RESUMO
Ureteroscopy is a worldwide diagnostic and therapeutic procedure. This technique has some known complications, but proper ureteroscope handling is the cornerstone to prevent the catastrophic events such as ureteral avulsion. In this case report, we aim to review the cause and management of ureteral avulsion during ureteroscopy and presents recommendations to minimize the incidence of such serious consequence in the current practice
RESUMO
Tuberculosis [TB] has been one of the great imitators of old time, and only a few years ago, was thought to be a disease of the past. TB is a deadly infectious disease with a rising incidence worldwide. The urologists awareness of the clinical features of genitourinary TB is necessary to effectively treat patients with this disease. We report a case of unusual genitourinary TB in a patient who had extensive urinary bladder TB without any pulmonary manifestations. He presented with severe gross hematuria associated with blood clots without general constitutional symptoms. The current concepts regarding the management of genitourinary TB are discussed and the relevant literature is reviewed
RESUMO
To evaluate the preoperative diagnostic methods and the outcome of surgical treatment of penile fractures in patients treated at our institution. Retrospective study. Department of Surgery, Urology Unit, Al-Jahra Hospital, Kuwait. Eighteen patients treated surgically for penile fracture during the period from October 2007 to June 2012 were included. The diagnosis of penile fracture was made on clinical grounds and penile ultrasonography. Patients were treated by immediate surgery. Corpus cavernosum tear was repaired with absorbable sutures. Surgical repair with absorbable sutures. Evaluation of preoperative diagnostic methods and the results of early surgical treatment. Patients presented within 6 - 20 hours [median time 16 hours] after injury. With a mean follow-up of 18 months [range 12 to 24 months], all patients were able to achieve full erection. No penile deformities or penile plaques were reported. Penile fracture represents a true urological emergency. In nearly all cases diagnosis can be made on typical history and clinical examination. Early surgical exploration and repair of tunica albuginea can result in good functional outcome