ABSTRACT
We report a case of nephrobronchial fistula complicated by the development of a broncholith within the lung, which led to hemoptysis and blood loss anemia. A 71-year-old man with a medical history of untreated urinary stones was admitted for flank pain, hemoptysis, blood loss anemia, and exacerbation of chronic pyelonephritis. Computed tomography showed staghorn calculi, terminal hydronephrosis, xanthogranulomatous pyelonephritis of the left kidney, nephrobronchial fistula, and large intraparenchymal pulmonary calcification. Surgical treatment was performed in two steps: nephrectomy and then left lower lobectomy. Pathological findings were suggestive of chronic inflammatory changes.
ABSTRACT
Due to low incidence, there are no large prospective studies or clinical trials for small cell carcinoma (SCC) of the genitourinary system (GU), and most data are extrapolated from SCC of the lung. Using the SEER database, we analyzed incidence trends, overall survival, and cancer-specific survival using the log-rank test. Analysis of variables was performed using the Cox proportional hazards regression model. The analysis showed that SCC of the bladder and prostate were the most common types of GU SCC, with 1836 and 606 cases, respectively. In 2018, the incidence of SCC of the bladder and prostate was twice that of 2010 (P < 0.001). The overall survival and cancer-specific survival of patients with SCC of the bladder were significantly longer than those of patients with SCC of the prostate (P < 0.0001). SCC bladder patients with advanced age, more extensive growth, lymph node involvement, no surgical intervention, and the presence of the metastasis had worse survival outcomes (P < 0.05). The Asian/Pacific Islander race provided some survival benefits for patients with SCC of the bladder (P < 0.05). For patients with SCC of the prostate, only advanced age was a risk factor for poor outcomes (P < 0.05).
ABSTRACT
OBJECTIVE: The aim: To evaluate whether simultaneous inguinal hernioplasty during prostatectomy confers benefits on quality-of-life outcomes. PATIENTS AND METHODS: Materials and methods: 152 patients with prostatic adenoma were observed. The general group included 32 (21%) patients with prostatic adenoma and hernia inguinalis, who underwent one-stage prostatectomy accompanied with hernioplasty. 120 (79%) persons of comparison group underwent a prostatectomy only. The average age of the comparison group was 68.0±7.0 years, the general group - 67.1±6.9 years; the average prostate volume was 94.4±42.3 cm3 and 91.2±32.6 cm3 respectively. Hernia inguinalis was in 32 patients of the general group, in 4 of them - on both sides (36 cases totally). RESULTS: Results: The average time of retropubic prostatectomy in both groups was the same, and simultaneous hernioplasty took 35.0±17.4 minutes. The frequency of early and late bleeding after prostatectomies in the general group was 6.25% (2 cases) and 7.5% (9 cases) in the comparison group. No deaths were noted in two groups. The quality-of-life outcomes after the one-stage prostatectomy accompanied with hernioplasty in 6 and 12 months were statistically better than before these operations. CONCLUSION: Conclusions: Performing one-stage prostatectomy accompanied with hernioplasty does not worsen the immediate and long-term results of operation, instead it helps to eliminate two diseases at the same time from one surgical approach.
