Management of bladder stones: should transurethral prostatic resection be performed in combination with cystolitholapaxy?

We report our institutional experience and review the literature in the management of bladder stones, with particular attention to combined cystolitholapaxy and transurethral prostatectomy. Vesical calculi are associated with obstructing prostatic hypertrophy two thirds of the time. Combined cystolitholapaxy and transurethral resection of the prostate have significant morbidity.

Solitary crossed renal ectopia and its associated congenital anomalies.

Solitary crossed renal ectopia is one of the rarest congenital renal anomalies, with only 21 previously reported cases. It is often accompanied by multisystem congenital anomalies, mainly skeletal and genital in type. The twenty-second such case of this rare congenital anomaly is reported in association with a severe congenital scoliosis of the lumbosacral spine. The embryogenesis and the significance of its associated congenital anomalies are discussed.

Vesical-related paragangliomas.

A review is presented of vesical-related paragangliomas and 3 cases are reported. Methods for early diagnosis, including selective angiographic demonstration, and treatment of these rare tumors are discussed. A multi-team approach by the urologist, endocrinologist and anesthesiologist is stressed for better control of potentially dangerous vasomotor changes during diagnosis and surgical treatment of this tumor.

Transcatheter biopsy of renal carcinoma invading the inferior vena cava.

Transcatheter biopsy is presented as an alternate method of obtaining a histopathologic diagnosis in cases with evidence of direct neoplastic intravascular involvement and when conventional biopsy methods may be contraindicated.