Efficacy and Safety of Laser Lithotripsy in Pregnancy

Introduction: The aim of our study was to assess the efficacy and safety of laser lithotripsy in pregnant patients.Methods: In this retrospective study, we reviewed the 15 pregnant women who have been treated for ureteral stones with semi-rigid ureteroscope and holmium laser at our center between Januarys 2007and April 2015.Results: The mean age of patients and mean gestational age was 29.3 years old 27.3 weeks respectively. Mean size of stones was 7.84 mm. Twelve patients had renal colic, and hematuria was found in 3 cases. Irritative urinary symptoms such as frequency and urgency detected in 6 ones and 2 patients had fever. The stone of all patients were fragmented by using holmium laser lithotripter. In 5 patients stone residual fragments were removed by grasper while other 10 patients were left to pass fragments spontaneously. No intraoperative and postoperative urological or obstetric complication was seen.Conclusion: Laser lithotripsy is safe and efficacious in pregnant patients who have ureteral stone that does not respond to conservative management

Improvement of Erectile Dysfunction by Revascularization Surgery Following Urethroplasty in Patients with Pelvic Fracture

Introduction: Erectile dysfunction is one of the most common sexual disorders in men and affects one out of every five men over the age of 40 years. Penile revascularization is one of the methods for treating erectile dysfunction in these patients.Methods: The participants were patients who had erectile dysfunction after a pelvic fracture. These patients had Urethroplasty for at least one year ago due to urethral trauma and also undergone penile micro vascularization surgery. Sexual activity was allowed from the second month accompanied with the administration of tadalafil and yohimbine prior to intercourse.Results: In this study, 52 patients with the mean age of 30.65 ± 7 years (range: 24-45) were included. 24 patients (46%) were married. The mean time interval between pelvic fracture and surgery was 49.80 ± 16.30 months (range: 22 to 85). Complete response was seen in 9 cases (17.3%), relative responses in 18 (34.6%), and treatment failure in 25 cases (48.1%). The treatment results did not show any significant difference between the two dissimilar surgical procedures (Micheal versus-Virag) (P = 0.58).Conclusion: Based on this case-series, it is concluded that penile revascularization surgery seems to have a relatively good effect on the improvement of vascular erectile dysfunction in patients with pelvic fracture urethral distraction effect following Urethroplasty