline [group N] Dexmedetomidine 5ug [group D5], or dexmedetomidine 10ug [group D10]. The onset times to reach T10 sensory and Bromage 3 motor block, and the regression times to reach S1 sensory level and Bromage 0 motor scale, were recorded. The mean time of sensory block to reach the T10 dermatome was 4.7 +/- 2.0 minutes in D10 group, 6.3 +/- 2.7 minutes in D5, and 9.5 +/- 3.0 minutes in group N. The mean time to reach Bromage 3 scale was 10.4 +/- 3.4 minutes in group D10, 13.0 +/- 3.4 minutes in D5, and 18.0 +/- 3.3 minutes in group N. The regression time to reach S1 dermatome was 338.9 +/- 44.8 minutes in group D10, 277.1 +/- 23.2 minutes in D5, and 165.5 +/- 32.9 minutes in group N. The regression to Bromage 0 was 302.9 +/- 36.7 minutes in D10, 246.4 +/- 25.7 minutes in D5, and 140.1 +/- 32.3 minutes in group N. Onset and regression of sensory and motor block were highly significant [N vesus D5, N versus D10, and D5 versus D10, p<0.001]. Dexmedetomidine has a dose dependant effect on the onset and regression of sensory and motor block when used as an adjuvant to bupivacaine in spinal anesthesia

description of an educational plan of urology for 4th year medical students

This paper offers a description of an educational plan of urology for fourth year medical students. Time and efforts were spent, in putting objectives, the instructional strategies stress on students participation and the evaluations were made at level of problem solving. Illustrations of instructional strategies and evaluation procedures are given. Hopefully, this will initiate, a lot of interest in the subject of medical education of urology so as to have further work to follow