Open Access Case Study

Scrotal Abscess Mimicking as Infarcted Testicular Abscess in a Patient with Maldescended Testis

Darren Goh

Asian Journal of Research and Reports in Urology, Page 23-26

Scrotal abscess is a common scrotal condition which rarely affects the testis and definitive treatment is by surgical drainage. Testicular involvement by a scrotal abscess can usually be diagnosed with ultrasound and it will usually require an orchidectomy. We present a first reported case of a scrotal abscess, mimicking an infarcted testicular abscess on ultrasound in a patient with maldescended testis. This unusual case highlights the importance of an    accurate history and physical examination as imaging may not be reliable in a case of maldescended testis.

Open Access Case Study

Cystitis Cystica Presenting as Multi-loculated Large Bladder Cysts in a Patient with Lower Urinary Tract Symptoms

Darren Goh, Teo Xin Ling, Lim Sey Kiat

Asian Journal of Research and Reports in Urology, Page 27-30

Cystitis cystica is a common benign histopathological finding on cystoscopic biopsy and has a typical macroscopic appearance of multiple small cystic-looking lesions in the bladder on cystoscopy. It may be incidental or related to urinary tract infection or inflammation. We describe a rare case of a patient presenting with lower urinary tract symptoms (LUTS) who underwent transurethral resection of large multi-loculated bladder cysts which were suspicious for bladder malignancy on imaging; but histology turned out to be cystitis cystica.

Open Access Minireview Article

Care Strategies for Elderly People with Benign Prostatic Hyperplasia: Integrative Literature Review

Viviane Ferraz Ferreira de Aguiar, Dayara de Nazaré Rosa de Carvalho, Dandara de Fátima Ribeiro Bendelaque, Celice Ruanda Oliveira Sobrinho, Lorena Nayara Alves Neves, Rafael Everton Assunção Ribeiro da Costa, Sara Melissa Lago Sousa, Raylana Tamires Carvalho Contente, Susi dos Santos Barreto de Souza, Juliana Ferreira Rodrigues, Glenda Keyla China Quemel, Fernanda Araújo Trindade, Mônica Custódio do Couto Abreu Pamplona, Antônia Margareth Moita Sá, Ivonete Vieira Pereira Peixoto

Asian Journal of Research and Reports in Urology, Page 15-22

Objective: The objective of the study is to demonstrate, by means of an Interactive Literature Review, the care strategies for elderly patients with Benign Prostatic Hyperplasia (BPH).

Methodology: An Integrative Literature Review Study (RIL) was carried out, with data collection through online access in the PubMed, Cochrane Library and VHL databases. After evaluation and synthesis of the articles, the data were analyzed in the IraMuTeQ software, presenting the results through the similarity analysis with the identification of co-occurrences between the words and the connection indications.

Results: The research showed that the results of non-invasive and surgical therapies were identified as strategic actions.

Conclusion: It was concluded that care strategies for the elderly with benign prostatic hyperplasia are still scarce, limiting pharmacological and behavioral interventions.

Open Access Original Research Article

Antegrade in situ Lasering of Distal Urethral Stone: A Novel Technique

Muhammad F. Khan, Mina Awad, Soumya Misra

Asian Journal of Research and Reports in Urology, Page 1-4

Different techniques are available to manage patients with urethral stones; varying from a conservative approach with spontaneous passage to open procedures. Alternative techniques include milking of stone, instilling local anesthetic jelly, pushing bang approach coupled with extracorporeal shock wave lithotripsy, lasertripsy and electrohydraulic lithotripsy. We describe a 55-year-old male patient who presented with fournier gangrene of perineum, penis and scrotum. Extensive debridement of superficial layers of perineum, scrotum and penis was performed. We put a suprapubic catheter, as per standard protocol. Thereafter, this patient had plastic surgery operations for graft placement. However, in the follow-up patient could not pass urine through urethra. Cystoscopic examination under general anesthesia revealed a stone in the distal urethra. We used a novel technique to remove this stone via an antegrade approach through the suprapubic tract and lasering the stone with holmium laser; thus avoiding open procedure and its associated complication (s). Exceptional circumstances demand thinking out of the box and in suchcases before considering open surgery one should consider this technique for the safe removal of stone.

Open Access Original Research Article

Antimicrobial Resistance among Fungal Species Obtained from Patients with Genito-urinary Tract Infections

Tobiloba Emmanuel Adeniyi, Adesewa Adeyinka Adekoya, Adedayo Emmanuel Ogunware

Asian Journal of Research and Reports in Urology, Page 5-14

Background: Urinary tract infections (UTis) whether caused by fungi or bacteria, are categorized into two sections (lower and upper urinary tract infections) which may occur in asymptomatic or symptomatic forms. Increasing incidence in recent years of this infection is significantly associated with extensive and prolonged use of broad-spectrum antimicrobial agents, corticosteroids, immunosuppressive and cytotoxic drugs. This is caused by an increase in antimicrobial resistance and the restricted number of antifungal drugs, which retain many side effects.

Aim: This research was setup to isolate and identify different fungi species responsible for genito-urinary tract infection and to determine their antifungal susceptibility pattern and to evaluate the degree of resistance to antifungal drugs.

Study Design: 40 Urine samples were collected using a sterile urinary cup and 10 vaginal swabs were collected using sterile swab sticks. Different diagnostic methods were used for characterization of these fungi species.

Results: Results showed that 34% of urine samples tested positive for different Candida spp., which includes C. albicans and C. glabrata and 22% tested positive for different Aspergillus spp. which were A. flavus, A. fumigatis and A. niger.

Conclusion: Antifungal resistance assay was carried out on the isolates using two common antifungal drugs Amphotericin B and Fluconazole. Candida spp. showed little resistance against Fluconazole but showed sensitivity to various concentration of Amphotericin B. Aspergillus showed resistance to Fluconazole but showed sensitivity to Amphotericin B.