Partial Priapism Treated with Pentoxifylline

ABSTRACTMain findings:A 26-year-old man suffering from partial priapism was successfully treated with a regimen including pentoxifylline, a nonspecific phosphodiesterase inhibitor that is often used to conservatively treat Peyronie's disease.Case hypothesis:Partial priapism is an extremely rare urological condition that is characterized by thrombosis within the proximal segment of a single corpus cavernosum. There have only been 36 reported cases to date. Although several factors have been associated with this unusual disorder, such as trauma or bicycle riding, the etiology is still not completely understood. Treatment is usually conservative and consists of a non-steroidal anti-inflammatory and anti-thrombotic.Promising future implications:This case report supports the utilization of pentoxifylline in patients with partial priapism due to its anti-fibrogenic and anti-thrombotic properties.

Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo / Emphysematous cystitis: Report of one case

Emphysematous cystitis is found in diabetic patients and in individuals with urinary stasis and immunosuppression. We report a 58-year-old male with hypertension, type 2 Diabetes on insulin treatment and central nervous system vasculitis on immunosuppressive therapy. He was admitted with weight loss and gait instability. A PET-CT showed a circumscribed image of air in the bladder contour without involving the upper urinary tract, suggesting emphysematous cystitis. Re-interrogated, the patient referred pneumaturia, dysuria and febrile sensation one week before admission. Urine culture showed Enterobacter aerogenes. He was treated with a urinary catheter, metabolic control and parenteral antimicrobials. The patient was discharged without symptoms 21 days after admission, with the bladder catheter.

Prolonged sterile dysuria as a first presentation of pyocolpos

Pyocolpos is a rare clinical finding in vaginal atresia, especially in childhood. We present a child with pyocolpos and a long history of severe sterile dysuria before she was admitted to hospital with fever, urinary tract infection, and abdominal mass

Frequency and clinical presentation of UTI among children of Hazara division, Pakistan

Urinary tract infection is common in children and result in permanent renal damage and end stage renal failure in significant number of patients. It is imperative to diagnose urinary tract infection early and to treat adequately. We carried out this study to look into frequency and clinical profile of UTI in children admitted in our unit. Three hundred and seventy five patients with UTI, diagnosed by urine culture with age from 0-15 years admitted in pediatric unit during 2003-2006 were included in study. Urine sample for culture was collected by midstream clean catch, urine collecting bag and Suprapubic methods depending upon the age of patient. A proforma was used to record clinical presentation and laboratory findings of these patients. Frequency of Urinary tract infections among children examined by urine culture was 375 out of 1000 [37.5%] out of which 36 [9.6%] were male and 339 [90.4%] were females. Almost half of them 48.5% were less than 3 years old. About 60% of patients belong to Kohistan and Batagram districts and failure to thrive was common presenting feature [56.6%] in patients of these two districts. Fever was common clinical presentation 91% followed by Dysuria [65%] and failure to thrive [40%]. Frequency and clinical profile of urinary tract infection in children in Hazara Division is not significantly different from that of developing and developed countries

Dysuria among adult men attending a primary health care center in Kuwait

The purpose of this study was to explore common causes of dysuria in men attending primary health care centers in Kuwait and to describe general practitioners' diagnosis for dysuria and to compare them with diagnosis reported by hospital urologists. The study design is a descriptive study conducted in Dasman primary health care center in the Capital region of Kuwait during October - December 2006. All men aged 20 years and over presenting with pain, burning sensation or discomfort on urination attending the center during the study period which no antibiotics had been prescribed during the preceding four weeks were included in the study. For the purpose of comparison, individuals were classified into negative and positive according to the urine culture results. The mean age of the participants was 40.4 +/- 11.7 years; 22.4% were single. 51.1% were working outdoor. Only 28.9% of patients reported associated symptoms with their dysuria. Patients with negative urine culture had significantly higher proportion of associated symptoms than those with positive urine culture [P = 0.003]. Two thirds of patients received septrin as an antiseptic therapy, with a significance higher proportion of patients with positive culture received treatment from outside the clinics [P < 0.001]. More than half of cases [56.6%] were diagnosed as urinary tract infection, 18.4% as prostatitis, 10.5% as sexually transmitted diseases, 13.2% as genitourinary calculi and 1.3% as other urologic problem. Urine culture was positive in 92.6% of urinary tract infection and 7.4% of genitourinary calculi cases, while negative cases were more encountered among cases of prostatitis and sexually transmitted diseases. There was no hospital feedback among 56.6% of the studied patients. This negative attitude was encountered among 58.1%, 42.9%, 75.0%, and 60% of patients diagnosed as urinary tract infection, prostatitis, sexually transmitted diseases and genitourinary calculi. Primary health care diagnosis went in consistent with hospital ones in 73.7%, 62.5%, 50.0%, 75.0% of patients provisionally diagnosed as urinary tract infection, prostatitis, sexually transmitted diseases and genitourinary calculi respectively. Dysuria data collected in general practices will never provide a complete picture of dysuria

