Female Urology and Urogynecology: The Outcome of Patients Participating in Live Surgical Broadcasts.

INTRODUCTION: The aims of this study were to assess the complications and short- and long-term outcomes of patients involved in live surgical broadcasts (LSBs) of female urology and urogynecological surgery and compare the surgical success with operations performed outside this setting by the same surgeons. METHODS: We reviewed our prospectively collected database of all patients who had taken part in LSBs between 2008 and 2015 for the annual female urology and urogynecology course. Data on intraoperative and 30- and 90-day complications and primary outcomes from surgery were collected. Procedure-specific success rates were determined and compared with the center's previously published success rate for these procedures. RESULTS: Overall, 53 females with a median age of 50 years (range, 23-77 years) underwent 62 procedures during these LSBs. There were no intraoperative complications. There was 1 Clavien-Dindo grade II complication within 30 days of surgery. Within 90 days of surgery, there was 1 Clavien-Dindo grade III complication, which occurred in a patient having removal of anterior pelvic organ prolapse mesh for urethral erosion and simultaneous colposuspension. The majority of operations, 57 (92%) of 62, achieved their intended primary outcome. CONCLUSIONS: With careful planning, LSB can offer a safe way of sharing current operative techniques and decision making with similar 30- and 90-day complication rates to standard practices and comparable functional outcomes to standard practice.

Large leiomyoma of the bladder masquerading as an enlarged prostate gland.

A 56-year-old man was admitted to hospital with shortness of breath and subsequently sustained a cardiac arrest. In the recovery period, he developed acute urinary retention and haematuria. Imaging suggested an enlarged prostate and he was started on clean intermittent catheterisation. Following further imaging and a transurethral biopsy, he was found to have a bladder leiomyoma. This was treated with laparotomy, cystotomy and enucleation of the tumour. At his 6-week follow-up appointment, he had a satisfactory cystogram and a successful void without catheter.

Concomitant testicular seminoma and ectopic adrenal tissue of the cord in a 45-year-old male.

Aberrant adrenal tissue near the adrenal gland is common, but the finding of ectopic adrenal tissue in structures around the spermatic cord and testis is rare. We describe a case of concomitant seminoma and ectopic adrenal tissue of the spermatic cord occurring in an adult patient who had undergone orchidopexy as a child.

Spontaneous tension haemopneumothorax.

We present a patient with sudden onset progressive shortness of breath and no history of trauma, who rapidly became haemodynamically compromised with a pneumothorax and pleural effusion seen on chest radiograph. He was treated for spontaneous tension pneumothorax but this was soon revealed to be a tension haemopneumothorax. He underwent urgent thoracotomy after persistent bleeding to explore an apical vascular abnormality seen on CT scanning. To our knowledge this is the first such case reported.Aetiology and current approach to spontaneous haemothorax are discussed briefly.