Asian Journal of Research and Reports in Urology <p style="text-align: justify;"><strong>Asian Journal of Research and Reports in&nbsp;Urology</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers related to all aspects of&nbsp;Urology.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> <p style="text-align: justify;">&nbsp;</p> Asian Journal of Research and Reports in Urology en-US Asian Journal of Research and Reports in Urology Significant Bilateral Calcification over a Neglected Ureteral Stent: About a Case Managed Endoscopically <p>Ureteral stents are integral parts of many procedures in endo-urology. Neglected stents can be associated with significant complications like serious encrustations, stone formation, recurrent urinary tract infections and hematuria. One of the known complications that poses a huge challenge to the urologist to manage is Calcification. The main risk factors for calcification of this stent are low education, time of use, sepsis, pyelonephritis, chronic kidney disease, recurrent or residual kidney stones, congenital and metabolic abnormalities, and malignant ureteral obstruction due to hyperuricosuria and chemotherapy. When removal by cystoscopy is not possible due to calcification, another procedure is required. We are reporting a case of significant bilateral double J-stent calcification in a 33-year-old patient who had kept bilateral double J stents placed for lithiasis for 3 years. Bilateral low back pain associated with hematuria was the main presenting complaints. biologically the renal function was normal. The CT scan revealed calcified bilateral double J probes along their entire length. The management was endoscopic in two sessions consisting of laser fragmentation of the calcifications and removal of the fragmented ureteral stent. Post-operative follow-up was simple.</p> Nedjim A. Saleh Ghannam Youssef Abdi El Mostapha Nachid Abdellah Ait Mahanna Hamza Moataz Amine Dakir Mohamed Debbagh Adil Aboutaieb Rachid ##submission.copyrightStatement## 2021-05-25 2021-05-25 9 13 Zinner Syndrome with Chronic Refractory Lower Urinary Tract Symptoms: A Case Report <p>Zinner syndrome is a rare congenital urogenital anomaly characterized by unilateral renal agenesis, ejaculatory duct obstruction and ipsilateral seminal vesicle cyst due to developmental arrest in early embryogenesis affecting the caudal end of Mullerian duct. Here, we report a case of 27-year-old male, who presented with burning micturition, pain at base of penis, painful ejaculation and painful defecation for 10 years with history of recurrent urinary tract infection. Physical examination, transrectal ultrasonography, and pelvic magnetic resonance imaging (MRI) showed right renal agenesis, ipsilateral ejaculatory duct obstruction and right seminal vesicle cyst. He was found refractory to the conservative management of 6 months duration. Transurethral resection of veru with right ejaculatory duct and deroofing of the right seminal vesicle cyst was done with bipolar loop. The patient was symptomatically better during the follow-ups. The cases of Zinner syndrome have been addressed adequately but we had not found such cases from Nepal.</p> Anil Kumar Sah Bipin Maharjan Mahesh Bahadur Adhikari ##submission.copyrightStatement## 2021-06-12 2021-06-12 14 18 Lumbar Vertebra Collapse- First Manifestation of Renal Cell Carcinoma: A Case Report <p>Renal cell carcinoma is the most common urological malignancy having aggressive and unpredictable metastatic potential. In the available literature, a number of cases of isolated metastasis to the spine from renal cell carcinoma have been described, but there is a dearth of literature regarding a case in which symptoms from the metastasis of a renal cell carcinoma preceded the detection of the primary tumor. We present a unique case of our knowledge in which a young patient presents with lumbar vertebra collapse for which he was managed and subsequently diagnosed with renal clear cell carcinoma with spinal metastasis.