[ case report of urethra leiomyoma in a young woman]

Leiomyoma of the female urethra is a rare condition and there have been only 35-40 reported cases in literature. We report a 20-year-old woman who had referred with a painless mass in her vaginal vestibule, dysparonia, dysuria and previouse history of urine retention for two times. After clinical examination, imaging studies [US, MRI] and cystoscopy a mass in urethra protruding to vagina and bladder was diagnosed. She underwent biopsy and complete surgical resection. Histopathological study revealed urethral leiomyoma and after operation all symptoms disappeared

A Gartner duct cyst of the vagina causing dysuria and dyschezia in a Yorkshire Terrier

A 5 year-old, intact female Yorkshire terrier was referred for dysuria and dyschezia. The radiographic and ultrasound examination showed a round shaped mass caudal to the urinary bladder that contained anechoic fluid within the thin walls. During surgery, the cyst was noted to be attached to the outer wall of the vagina, not connected to the vaginal lumen. Cystic fluid was removed and the cystic wall was resected. Then the remaining cystic wall was omentalized to prevent a recurrence. Histological examination confirmed that the cyst was of Wolffian duct origin. In this case, a large Gartner duct cyst causing urological problems was diagnosed and removed by surgical resection.

Intravesical foreign body: case report.

Foreign bodies of the urinary bladder may occur by self insertion or migration from the neighbouring organs. All the foreign bodies when left for long act as a nidus for calculus formation. The patient usually presents with dysuria, intermittent urinary tract infection or suprapubic pain. Here we report two cases of vesical foreign body which was removed by the cystoscopy.

Ascitis y falla renal: no olvidar el uroperitoneo / Ascites and renal failure caused by a bladder fistula: Report of one case

Bladder fistula to open peritoneum is an uncommon cause of ascites. We report a 50 year-old woman with a history of pain in the lower abdomen and slight weight loss. The patient had a history of a repaired bladder perforation 12 years before, during a labor with forceps. The patient had microscopic hematuria and an abdominal CAT scan showed ascites. Serum creatinine was 2.2 mg/dl. An abdominal Doppler ultrasound showed normal portal and suprahepatic veins. Due to the suspicion that ascites accumulation could be urine, a sample was obtained and urea nitrogen and creatinine were measured. Since both levels were high in the ascitic fluid the patients was subjected to a cystoscopy that disclosed a fistula between the bladder and peritoneum. The patient was operated and the fistula excised. The postoperative period was uneventful, and the serum creatinine normalized.

Prevalence of schistosomiasis in children presenting to Sam Hospital, Sana'a City Republic of Yemen

To estimate the prevalence of schistosomiasis in children presenting to Sam Hospital Sana'a City, Republic of Yemen. This record-based study was done in Sam Hospital, Sana'a City during four and half years, from January 1, 1999 to June 30, 2003. Patients seen for different causes through that period numbered 103000. Some of the patients had intestinal symptoms, colicky abdominal pain and bloody diarrhea, or urinary symptoms, frequency, dysuria, and hematuria and were subjected to laboratory, investigation, [stool, urine analysis and complete blood cell count]. Data about age, sex and place were also collected. Stool and urine examinations were carried out in 23100 patients, 14414 were males and 8686 were females; only 82 [3.55%] of them were diagnosed as positive for schistosomiasis by identifying the eggs in stool or urine. The mean age of the patients was 12.2 years. Males numbered 70 [85.4%] while females numbered 12 [14.6%]. All patients had a history of water contact in rural areas around Sana'a City. Schistosoma mansoni infections constituted 85.4% [70 patients] and Schistosoma heamatobium affected 14.6% [12patients]. More than two thirds of the infected patients were above 9 years. All infected children had eosinophils >/= 5% [5-79%] of the total while blood cells. Infections are endemic in rural areas around Sana'a City. The prevalence of Schistosoma mansoni was higher than Schistosoma haematobium, and also the prevalence of infection increased with age. Schistosomiasis affected males more than females

Evaluation of meatal stenosis following neonatal circumcision

Meatal stenosis almost always develops following neonatal circumcision, and it usually does not become apparent until the child is toilet trained. The present study was conducted to determine the value of diagnostic ultrasonography in patients with meatal stenosis. A descriptive study was performed on 120 patients with meatal stenosis, referred to Naghavi Hospital, Kashan, Iran, from July 2000 to March 2002. Symptoms and findings on physical examination were recorded for every patient, ultrasonography of the urinary tract, and urinalysis and urine culture were also performed. Mean age of the patients was 2.5 years [range, 3 months to 6 years]. The common symptoms were dysuria [35%], decreased urine caliber [33.3%], and bloody spotting [15%], while 26.6% of the patients were asymptomatic. Paraclinical findings were microscopic hematuria [17.5%], bacteriuria [1.6%], and ureteral duplication [0.8%]. No case of obstructive uropathy was detected by ultrasonography. Meatal stenosis rarely causes obstructive uropathy. Hence, urinary tract ultrasonography is rarely necessary, unless symptoms persist after meatotomy