young female patient diagnosed to have urinary bladder urothelial carcinoma: a case report

Bladder cancer can occur at any age-even in children. However, it is generally a disease of middle-aged and elderly people, with the median ages at diagnosis for urothelial carcinoma being 69 years in males and 71 years in females. We report a case of transitional cell carcinoma of the bladder in a 24 years old female.

Preemptive ilioinguinal-iliohypogastric nerve block versus morphine for unilateral varicocoelectomy

The surgical approach for varicocelectomy is similar to that of herniorraphy. Iliohypogastric-ilioinguinal [IHII] nerve block reduces postoperative pain after herniorrhaphy. The effect of preemptive intramuscular injection of 0.1 mg/kg of morphine was studied in ambulatory surgery for patients undergoing unilateral varicocoelectomy and the results were compared with those of IHII nerve block. This study was performed at Jordan University Hospital, Amman, Jordan, between August 2005 and December 2006. After obtaining the approval of the ethical committee, an informed consent was taken from 68 adult male patients in ASA [American Society of Anesthesiologist] who are I-II scheduled for unilateral varicocoelectomy. Those patients were included in a prospective, randomized, double blind study. 34 patients have received IHII nerve block 10 minutes before the incision with 20 mls of bupivacaine 0.5% [B group], and 34 patients received 0.1 mg/kg of morphine 10 minutes also before the incision [M group]. All patients have received standardized anesthesia, pain was assessed by 0-10 [VAS] Visual Analogue Score at 0, 30 minutes, 1, 2, 3, post operative hours. The incidences of nausea, vomiting, sedation, itching and additional analgesic requirement were assessed. P < 0.05 was considered significant. Iliohypogastric-ilioinguinal nerve block group reported lower postoperative pain scores at 30 minutes P=0.00255, 1 hour P=0.0001, 2 hours P=0.0103.No significant differences were present between the two groups at 3 and 4 hours postoperatively. The incidence of sedation, nausea, vomiting and itching was similar in both groups [p=NS]. Iliohypogastric-ilioinguinal nerve block for unilateral ambulatory varicocoelectomy can reduce pain more than morphine in the immediate postoperative period, but this reduction was not associated with a reduction in opioid related side effects

perineal testicle: report of two cases and review of the literature

Perineal testis is a rare condition. Although present during infancy, the condition is still diagnosed at an older age. Its association with a contralateral incompletely descended testis has been reported once. We report our experience with 2 cases of perineal ectopia, one of which was associated with a contralateral incomplete descended testis and presented with infertility. A review of the english literature is included

Ureteral stone extraction using the Zeiss loop catheter experience at the Jordan University Hospital

At Jordan University Hospital [JUH] since 1984, the author attempted Ureteral Stone Extraction using the Zeiss Loop Catheter 41 times in 40 patients. The procedure was successful in all attempts but one for a 95% success rate. One patient [2,5%] developed a serious complication that required open surgery. From this small series of patient, it is concluded that stone extraction by the use of Zeiss Loop Catheter is effective and relatively safe procedure

Genito urinary tuberculosis at Jordan University Hospital

Genito Urinary Tuberculosis [Gu. TB.] specifically and extrapulmonary tuberculosis generally, are not rare. Both are probably underdiagnosed because pulmonary tuberculosis is still almost endemic in Jordan. GU. TB. cases at Jordan University Hospital [JUH] were reviewed retrospectively and eighteen cases were found during twelve years [1973-1985]. Middle age males predominated. The main clinical findings were dysuria [50%], and fever [3 4%]. Tuberculin Skin Test [5TU], [PPD-5TU] was reactive in all to whom it was implanted. Pyuria was found in [78%]. Abnormal Intravenous Urography [IVU] was seen in [87%]