Sub-capsular renal hematoma is a rare complication after laser ureteroscopy with an incidence that varies between 0.02 to 0.45%. The authors report one case of bilateral sub-capsular renal hematoma after ureteroscopic lithotripsy revealed by febrile low back pain. Our attitude was conservative with a favorable evolution.
Sub-mucosal hemorrhage of the ureteral wall has only been reported in exceptional cases. We report the case of a 78-year-old male presented with macroscopic hematuria and right lumbar pains with an overdose of anticoagulant treatment. An abdominal CT Scan with Contrast was performed which led to the diagnosis of submucosal hematoma of the wall of the ureter and the right pelvis. Clinical improvement was rapidly favorable after adaptation of the anti-coagulant treatment.
Aim: As cutaneous metastasis of prostate cancer is very rare and there are very few documented cases in the literature, we want to present this case report.
Presentation of Case: A 62 years old patient presented to the outpatient department with complaints of continuous dribbling of urine and overflow incontinence with occasional painless gross haematuria for one month. He gave a history of enlarged inguinal lymph nodes. Investigations including blood biochemistry, urine analysis, ultrasonography and CECT abdomen were done followed by cystourethroscopy. Diagnostic biopsy from the left lateral wall of the bladder and a formal transurethral resection of the prostate was done and the specimen was sent for histopathological study.
Discussion: Prostate cancer, among other urological malignancy, is the third most common cause of skin metastasis. Cutaneous metastasis in prostatic cancer is rare and occurs in 0.09% of prostate adenocarcinoma. This increases with a relative increase in the elderly population and refractory or end-stage prostate cancer.
Conclusion: Cutaneous metastasis in prostate cancer carries a grave prognosis as in many other malignancies. Survival is generally between 6 weeks and 9 months. It is necessary for both the urologist as well as primary care physicians to be vigilant about these atypical observations in their daily practice.
Background: The male factor in infertility is often underplayed especially in Africa however, it is known to contribute significantly to infertility. Various scrotal pathologies have been associated with infertility with ultrasound scan being a safe, cheap and none invasive method of evaluating these pathologies.
Aim: The purpose of this study was to detect, by ultrasound the spectrum and frequency of scrotal pathologies in infertile men in a tertiary hospital in southern Nigeria.
Methodology: One hundred infertile men were prospectively examined. All pathologies noted were recorded and analyzed using Statistical Package for the Social Sciences (SPSS) 20.0. Occupation (based on hours spent sitting down) and their relationship with different scrotal pathologies was assessed using Chi square and Fishers exact as appropriate.
Results: The age of the study population ranged from 27 – 48 years. Mean age was 38.16 ± 4.7 years. The most common scrotal ultrasound abnormal finding was varicocele (60%). No correlation was found between scrotal pathologies and the number of hours spent sitting down due to occupation.
Conclusion: This study found varicocele as the commonest abnormality in infertile men. No correlation between scrotal pathology and occupation was found.
Introduction: Urethral rupture are a common complication on patients with pelvical fracture. With incidences 3-25% in patients with pelvical fracture.
Objective: To know the profile and analytical of pelvic fracture as a risk factor for posterior urethral rupture at dr. Moewardi Hospital Surakarta, January 2012 - December 2018
Methods: We conducted a analytic retrospective study on the medical records of patients with pelvic fracture and posterior urethral rupture for 7 years at dr. Moewardi Hospital Surakarta, from January 2012 to December 2018. Data we’ve taken from the in-patient medical records at Dr. Moewardi Hospital, which included age, pelvic fracture type and posterior urethral rupture.
Results and Discussion: A total of 48 patients with pelvic fracture, 25 patients (52%) found with posterior urethral rupture. 14 patients (29%) are in the age range 20-30 y.o. and founded that single rami fracture are the most common pelvical fracture with 19 patients (40%), single rami fracture are the most pelvical fracture that lead to posterior urethral rupture with 11 patients (odds ratio 1,47).
Conclusion: Single rami fracture are the most pelvical fracture that lead to posterior urethral rupture in dr. Moewardi Hospital Surakarta.