</p> Pachauri Avtar S. Vasudevan Kumar Nitish ##submission.copyrightStatement## 2021-07-03 2021-07-03 19 24 Incidence Rate of Urosepsis Complication in Patient with Post DJ Stent Placement at Dr. Moewardi General Hospital Surakarta from January to March 2017: A Retrospective Study <p><strong>Background</strong><strong>:</strong> Double J stent is a tool that is often used by the urologist to reduce and prevent upper urinary tract obstruction and to treat the injury in the ureter segment, with a mechanism to reduce urinary extravasation and accelerate ureter healing. Placement of Double J stent to the ureter has a meaning as implantation of a foreign object in the body that can cause various complications, especially infection. Placement of DJ stent allows the bacteria to colonize in the urinary tract that leads to systemic infection. Urosepsis is a form of non-traumatic emergency marked by systemic infection originating from the focus of infection in the urinary tract causing bacteremia and septic shock.</p> <p><strong>Objectives</strong><strong>:</strong> To determine the incidence rate of urosepsis complication in a patient with post DJ Stent placement at dr. Moewardi General Hospital Surakarta from January to March 2017.</p> <p><strong>Methods</strong><strong>:</strong> Descriptive retrospective study design by taking medical record data of a patient with post DJ Stent placement, then adjusted to the research criteria from January to March 2017.</p> <p><strong>Results</strong><strong>:</strong> Male patients tend to develop urosepsis 1.3 times greater than female patients, with a percentage of 56%: 44%. Then, according to age criteria, patients with age &gt; 50 years had a tendency 0.5 times greater than patients with age &lt;50 years. (53%: 47%). Based on the length of installation found that patients with DJ stent placement &gt; 1year tend to have sepsis 6.6 times greater than &lt;1 year (87%: 13%).</p> Ihya U. Rahawarin . Wibisono ##submission.copyrightStatement## 2021-05-24 2021-05-24 1 8 Serum Prostatic Specific Antigen Levels among Adult Male Patients Seen at Two Nigerian Tertiary Hospitals <p><strong>Background: </strong>The clinical utilization of PSA&nbsp; test in early detection and monitoring therapy of cancer of prostate is influenced by demographic factors like age, geographical location, metabolic&nbsp; factors, method of analysis&nbsp; and&nbsp; sensitivity and specificity of the test. Hence, we retrospectively compared the serum PSA levels of adult male patients seen at two Nigerian tertiary hospitals.</p> <p><strong>Methodology: </strong>The retrospective study was conducted at two Nigerian tertiary hospitals, Federal medical centre, Yola and Makurdi between January and December 2019. Study participants were&nbsp; adult males with lower urinary tract symptoms presented at the Urology units and referred to the hospital chemical pathology laboratories&nbsp; for total&nbsp; PSA assay&nbsp; using quantitative method, Time –resolved Flourence immunoassay, Bioscience Diagnostic Technology Ltd, China. Data&nbsp; extracted&nbsp; includes,age, clinical details, and PSA levels. Descriptive&nbsp; analysis using SPSS version 21.0 was employed. A total of 430 data&nbsp; were&nbsp; extracted, 201 from Yola and 229 from Makurdi</p> <p><strong>Result:</strong> Significant difference was observed in the mean age, 61.67+0.09years vs 58.61+58.61years(p=0.009)&nbsp; and&nbsp; mean serum PSA level of patients21.88+3.04ng/ml vs 14.81+0.74ng/ml(p=0.041). Significant difference was observed in the&nbsp; mean serum&nbsp; PSA level(1.33+0.09ng/ml vs 1.65+0.08ng/ml)(p=0.011) of patients with PSA level (LUTS) within the&nbsp; range of&nbsp; &lt;4ng/ml,and&nbsp; those with&nbsp; &gt;10ng/ml(65.88+0.09 vs 40.43+3.66ng/ml)(p=0.003). 211(49.1%, 51.7 vs 46.7%)had PSA level 4ng/ml, 86(20%, 17.9% vs 21.8%)within&nbsp; 4-10ng/ml and 133(30.9%, 30.3 vs 31.4%) had &gt;10ng/ml. No significant correlation was observed&nbsp; between PSA level and age, but&nbsp; increased with&nbsp; advancement in age. Diabetes Mellitus(DM)(0.9%) and co-existence of DM and hypertension(2.0%) were&nbsp; recorded&nbsp; as comorbidities</p> <p><strong>Conclusion: </strong>The study findings affirmed high PSA level and increase with age in suscepted cases of cancer of prostate. it serves as a&nbsp; baseline epidemiological template for further comprehensive study for better understanding&nbsp; of PSA level in clinical diagnosis and&nbsp; create awareness of the disease.</p> Agudi Celestine Chibuike Isaac Medugu Ferdinand Olajuyin Olaleye Ebenezer Ayeotan Olorunfemi Egbeleke Femi Ajibade Ibikunle Itunu Esther Jessy Thomas Medugu Ayu Agbecha Okon Kenneth Okwong ##submission.copyrightStatement## 2021-07-19 2021-07-19 25 30